HomeMy WebLinkAboutWhelan, John •
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ELIZABETH A.NEVILLE .Z. yam,: Town Hall, 53095 Main Road
TOWN CLERK c -� P.O. Box 1179
ci) 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS . 1
MARRIAGE OFFICER `� / Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER 4 0� 0Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER. --',�� �`a11��
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2018 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : RONALD & CLAUDIA BRANKER
Address 1 : 48 MOON AVENUE
City St Zip FLANDERS NY 11901
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-98-0121
Name Of Owner WHELAN, JOHN
Mailing Address 1 RD #3 BOX 3252
City St Zip LAKE GEORGE NY 12845
Property Address 1 530 OAK DRIVE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 1014.00 block 5 lot 31 .000
Cross Street BROADWATERS DRIVE
Building Permit Number Cross Reference:
Issue Date: 3/02/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
r
"OF 2 (3 l
_� CO*,,N ELIZABETH A. NEVILLE ti� Town Hall, 53095 Main Road
TOWN CLERK c P.O. Box 1179
t ti 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
MARRIAGE OFFICER � �� �� $ Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER '49.1
OFFICE
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 1, 1999
Transmitted herewith is a copy of application No. 2098 for a Cesspool/
Septic Tank Construction Permit submitted by:
Ronald J. and Claudia Branker (Contract Vendee)
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE <.77
DISAPPROVE
Comments:
v Cl.
Si ature
� ) l i
Dated
OFFICE OF THE TOWN CLERIC '�� OIK�w
TOWN OFSOLTTHOLD ,�, Application No. 2Q �D
FI I7ABETH A.NEVILLE,TOWN CLERK 4,A=.
P.O.BOX 1179 ` Construction
SOUTHOLD,NEW YORK 11971
Alteration
Telephone Q�i� $10.00 - Residential
=moo I�,. �--(516) 765-1801 __ 1 � o� $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No.
Fee $ q q
DATE 3 - I - I
APPLICANT NAME: R frr 1 t J . E 0_.I v�‘'p,- A , 5(e. P/Ns
APPLICANT ADDRESS:`g M0014 Ar‘ie-5\106
F LArnrDO & S QV. I1O1
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION(1,0,J6c4a,J of
f}- S//VLyj �A i ly , ELIA'Ai -
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: J p\NS (A) h 6-1. A N
OWNER MAILING ADDRESS: --KI) 3 7jQx 3 oi.,5a
1.-R\(E oa N . 1 a
OWNER PROPERTY ADDRESS: 530 E Co(Y) Of -1&.. :DR.
& ` N . I t `1 35
TELEPHONE NUMBER OF CONTACT PERSON: O '1o9
TAX MAP NO. : Section 104 . 00 Block (D57 0o Lot 030.oO..)
3l . vvv
CROSS STREET: () k fit-. E TB (,.Sfls-' a—ALS •
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
MAR 1 1999
RECEIVED BY:
suit Tortr..k's Office
DATE:
SEPTIC DETAILnot to scale _- SURREY OF PROPER
•
\ \ SITUATE:NEAR NASSAU POI,, T
-- -- 1 1 1 \ 1*-
TOWN OF SOUTHOL'L
SUFFOLK COUNTY, N7
110.0 . 11.5 , 1 1 1 1 JQLGlY1t
10.6 1 _ 1
1 e I` — — J SURVEYED 08--06--48
•
SUFFOLK COUNTY TAX u5
• 1000 - 104 -5 - 30 6
1000 - 104-5-31
•
Oa Dlive CERTIFIED TO:
is RON BRANKER
f_d. K _ ._ 4 I�1Q°12110".-
1{1-
,
I50•�`�1 8 CLAUDIA BRANKER
Test Hole 1`', t�orEs.
(not to scale) �,,�{
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la,icn
0.3' e W
lP P • MONUMENT FOUND
—4 — _ - �o e t^!£LL FOUND
, Grey
_ 1. --„0:
—:o:�� 0 PIPE FOUND
Z
AREA = 23,923 5F OR 0.55 ACRES'
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p,r°11rf9 CIcp REFERENCE DEEDS: LL 10843 P 445
10843 P 44 T
1.1. , _ �; �, Af�
1 \ 22, :_ .
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Sancti 1_ ---- O O CO
Loom •1 O S' OLK COUNTY-DEPARTMENT OF HEALTH SERVICES
0 Z C • • ► FOR APPROVAL OF CONSTRUCTION FOR A
5.6' p _ p, — - _ 8 t., .,. •. t 1 Y RESIDENCE ONLY
0p s 1 s`,F /o-9g-0 a/ Received 1
rn� 0 _ DA tt 1 Suffolk.County
@ := APP• •VOD 1 _., ,zri AUG 12 1998
Medium �A 5- 1O1 FOR MA IMUM OF q BEDROOMS
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70 ' aDept.Of Health 5elvice
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rnAPPROVAL Wastewater Mgr
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LANG_/ N.Y.S. LIC. NO. 505
GRAPHIC SCALE 1"= 40' JOHN C. EHLERS LAND SURVEYOR
N== 6 EAST MAIN STREET
RIVERHEAD,N.Y. 11901 REFERENCE # 98-0"c::—— - ..—_ _ 369-8288 Fax 369-8287