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Marshall, Joe
/� �g�FFO(,tCo ELIZABETH A.NEVILLE •) �O l/,y\ Town Hall, 53095 Main Road TOWN CLERK 1 �� P.O. Box 1179 t y Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823 MARRIAGE OFFICER ` ,j,��l I Telephone (516) 765-1800 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER J OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1968 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : RAY DICKHOFF Address 1 : . P. O. BOX 696 City St Zip AQUEBOGUE NY 11931 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 #R10-98-0149 Name Of Owner MARSHALL, JOE Mailing Address 1 1000 9TH STREET City St Zip GREENPORT NY 11944 Property Address 1 GRAND VIEW DRIVE City St Zip ORIENT NY 11957 Tax Map No. section 14.00 block 2 lot 3.028 Cross Street OLD MAIN ROAD Building Permit Number Cross Reference: Issue Date: 11/05/98 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) • N iia ,,%VFFO4C; ELIZABETH A.NEVILLE CO Town Hall, 53095 Main Road TOWN CLERK c P.O. Box 1179 2 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS O MARRIAGE OFFICER Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER :'1Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER � O-l�[ *".07 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: October 30, 1998 Transmitted herewith is a copy of application No. 2044 for a Cesspool/ Septic Tank Construction Permit submitted by: Ray Dickhoff for Joe Marshall 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. Ot4v;xyg-t,- Linda J. Cooper I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: • Si ature Dated Y . ..2 - _ ---. OFFICE OF THE TOWN CLERIC ` ,.''' TOWN OFSOUTHOLD O` - Application No. x0`441 ELIZABETH A.NEVELE,TOWN CLERK :, fof % P.O.BOX 1179 Construction v SOUTHOLD,NEW YORK 11971 Alteration Telephone �: #'," $10.00 - Residential , "(516) 765-1801 , 1 ,0 $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION Rre`I011rr-� • for 17;..) CONSTRUCTION or ALTERATION PERMIT town Cleric Sou(11ola SEPTIC TANK or CESSPOOL Permit No. • Fee .$ DATE /0/, o/� APPLICANT NAME: ,?, / ,O/c////o`' APPLICANT ADDRESS: /a° ,bo,(/ 6P "IQC/f,e3pf , '/ /7F3/ SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION j() 64) 5/A); /;fr 5 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: 4 Of /1R.p5N,9lG- OWNER MAILING ADDRESS: /000 ?T� 5 (A0Ef,1O.e7" OWNER PROPERTY ADDRESS: le79XW/1& -5124011:.5 Ze! ®edit TELEPHONE NUMBER OF CONTACT PERSON: 7 a2- g-gY0 TAX MAP NO. : Section efq Block „2 Lot 3/.2 CROSS STREET: ©/c/ /frmv/t1 /?� BUILDING PERMIT NUMBER CROSS REFERENCE: ign.atur Applicant RECEIVED BY: )-a1J/‘...‘, Town (erk s Office DATE: \UI30i9a/ II II 1 i SEPTIC DETAIL _��_EL. SURVEY OF LOT # 24 not to scale � t"�'' SUBDIVISION MAP OF "&RANDVIEW ESTATES" j FILED JUNE 8, 1x82 ;r31 ,, 11 AS FILE # 7083 _ uY n n- , inv =r inv.- 10.5 i! SITUATE: ORI Som_ k ,_ _ :r inv.- 9 B � - dr, r �g 9 6 TOWN OF • ��� ><►LK C'OU TY DEPARTMENT OF HEALTH stal�i.;U., ( GE deer d, SUFFOLK • , NY , "®: ,1 i PERMIT FOR APPROVAL OF CON H Oi+ CR k 31 3>i SURVEYED a-10-a8 SINGLE FAMILY 1E F.SiD ,F:L;�ONLY p a _ep ar 3tlon • SUFFOLK COUNTY T• ---2� o ' • NO. Y , ,: 41111 1000 - 14 - 2 - 3.28 . 4 ..r...„..e. GERTIFIED TO: APPROVED -,s ._ T* �-' � II' ROOMS r � GATHLEEN MARSHAL C :'' '•-z OF JOSEPH MARSHALL COMMONWEALTH LA r TI1r RESTR EE Y'LARS C ATL OF :�'ZCVAL Test Hole NSURANGE GOMPAN ---�- t 2...__ ✓ } not to scale) .:- \ .. _ b � I� Loon o.i I G 1 11e 381 m86 I` --..........(E �EPf"..i / I' �1_ I //�0�0 oil ,-7 V, 111 (11t /1� I L X182 _� (L ,\ ^� F— Lkf1 �'� �Q�e / �/ Z w g e �' t" Hbromn \=12.3 ^ ' • �,�na� g� �� 0 C s� E .�\1�' .y i� }_ /Q me — O u 'S I U 4. gavel ProppSed 1.14 a Q Ili in I IR souse a test --hole v..' �0r on' 2 Z g- 4 .J II '� co a 7.0• i 1 rh ''� P o r 14 Lot 24 6�� �1 I > U. pin"' 5 D 4 • W -- ..t.) -- p`r ea 1.255 1 P`Gr e I RI� � �� \ �1=2.� or �;o, _it i �� �- `�, �1 waw lz.o it e1=�.0 X11 �, 1".\ -..> \ ,,'- ',.-, \ sand L c, 0 N. E1=15.e , I OL , . i, — sed r , i ,-, 9 ropo 4 ung e g x q� �� P well unity bo I' S \ Lit - \_,.� 11� 352.0 1 - �s 582°101 v /-'t ---, -- C\ survey 'Unauthorized alteration oraddition to a �'11�1t map bearing a licensed land surveyor a sealis a \;' �;�✓ (5 - _ - violation of section nos. sub-division 2. of the T • New York State Education Lam." VN Vt '' z 'Only copies from the original of this survey ^S _A(`� perked with an original of the ]and surveyor s , /� (!� �` ° _ stamped seal snall be considered to be valid true s/,�f e 1\-) copies' M'!ny��11 �`'�. 4'z �''`\, - - -certifications indicated hereon signify chat this O �.+ survey was prepared in accordance with the e. C� � lilting code of Practice for Land Surveys adopted J�0�' • by the New York Scale Association of Professional lona] NOTES: Land Surveyors. said certifications shall run only OGep 'r7 end to the behalf toerson rtneom the title company.isgpreparea. /�//,, 1, '� 1 S="-y y-'L'� (//( r te]agency antl lending 1nat ltutlon listed hereon. and .1eAz... \ -e�o v; C .� Tl�• - to the assignees of the lending institution Cercif lea >^ �� l� �,y„yakrn-°"- � tions are not transferable co additional institutions Ica- s'6',.; ■ MONUMENT FOUND• O O 6S- FC1 ✓S`��' Id �. LAN � 0 PIPE FOUND "lc3X11 JOHN C. FREERS LAND SURVEYOR N.Y.S. LIC. NO. 502C GRAPHIC SCALE I = 40' ROad 6 EAST MAIN STREET =-= STAKE RIVERHEAD, N.Y. 11901 • 369-8288 Fax 369-8287 REFERENCE # 98-02c • !I,