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HomeMy WebLinkAboutFairlie, Robert OFFICE OF THE TOWN CLERK c0FO(/��, Town of Southold Judith T. Terry, Town Clerk g,- tet Town Hall, 53095 Main Road ``i P. O. Box 1179 Southold, New York 11971 •°1 Telephone 0! (516) 765-1801 ' TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 258 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: NAME: Gardiners Bay Construction Co. - Roger Cullen ADDRESS: 81 Gardiners Drive Shelter Island, New York 11965 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling with Cesspool System APPROVED as per Suffolk County Health Department approval. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Robert and Jean Fairlie OWNER MAILING ADDRESS: 63 Shadyside Avenue Port Washington, New York 11050 OWNER PROPERTY ADDRESS : 3765 Wells Avenue Southold, New York 11971 TAX MAP NO. : Section 70 Block 4 Lot 3 CROSS STREET: Oaklawn Avenue BUILDING PERMIT NUMBER CROSS REFERENCE: Judith T. T ry Southold Town Clerk DATE : November 30, 1987 (TOWN SEAL) • r so/ 0 c3gFai • 4Z.. p j• !, , opo -411 ' ` Town Hall 53095 Main Road Offl W® �• P.O. Box 728 ,�� Southold, New York 11971 JUDITH T.TERRY TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD November 24, 1987 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 261 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by Gardiners Bay Const. Co. for Robert and Jean Fair.Iie. Please review the application and location map and advise if the project has received Suffolk County Health Department approval and if we may issue the permit. Please complete the form below and return it to my office. Thank you. Judith T. Terry Southold Town Clerk I have reviewed the application and location map of the project cited above and make the following recommendation: APPROVE - DISAPPROVE - COMMENTS: • - - N-1-- Theitc • \CALA.. (-)L,OL.J.- Signature II\ ay cis1 Date OFFICE OF THE TOWN CLERKS�FFULj Town of Southold )CDi� Application No. 6/ Judith T. Terry, Town Clerk Town Hall, 53095 Main Road 4 Construction P. O. Box 1179 ' *- 0 Alteration Southold, New York 11971 Telephone ��O �� Residential (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE It APPLICANT NAME: ipq.r yoerc (L/6VrC . APPLICANT ADDRESS: ist GArtavivers Q.. Le\ ,r- \S 10,_ yr Uy 1t C SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Si itiqj�. � ��a-h,,e w�m, ,.tv'i LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: p e(-\' c , 644\ , OWNER MAILING ADDRESS: 63. 5)7i9-GAyS% cie tic _ tor w,ish,^/y jn/. $Jy. OWNER PROPERTY ADDRESS: 3 rJ Lc k.,Jet\ S v VC. . SouTtAo\ ckIll TELEPHONE NUMBER OF CONTACT PERSON: r7 f 01 �Z 70 TAX MAP NO. : Section ,agp Block rtbv Lot 3 . CROSS STREET: ©P0(.\..V+v4) BUILDING PERMIT NUMBER CROSS REFERENCE: eAL., ig ature of Applicant RECEIVED BY : � . • ,y,. Ierk's • fice DATE: NOV24 1987 • IMAM (4rrk Southold .. >. ,4 ._ , . ' , ' .,: .ti:- ,_;tilt s d ` .: INSTRUCTION CO. ' if for SE,-1-gIe Family Reside..,ic.s a.nd will abide by the I). 0. BOX 601 �l well ( DWELLING ) conditions Slr forth there1n and on the permit t TER ISLAND, N. Y. 11965 } LOT 4 construct. OHO 1490182 C.P /� �p t ,fea GL e _.__ alr�l�ttl�@ _ . ` ..:41 0 ! .•i '1 c�, AREA = 15, 875 SQ F TEST HOLE ' I S . 16 ° 40100"E. o 3 204. Z+IJf Y - Dark- w ,� ;�, 172 .00' 4) of ni f r AI 1 PLEASE NOTE r loam 6" o tri P/ 9rowt, 11.1 ioQ " • •'"'- re p. b /oo s,�t'` � � � � --'4‘ �'' �' a`"`K � i I1 . � !t Is the ap licant's responsibliity o _ mair>itain a� equate sanRtry distartc® Pale 1.3 zLii o �"�r a I o between all water supply and sewage brown O �_ 15t Y 5• ® TEST HOLE iti b L _ Y disposal facilities. r-' N coarse 'Q ��olO. caC'r�ve� It 29,y. I 3 1 o0 0 OF SOnsY ti � � a, N •tt � CO / ! O I2.3' roI Z o1 _ y h i65 25 cl sil �, �! O LO T iI kvaler w f - . '� �Sc �) PLAN OF LOTS OWNED B Y GEORGE H. WELLS ,i, Pal tl,,3 d fence I.y bromvn +.io N. 168 40`00" W. P/O LOT 3 192 .32 ` FILED NOV. 28 ,1927 FILE NO. 859 cno's� ...JP AT SOUTH OLD • The water supply sated _...1O \C, \ toms for this P�idence�wi l coni TOWN OF S 0 U HOLD standards of the Suffolk County ,nDpe artT 8 � awn' of► ttr Seer' . SUFFOLK COUNTY, N. Y (DwE�LING ) 1000 - 70 0 4 03 i x VyN AVE • �\ , , r SCALE ISI = 40t V _ "—� KLA, e wei . A.-Z-1 ,.�L a—r , —IOW�, �r 2 ' 9 87 .� SUFFOLK COUNTY DEPARTMENT CE t;4 f v� �'Frry . Prepared in accordance with the minima^ s=ALTH .VICES S f;'.4.•. 4^ti' Cfi_ . for title surveysas establisher.. FOR A ^RO�'AL OF CONSTRUCTION ONLY / ,' i, ir + C 4, �,� standards r ra 0 0 the L.I.A.L.S. and approved and adopts _ ` - ' l i 1 for such use by The New York State Land DATE I •r `7 REF. NO. 3 44, \(f TY L * N O. riti0 O __� THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD APPROVED V1/ .►`�' OBSERVATIONS AND DR FROM DATA OBTAINED FROM OTHERS - PECONIC S �.Ii:`� .te ANG INEERS , P C. J 51 6 ) 765 ._;► :/'� -- (MOP l.( P. 0.• BOX 909 •� �1 MAIN ROAD i 3UTHOLD , N. Y. 11971 ELEVATIONS ARE REFERENCED TO • N -G.V D pr-op hac /0-/4 87 87 - 401