HomeMy WebLinkAboutFleming, Douglas •
OFFICE OF THE TOWN CLERKFU
Town of Southold Qc��F COG
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road . ""
P. O. Box 1179
Southold, New York 11971
Telephone �I * �N,:
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. X
229 Residential
Non-Residential
Fee $ 10.00
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Douglas H. and Joanne Adams Fleming
ADDRESS: RR #01, 1445 East Gillette Drive
East Marion, New York 11939
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: Douglas H. and Joanne Adams Fleming
OWNER MAILING ADDRESS: RR #01, 1445 East Gillette Drive
East Marion, New York 11939
OWNER PROPERTY ADDRESS: Latham Lane, Land's End
Orient, New York
TAX MAP NO. : Section 15 Block 9 Lot 1 .24
CROSS STREET: Land's End Road
BUILDING PERMIT NUMBER CROSS REFERENCE:
desitgaile
•
Judith `T. Terry
Southold Town Clerk
I
DATE: Spptmber 29, 1987 E , '
(TOWN SEAL)
r 1
-7
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OFFICE OF THE TOWN CLERK c0FOLA-
Town of Southold
),QUO CSG Application No.�3
Judith T. Terry, Town Clerk pp
Town Hall, 53095 Main Road = j1C ConstructionGA
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P. O. Box 1179 u� _ � � Alteration ,
Southold, New York 11971 ,y� Qt-
_01 ' Residential
Telephone x -��
(516) 765-1801 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. (97o?Cf
Fee $ JTY7 '4 '1..DATE /ZY ` , g)
APPLICANT NAME: 9Ui1cj/AS H. \JoANti/6= Aryls T /C—Y►'1/^��
APPLICANT ADDRESS: R• 17 .4t v/ / y y5 641 S. CI/16Tre= Dnei;iF
/ �� sj ,mc io,J, N•7. /1937
SEPTIC d CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
SE-pTic, TA^/K w j1L, TvvU pool.. LE'1 cL N, Sysr
,/V 1 iL ( Za.ez,utiG-
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: U 5//a S Ii' Join N N c A / YV s /-'���►�NS
OWNER MAILING ADDRESS: ,2 'a• Pto 01 V 5 EA 57 C 77-F
• E,Os— MA rt./0 J , . 1/9 37
OWNER PROPERTY ADDRESS: 1_AT 1esL/1 N
t Na'! Ev d an /cK - Qd,N y I/5'57
TELEPHONE NUMBER OF CONTACT PERSON: % 7l 0's-3
TAX MAP NO. : Section LS Block / Lot / 2 7
CROSS STREET: Lc2,/ c �/1cl mol,
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature ofllA
9 Applicant
RECEIVEDair*,
Ql
own CI k's Offi e
DATE: SEP 2a1
Tem Mk NOW
s
111E(OGTION OF WELLS MUD CEamPOOLS SHOWN Ham IRE M IELb
OOSERYAi IONS AND OR FROM DATA ORTAINFO FROM OTHFRS L A T H A M L A. The water supply & sewage dhposat sys
- toms for this nsidsna will conform to the
C.P standards of the Suffolk County Deport-
`"', AREA = 40, 1300 SQ. F T. mont of H.ahh SONr
IC .
( VACANT )
LOT 23
0
't b
,e/ S. 88°57'40"E. 170.00 ' C,, -,; N o
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w U v ( VACANT)
N 20.4 •1.21_2 f
( DWELLING ) 08
Cr
N 0
LOT 30 " LOT 24
./ pLU
ig°L.
,ep'r
('HOF? — c .-J /�
o hSE. - OV `
25.0',
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Q
LOT 29
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V c,., F—
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( VACANT) fLl.1 q'a•C1$i Q
TEST HOLE O 1 0 --1
N R I �
, 'ii r�
Pole tV -
brown s/11 o S O • -0
gra ve/
53' tri z01
+
n.
8ro wn N
N !I
Coarse •1.20.0 c" ( DVELLINO! )
•1.2 0.6 111111
Sond r '_ (CP OVER 100')
s^/1/17s^/1/1720% ,no7: N. 88°57440"W. 170. 00' •SCis
orave/
17 8 LOT 25
---
Wafer in
brown SUFFOLK (�C'=IP•.IY" r31','^�' "PV?Ilcvt„fAKEN.T SERVICES SURVEY OF
coarse -
lona' Q��Q -24„,,
g ���. LOT 24
sur/hzo�o DAT�sti 2,4 • / .. f yli� ~ l"T ,�
------ - MAP OF LANDS END
9r4vt� a ` �/%r��/ . LED MAY 3,1973 FILE NO.5909
17' !1r'IVDvED /l'
''�
-Cr • i.� 51) ' AT ORIENT POINT
TOWN OF SOUTHOLD
S{NGI_EiFAIV41 fYt,, W - O L. SUFFOLK COUNTY , N. Y._ _ _
EXPIRES TWO YEARS P,RDM 7 T�E'.OP.:APPROVAL
c ' f000 015 09 1. 24
J' 1L., , , v ''' i,.d1. SCALE I" = 40'
: ,c,,..0.LANDSt/ AUG . 6 , 19 8 7
�, �,e,,A:fyttgL
c, �0 ,II CERTIFIED TO ; C�
I `' r, ° PECONIC ABSIRA L C.
Y .S . LIC . NO. 49668 •
;,itt, 7 TIT - . •. 605 4 = 00-0�-�4
' ,'„ 0 d . 41/: S a ENGINEERS , P.C . %•UGLAS H. FLEMING
•
( 5 '‘ ' ' O JOANNE ADAMS FLEMING
•
P.O.\:., a
ia7_7'Yv
MAIN ;re ELEVATIONS ARE RE - • ° •
SOUTHOLD , N.Y. 11971 TO AN ASSUMED DATUM.
87 ' 607