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HomeMy WebLinkAboutMarshall 14° t ULA '` Fye $may : .04 Town Hall, 53095 Main Road ®� .: P.O. Box 1179 � �t'� ;0 Southold, New York 11971 JUDITH T.TERRY %�zi��'''� FAx(516)765-1823 TOWN CLERK TELEPHONE(516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 610 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : ROBERT MARSHALL Address 1 : 6 JAMES STREET City St Zip SHOREHAM NY 11786 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ON 5/2/90. Name Of Owner MARSHALL, ROBERT Mailing Address 1 6 JAMES STREET City St Zip SHOREHAM NY 11786 Property Address 1 465 HALL'S CREEK DRIVE City St Zip MATTITUCK NY 11952 Tax Map No. section 116.00 block 7 lot 3.000 Cross Street NEW SUFFOLK AVENUE Building Permit Number Cross Reference: Issue Date: 5/14/90 Judith T. Terry Southold Town Clerk (TOWN SEAL) �- _. .. 6 ,e ,,1 • 4 c�,,ifRirc � th 0 •s,_% Se4;•,..7::)< Cfp% ap�pzt, � C�� _, •x r;. 1+ . Town Hall, 53095 Main Road ���;,sK� A P.O. Box 1179 :__� ® , �i�1 Southold, New York 11971 JUDITH T.TERRY '=�1��„,ii TELEPHONE TOWN CLERK (516) 765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD rc ' 1_J\'f e „li To: Southold town Code Enforcement Officer ', MAY - Hi9Q From: Linda Cooper, Southold Town Clerk's Office L___-_-_-- __J' Dated: Ma y €.� 7, 1990 `SOWN DFS. ` "I --• Transmitted herewith is a copy of application No. 624 for a Cesspool/ Septic Tank Construction Permit submitted by: Robert 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. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE K DISAPPROVE Comments: Q- , , cgcr--- SI-- cam, Cori 2) e.9.- girz-c_%51.a DI s.c.,.14. . erv, s--/A19 1 \Cc- 3-•";..t.. . -,....OW cp_itEETIAM Signature - 1/ n/9,. . • MAY 111it,: .J Dated OFFICE OF THE TOWN CLERK ' ' 'cj � ucirp, i :- �:own of Southold p� =' CD // Judith T. Terry, Town `Cler�C� '' f- '`, ` Application No. �002(i. Town Hall, 53095 Main Road t- •_ - , Construction P. O. Box 1179 cry -" r' �� J� Alteration Southold, New York 11971 '`� . Telephone 6l 4k *6' .-1.1 I 1. 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 /URf (? f 0 APPLICANT NAME: 208ei 1 J ( -1Z514-ACL APPLICANT ADDRESS: CO fF\—(3 S77 • ‘6e-o(2.6-ii-Pi-e44_ ll s (2.t? vL 1�(y /(7 S"co X _ SEPTIC X. CESSPOOL 1 DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /V& CG ict51-n-Le c%j o 4( --• Ac 2 CE' (~o`(zu(C /42 c 5 E` LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: To 8E71..( W4a-i2.5,' t C L OWNER MAILING ADDRESS: Co Jr4y(E5 6772-6-&--7 56c-on L (7 s- 4 • OWNER PROPERTY ADDRESS: VC05 /#46CS CDi.ccJc V 4TY 7cc( 7 (r9 g 2 TELEPHONE NUMBER OF CONTACT PERSON: /4I 7sO TAX MAP NO. : Section / (CP Block 7 Lot - CROSS STREET: /Vete) gar-C-Ca 4c)61— _ BUILDING PERMIT NUMBER CROSS REFERENCE: Pzec„. 5 : ek-f2—(1 Signature of Applicant RECEIVED -By: Town Clerk's 'Office DATE: l'i' -Y-,i - . . 3. /1/ e. —�(— r S�F'c0 , VF , is �0 • - . 2 • w - — . W - h 3 a ' W • _ M 0 � •- NO z 2 CO 4/C .. °I CO V • _ . / ��/ o^ Lot 31 - I h co / (VACANT) M 0 1 it i � � � I \S 87°07'50"E 1 I I• V le L 4P Q/ h EL.174/ p 161.701 , Al I7 'EL.2.0 331.20' / o RO 0 911 `P 3Q/a/��v� \doh / 34•1.4144,°\I 1°�-ML j -- I�°.�- rr*L�__- V y c) �'' / ' s� € a y 2 D• % i .j31 Lot 30 I 3 / \ ` .,(c W �> x, / eif is _/a5 i of r1-- Area =54280 s.f. rw o O �X �4. tett' III m- N I . %/ '(' h� / �\/d/'— �o 44—0 I/ `\ 1`'oI 1 1I U WETLANDS =3 I` l °p II I \ fS o2 `V y)\ \ 0.6. I 118° 8 0 7 sr / Q`' / �� y \ 1'rI dt s. �, =moo e• T �9 13 I Yf r ti aa¢ •3 rr�`�j/ 0/ S 2 \ I,IFI I I �-I • P/ /..16 /' ! 1.8 6 / III �' / I i I I 1-C'' 0. ) 242 52' N � co ��K87°0750'/. /_ I I EL.20 J / si9��c /'IA / I '�27 / 378.59'• Lt-�s' ' I W41 Sc24.At!C• upc. �O fill I.L.. f/1 . Lot 29 (VACANT) ,u-,,.....:„. . i' ?l TT4 Ci RL lili- NOTE I vs,�� .I" ELEVATIONS SHOWN HEREON ARE REFERENCED �� ^` TO N G.V D (MSL(929). .4 `IO F Y nom / SURVEY FOR _ SurfOLK COUNTY DEPARTMENT OF HEALTH SERVLcr, ROBERT MARSHALL , LOT N0.30,"HARBOR VIEW AT MATTITUCK" • • FOR APPROVAL OF CONSTRUCTION ONLY AT MATTITUCK DATE NOV.27,1989 • MAY O 2 1990TOWN OF SOUTHOLD • SCALE• 1"=50' DATE /y' . NO O /�, SUFFOLK COUNTY, NEW YORK NO 89-1273 �9 IY R UUTHORIZ ED ALTERATION OR ADDITION TO THIS GUARANTEED TOI 4PPQOVED 'I /` r. SURVFY O A VIOLATION OF SECTION 7209 OF THE Q7g•' S BANK F.S.B. NEW YORK STATE EDUCATION LAW RIV --I A COPIES OF THIS SUNVEY NOT SEARING THE LAND C 46 -•NCE CO. O / �' /R� NOT E CONSIDERED TOSURVEYOR'S INKED `BEA VAOR ,DS TRUE COP',ED SEAL HALL • NT •YF,EABSIi'R• ,RP. NGUARANT(ES INDICATED HEREON SHALL RUN OILY 10 0 1O '/, HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED 4 r I Z AND CN HIS BEHALF TO THE TITLE COMPANY.GOVERN- N NEAREST WATER MAIM MI " A SOURCE OF WATER PRIMTE_PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED O N SUFI CO TAX MAP OIT-1000 SECTION I1G SLDCK LOT 3 HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION GUARANTEES ARE NOT TRANSFERABLE <..., NT ER[ ARE MD DWELLINGS WITHIN 100 FEET OF THIS PROPERTY TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT �A� OTHER THAN THOSE SHOWN HEREON I THE WATER SUPPLY AHD SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS �, WILL CONFORM TO THE STANDARDS OF THE SUIPOLK COUNTY DEPARTMENT *DISTANCES SHOWN HEREON FROM PROPERTY SPECIFIC UMfS _q HQ93. OF HEALTH SERVICES TU POSEING f7R TURES BRE FOR A STA• �/'�� rCYY S APPLICANT, PURPOSE AND ARE NOT TO BE USED TO ESTABLISH �,I Y -n f<0 PU1'P(S�14( PROPERTY LINES OR FOR THE ERECTION OF FENCES GND SO(IWIi• ADORESS / :,,v .ES S7 S0,-)EHr)m 4t' l[?&(, TEL 7clq-??0 S- YOUNG ea YOUNG RI40ERHOSEAD NEW YORK AVENUE NOTE ■=MONUMENT SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W YOUNG,PROFESSIONAL ENGINEER - SUFFOLK COUNTY ON AUG.21,1987 AS FILE NO.8377 AND LAND SURVEYOR N Y.S UCENSE NO 12845 • HOWARD W YOUNG, LAND SURVEYOR m NTH[LOCATIDII DF W[LLIW),s[►Tlc TANKISTIN CESSPOOLS(CP)SHOWN HEREON NYS LICENSE NO 45893 Ja ARE FROM FIELD OSSERWALTIONS MIO OR DATA ONTAINED FROM OTHERS CSIINDIS & SONS INC. , Z.R. - 1 H, I Y 9