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HomeMy WebLinkAboutNicholson, Charles ELIZABETH A. NEVILLE Qi#* Town Hall, 53095 Main Road TOWN CLERK % o P.O. Box 1179 H Z Southold, New York 11971 REGISTRAR,OF VITAL STATISTICS MARRIAGE OFFICER 0,jiL ��,11,t Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER x,_701 $ ii' Telephone (631) 765-1800 * FREEDOM OF INFORMATION OFFICER _ ��•� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2825 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : NICHOLSON, CHARLES E Address 1 : 425 ALDRICH LANE City St Zip LAUREL NY 11948 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 #R10-01-0111 Name Of Owner NICHOLSON, CHARLES Mailing Address 1 PO BOX 249 City St Zip MATTITUCK NY 11952 Property Address 1 425 ALDRICH LANE City St Zip LAUREL NY 11948 Tax Map No. section 125.00 block 2 lot 1 .021 Cross Street ROUTE 25 Building Permit Number Cross Reference: Issue Date: 6/21/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) • 0111OFF0 S ,#��, CQG ELIZABETH A. NEVILLE 4'1._ 'yd; Town Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 col REGISTRAR OF VITAL STATISTICS v' Southold, New York 11971 $MARRIAGE OFFICER Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER '/Q! *a00./ Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ii" southoldtown.northfork.net . ..•iii OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD r TO: Southold Town Building Department '''y 2 8 :32 FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: Transmitted herewith is a copy of application No. 2921 for a Cesspool/Septic Tank Construction Permit submitted by: Charles E. Nicholson 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. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: X/7(fe---e-er;eg* Signature taC/91—,A-- Dated OFFICE OF THE TOWN CLERIC '.'� UL _ TawNOFSOUTHOLD �.��Q5 �QG Application No.� 4 ELIZABETH A.NEVA I F,TOWN CLERK 0. ,� ` P.O.BOX 1179 •�= Construction ✓/ SOUTHOLD,NEW YORK 11971 0 T Alteration Telephone 0,��0 �Q��', $10.00 -Residential '� (631) 765 1800 -- -a- 0'' $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE i ay ()`( ,77&° - APPLICANT 77&02APPLICANT NAME: (---x."-7,6 . -_, AJ 7 c ,l APPLICANT ADDRESS: 4425- A(Ac4 GA L4 " F N. SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 4u/ "PO t/r r7Ovr 6eoe-a©r,,_ re*;67P-0,c-4- LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: CA-4PE f 0,'4,,e, F Al1c ls0" OWNER MAILING ADDRESS: f OoX (i 11747 ve/C Atv //SSS OWNER PROPERTY ADDRESS: {C- I//J04 1-4.vr-1 ( Al TELEPHONE NUMBER OF CONTACT PERSON: //77 /904 TAX MAP NO. : Section /6)6' Block ?. Lot t'•oZ r CROSS STREET: RT 06-- BUILDING 6—BUILDING PERMIT NUMBER CROSS REFERENCE: G ci/ Signature of Applicant c) RECEIVED BY: i Ton Clerk's Office DATE: (>`_ L Elevations are in assumed datum. — Z7 /� ^ 2. Septic system and well locations are by owners. ' Test Hole G v / H / / Y/e�-- 3. This parcel is subject to any restrictions or easements of record. Ground Surface Elevation 95.0 /00gg.p .5 _ • I.Dark brown sandy loam(OL) E.P, mor/. X8.45/�Jo¢� 4,9 i • 55 D¢ 2'Brown loamy sand with 20%gravel(SM) 09.(p■ /ham 1 09• �� 16' �4 5 W. 3'Brown fine to coarse sand with 20%gravel(SW) \/� ft)/ 9 3.5'Pale brown fine to coarse sand(SW)Water @ Elevation 85.5 s` Qf/ `O �� 6.5'Waterin pale brown tine to coarse sand(SW) ` N C �� ooh L AuR Z_ CEii TJ2/ �I S.S OG. �" • Test Hole(By McDonald Geoscience 4/27/2001) h PI- f) �`v 12 p w i9/. . / t9 LO V' O� 5/0'5, "4o""E 'DO f�90°lMor/. \ \ 0 ,-,2.5, 0, - Z tf1/ _—--- �\IL' - wo,o0 0" moil. O °, S 51N a oI \°,2. Vl o vl _ _ \ Z 37 % I, - M/Z -/�- 2.3/,gc, � Map of Described Property 'tY, 11 r Q \ 8 Situated at Laurel 1/4S, N h 40' o Town of Southold,Suffolk County,New York n I N 1 ki):Vi - \ District 1000 Section 125 Block 2 Lot 1.21 W h ill r `0 �cNN , N0 ' ���. OR./ G42. k \I-(� 15a SEPTrc /sa N ...... 01,______/% 50" o vT;-- �� Certified To: u��� �, .1 ' 'Y' \ �� ' w Charles Nicholsen • Diane Nicholsen \ 'C.._.---1--/./. A \ \. Suffolk County National Bank ` y t—v7 Fes• 1 Commonwealth Land Title Ins. Co. ANTHONY g5•° 22' ONY ABRUZZO R.L.S. . REGISTERED LAND SURVEYOR 4q� qe� /.!--. �(V �4 �/ 92 ', A 1700 Hortons Lanes./-3',A°' RL e' k �/ Southold,New York 11971 �� 69'�• -1- `��8.72 0 \h N�� ��� �O�/ O I 0-0/'(7//>/ (516)765-6242 f o L _ .. ¢, M SURVEYED: April 2001 -� oR N 4ki'1wJ�r . ..__ — Of P _F,ys teo.mrssa-� dE'' \ � SES . � o .. • EXPIRES"Clap:i .r r.C I'.uVAL Scale: 1"=50' i(e No.2 : 5� GU EL,- .