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HomeMy WebLinkAboutWickham, Jay Parker OW ELIZABETH A.NEVILLE �� h� y Town Hall, 53095 Main Road TOWN CLERK H ; P.O. Box 1179 REGISTRAR,OF VITAL STATISTICS , Southold, New York 11971 MARRIAGE OFFICER `v`Oifi . ,I Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER x__ 01 V-0° Fax (631) 765-1800 11 g 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. 28314 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : CATHERINE MESIANO Address 1 : 12 MILL POND LANE City St Zip EAST MORICHES NY 119140 Descripton of Proposed Construction or Alteration ADDITION TO EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner JAY PARKER WICKHAM Mailing Address 1 PO BOX 1653 City St Zip MATTITUCK NY 11952 Property Address 1 50 PARK AVENUE City St Zip MATTITUCK NY 11952 Tax Map No. section 123.00 block 7 lot 1 .000 Cross Street Building Permit Number Cross Reference: Issue Date: 6/21/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) . #01 OFF04:',.. , 'S' (4 ELIZABETH A. NEVILLE pit h� y ; Town Hall, 53095 Main Road TOWN CLERK % o - % P.O. Box 1179 C4 Z Southold, New York 11971 REGISTRAR,OF VITAL STATISTICS V MARRIAGE OFFICER ` $ Fax (631) 765-6145 RECORDS MANA ICER ``�y-VI ���l•�,1 Telephone (631) 765-1800 FREOIIA( IFICER N r",� southoldtown.northfork.net JUN I g OFFICE OF THE TOWN CLERK 1 TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: June 18, 2002 Transmitted herewith is a copy of application No. 2938 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Catherine Mesiano,Inc. 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. * * * * * * * * * * * * I have reviewed the application and locat.on map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Maintain required setbacks from adjacent wells,buildings,property lines and water Bodies. EXCAVATION INSPECTION RE UIRED. .e•-*.� 71.er 44.•i ler,..,_ #,...,,ee 4..... ..., , G/ Signature tP /0/02_ Dated OFFICE OF THE TOWN CLERIC 1''1 ULk TOWN OF SOUTHOLD ;' �J �QG_ Application No. 2 � EC1� ELIZABETH A.NEVILLE,TOWN CLERK : P.O.BOX 1179 : Construction SOUTHOLD,NEW YORK 11971 Alteration• ✓ Telephone �� 0, $10.00 -Residential (631) 765-1800 -= l �%00 $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. • Fee .$ DATE (DfJ'4/o2. APPLICANT NAME: CATHERINE MESIANO, INC. APPLICANT ADDRESS: 12 MILL POND LANE E. MORICHES, NY 11940-1222 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION • .4V I" - "--- - -t •- - _ .4 ./L.--. 4-414.,x_ i '� 0 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUC ION OR ALTERATION: OWNER OF PROPERTY: Va..J . ; OWNER MAILING ADDRESS: 161 5 3 f,(.1 1 /95.7_ OWNER /95a__- OWNER PROPERTY ADDRESS: 56 Pttk. .t uck TELEPHONE NUMBER OF CONTACT PERSON: e,2 TAX MAP NO. : Section 1 a 3 Block 7 Lot / CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: (kL Signature of Applicant n RECEIVED BY: � own Clerk's Office DATE: on\oT • . SURVEY OF PROPERTY RECEIVED SITUATE: MAT TITUCK AveriuDLK COUNT: TOWN of SOUTT�OLv r SUFFOLK COUNTY, NY (noe improved) 2802 JUN -7 AM Il'= --_" AD SURVEYED 08-01-G18 O �S�o31,OOn� �(�(����1 ✓1312 rT6i iRATOOKA S ` ' / SEPTIC SHOWN 10-0q-98 PROP.WELL 02-22-�iq —o-0_o_p, p.-o-0 WASTEWATER MGM`'©— AMENDED 05-04-419, 01-16-02, fence , 1 03-25-02,05-16-02,06-03-02 'W`` Ofence 0.5'E ^ 3'5 ...M t 1'' 03E ■ V 0.2'5 SUFFOLK COUNTY TAX MAP 0 1000 - 123 - -1 - I 0 fence HEALTH DEPT. REF. NUMBER 0.-1.E ,E RIO-02-0031 CERTIFIED TO: 4 JAY P. WICKHAM NOTES: \ • MONUMENT FOUND I i IPIPE FOUND ''AA 1: WIRE FENCE I, ‘'•-).„,o WOOD FENCE 1 _0_0_0_0_ AREA = 98,814 SF OR 2.21 ACRES O 50UTHOLD TOWN ZONE R-40 o , FEMA FLOOD ZONE LINE ANNOTATED FROM f` VI FEMA FLOOD ZONE MAP # 36103G0482 G I, Q ELEVATIONS REFER TO MSL N6VD'29 0 PROP. WELL 4 1: i _ __ TEST HOLE r JUNE I, 5.:00 P.M. Lt-)-c) AT HIGH TIDE iI- r (.1.\'2 t 2 ---� Sr co O TOP SOIL , Q ;Obi /�N 0.5' i? , O 9 3 � ix, n9 �� X10 SI �� o it �� o � �9oo --� 3 N SCD a`�' .O "�flco r o� o o 9 3s COARSE BROWN E a SAND I0% GRAVEL co , CD F��N1pONp 0 S Ib. + o Prcl \ 15.3 l w` poste Pro ;, 13.5' o�xlin x_ I (-r ' ,n0664 r,-_-.P` P 155 ,,gypgirl ( S I n. r glen 41/� i ®15.4(` NO� . Gra � WATER IN 14,00; T�Eo a BROWN SAND ° -� 5 ucco X11- No�l�°um j ��^/Le 15.9 16. �':_. 24•_ C'1 i2o OX‘'. ''.n900 ` 15.4 % ( WI 44.0• �U \\� 14.2 r r r. ,i ,../�-y, 5.1 , � 150 �ry•' / //- 139 139'- 14--,\ 144 �—, anit�aTy=y�tE .3 /I o SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES I Abandonment of existsn;� �o v 3b , Health Department. 53 PERMIT FOR APPROVAL OF CONSTRUCTION FOR A to be witnessed by a12O 3, \/ 4 _ _�,, Fence \\ 134 13ry \\\ on One SINGLE FAMILY RESIDENCE ONLY -a0'-150 ....,A_ _- - ,.a- ..>x�_ - _er I 145 , 125. , - ;.1' DAT k1 •O1 H'4 REF O. ` 1 3 1 -a° -- _ - -- 5.,- - - - -.;I - Ap ov•aPpar' 12 0 . - _ �� 5.5 fes•.. j 59 I -------34F �rtf '{0ROOMS it 5.5 _—�_ =— X36 36 3I , - - -EXPIRES THR ' ;-��':- ,..��, ''R�,/AL u i -__--"'�l3'- -I_ _ - - - �� ��'-r^`/\' • _o,f I CI: "Unauthorized alterationIntoss t,ne) � ga liis a r I (tie 4•I 3 - violation of section wZYYg k Stateision 2.EducationoLawne � \ 'Only copies from theoriginal of this survey S ,� / i,„; / Q_ marked ltM1 an original of the land surveyor's l stamped seal shall b 'peretl to be valid true copies' -- -- '��Q'�o C. Ey���`O�+ Certifications inoicatea hereon signify toot tnis 1 I ,`�. . survey was f Practice In accordance with the to [[€ \ is[ing Code of Precti f Land surveys apoptetl 1 '..4, ; by the New York Stat tion of Professional Lend Surveyors Saidcertifications shall run only G T e a \ 1,,, tn the person for h n sury y is preparedI <Y /\ , * " Def ; entlh1sbehalf toth [1ti ompany governmen ■V' w [al agency antllentlingi t't t' Rion. M1ereon,It 1 L—• ® ; ---:..s14 ,the a arena t of nsf table t dtonan stititionsT `• <' �_ O� ;tlonssa a not transferable to additional institutions -, v e c :�'� 50202. QJ/►0 I B a Y. Ss+FO LAND s�/°- ,, i`: # JOHN C. EHLERS LAND SURVEYOR GRAPHIC SCALE 1"= 50' 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 RIVERHEAD,N.Y.11901 IMMINOMMI=—=IMMINIMMENIE I=NOMMEMIII 369-8288 Fax 369-8287 REFERENCE # 98-18:3 r •