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HomeMy WebLinkAboutMorgan ELIZABETH A.NEVILLE k.�® ��0 Town Hall, 53095 Main Road TOWN CLERK ` _ P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Pry �� Southold, New York 11971 MARRIAGE OFFICER ati ��'11 Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER --_ fp' • •iii Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ,,,,, „ OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2482 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : TOM & MARY MORGAN Address 1 : 215 CHAMPLAIN PLACE City St Zip GREENPORT NY 11944 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 # R10-00-0138 Name Of Owner MORGAN, TOM & MARY Mailing Address 1 215 CHAMPLAIN PLACE City St Zip GREENPORT NY 11944 Property Address 1 PRIVATE ROAD City St Zip ORIENT NY 11957 Tax Map No. section 13.00 block 3 lot 2.000 Cross Street NORTH VIEW DRIVE Building Permit Number Cross Reference: Issue Date: 12/04/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ,(4 v0®SuFFO`4-c: ELIZABETH A. NEVILLE ��� ���: Town Hall, 53095 Main Road TOWN CLERK ; CA P.O. Box 1179 REGISTRAR OF VITAL STATISTICS V Southold, New York 11971 MARRIAGE OFFICER Fax�i �����, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER 1'• •01 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER •_ --�.. ��� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: December 4, 2000 Transmitted herewith is a copy of application No. 2570 for a Cesspool/Septic Tank Construction Permit submitted by: Tom& Mary Morgan 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: Signat e K/C) Dated OFFICE OF THE TOWN CLERK it"�c -�+ �7 • TOWN OF SOUTHOLD ���,Q� `QG Application No. 3- 23 FLI7ABETH A.NEVE].F,TOWN CLERK '' . ; ,�/ P.O.BOX 1179 Construction (dc_ SOUTHOLD,NEW YORK 11971 : = 1 'S . Alteration Telephone O,y� Qr.0,`` $10.00 -Residential 'f1 (631.) 765-1800 --_ � ' $25.00 -Non-Residential --- -.,,,,,,i TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee .$ DATE PCC-- L+ 'b� v APPLICANT NAME: nibYl Pl°vZ- *VY � APPLICANT ADDRESS: 2_ 15- aI 41--;,-) P 1 4e.e,,1po7-- SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ikiP / 1-1-,4t/E-w� C LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: c))7976/ /7)26 OWNER MAILING ADDRESS: _5'/Y '�� 4 ,9�0'U OWNER PROPERTY ADDRESS: _ Pi-Iv ' ��-► TELEPHONE NUMBER OF CONTACT PERSONNW /)j1ti,,,, -76,. c - </o3 TAX MAP NO. : Section / Block 3 Lot CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: 1 =1)-----/) . Si ture of Applicant 01'41111) RECEIVED BY: own lerk's Office DATE: / , • SURVEY OF PROPERTY SITUATE: ORIENT TOIAIN OF SOUTHOLD ,,� SUFFOLK COUNTY, NY ©; '1 SURVEYED II/ 24 / Q? SITE PLAN 4/28/2000,7-14-2000 09/18/2000 SEPTIC.DET. AMENDED 11/07/2000, 1 II/OS/2000 SUFFOLK COUNTY TAX MAP 1000 13 3 2 O�v ��\��� �� CERTIFIED TO: O fL �•� O� MARY G FOSTER r-NA pF OP,'' •5�y THOMAS O. MORGAN " \"\''' � p, ) �� �� 9,..,,„-- ` P ‘"\ COMMONWEALTH LAND TITLE 6N•1N TITLE INSURANCE # RHG'1I 11Q -SO -444 "fa �ta -- w= --- -- SUFFOLK COUNTY DEPT OF HEALTH `i� �� • ��_ REF. # RIO-00-0138 Test Hole *Ckk / Ineos NOTES: McDonaldd GG osclance -( ''/ DARK / - M LOAM REFERENCE DEED: LIBER c177S PAGE 371 2 11:74) 95ya � in MONUMENT FOUND PALE D\ BROWN \-\ '& SILT o O \ e ao c e BROWN .� ,� � / o AREA = 26,352 SF SAND SILTY \ / — — HEAVY WITH —eo— PARCEL IS HEAVILY WOODED GRAVEL '• �\.--- __- 13 ------ .--- -'' / '4C.. / / PALE � � aa ..�..Y - ..�.._ SILTYBROWN --- E PJ-' 3 liA�{,' 1 BAND / a� 1 �tr.'s i'�..YT_COUNTY D EPi-'' ^'ii,1�i�'OF d �f�L SERVICES —5 pR9r'O5�-1 , ,IDOo Gal ••.' 'LEq NINE , 16' \ -es- - - WE�LiNG sEPrla;f�/ RING 72�� P� ® 1- PERMIT-DIG- A :' ,OVAL OF�yC}QNq IICT'IOW FOR A 1 SILTY '/ -'i•aa —BROWN \ ➢ tlG-E FA1 V EA3'rSBD ASCE ONLY SAND _ --- / - / \ rn WITH - LIGHT .-(aRA`�EL �o�. _ -_____-- \i: _ S '3' f OATE. l( � v 17J dS.l.�. �IIJ. /e l�O l�'/j� ... � 19' N, — — —ao --- v ➢ RE NO �. -.- BROWN �J 0 o01 = APPROVED , ------ - - . '-''/ / `' z(�JI • !mss ��;.�-" a51LTY 7<C\I- • --- _- - - / PRb ® ' FOR A'MAXIMUM".�i3^ BEDROOMS . c),- r-1 AND 98 T ® DR/ POSE ; �BROYAt �'p ® ----- — — —a5- -1-E.51. I� '9Y \ ® E G E TI-TREE ''<�' +`'t•�,:�.{v_,`_DATE � APPROVAL 5yT . C.71-.-1,t, 1i .. alit.. f_. ,y l: y r =FINE �G�\C.�\\3,,�\ —95 HOLE EL 9l' - I • W e O __ LAWN Q � � U.? i' t viii h l .,*«�t''.3 :i.tb 1.441 ��� C qq •,615--- �� sir El-- i 11 • — — —ioo w O-®�4^ -} 'Unauthorized bearing a alteration l d urvlllon to a survey • S VV/ `� mop beo-Ing a licensed lard surveyor's seal Is a "Si _ violation of section 7209,sub-division 2,of the s AIRT q�` r ��+� New York State Education Law.' IQ iy� 2 �►- v ��� 'Only copies from the orlglnai of this wrvey - , • C:4944.6 marked withonoriginalofthe landsurveyor's'/ r. stamped seal shall be considered to be valid WeZ ►�Q'o�` aOples 0 .1 -+ ' '.-1..') 'CertlFlcations Indicated hereon slgnlFy that this ' '� \ • survey twos prepared In accordance with the ex- ,., * to .; !sting Code of Practice For Lond Surveys adopted ,i \ PC'; 5!the New York State Assoclotlan of ProFesslorol Land Surveyors Said certifications shall nm only ,` to the person For whom the survey Is prepared, "� i t L-.� 0' and on his behalf to the title company,9overrmen- 'Af C - tai agency and lending Institution listed hereon,and <`' No.50 • A to the assignees of the lending Institution CertlFka- ,��': L� C -,,, Lions ore not transferable to additional Institutions GRAPHIC SCALE 1 "=40 ' III I= Mililim = 0 40 80 120 REFERENCE\\HP SERVER\D\PROS\97-97B.pro • 11/10/2000 13,54 \\HP SERVER\D\PRO5\97-91B pro •