HomeMy WebLinkAboutWadelton e a°°
ELIZABETH A.NEVILLE �� � Town Hall, 53095 Main Road
TOWN CLERK ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �' °� Southold, New York 11971
MARRIAGE OFFICER :®� ���,1�� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER _ ®d �i Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER "I
OFFICE OF THE TOWN CLERK
SOUTHOLD WAISTI78116 9 PH[S&IOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2556 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DBM CO.
Address 1 : PO BOX 2100
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. REFR10-00-0151
Name Of Owner WADELTON, PETER
Mailing Address 1 PO BOX 2100
City St Zip GREENPORT NY 11944
Property Address 1 375 KAYLEIGH'S COURT
City St Zip EAST MARION NY 11939
Tax Map No. section 31 .00 block 4 lot 6.008
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 5/01/01 Elizabeth A. Neville
Southold Town Clerk -
(TOWN SEAL)
_ asp
ELIZABETH A. NEVILLE �� #
A Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER � ��g Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ®� ��` Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �iii,i�
L'' 1'`'OFFICE OF THE TOWN CLERK
16 { ' TOWN OF SOUTHOLD
t L ' APR 16 2001
TO: Southold Town Building Department
FROM: `Linda.4'Coope c Southold Town Clerk's Office
DATED: April 11, 2001
Transmitted herewith is a copy of application No. 2642 for a Cesspool/Septic Tank Construction
Permit submitted by:
DBMCO for Peter Wadelton
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:
Signature
X1» 161
Dated
•
y
•
'dFFICE OF THE TOWN CLERK IFU[K/� `/
TOWN OF SOUTHOLD 1646.6'5 ` G�, • Application No.02 7
ELIZABETH A.NEVILLE,TOWN CLERK `
P.O,BOX 1179 Construction
SOUfIJOLD,NEW YORK 11971 v T
IAlteration
Telephone ® �Q���et $10.00 - Residential
(516) 765-1801 l �do' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for C6E1V ��t
CONSTRUCTION or ALTERATION PERMIT APR
�00
SEPTIC TANK or CESSPOOL NNerritoro
rowel) Clerk
Permit No. .^�
Fee .$
DATE 6t70/
APPLICANT NAME: .D (u9
APPLICANT ADDRESS: 0 < b0K 2I bc.)
4ee itt-
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
&)/ di l JJ
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: P// eK A- '9-pet-no i J
OWNER MAILING ADDRESS tDfliioo
�I2e (a-R-]7 /( ie '
OWNER PROPERTY ADDRESS: 3175- 1 L L& h s ((2(,LT
�5r' M
TELEPHONE NUMBER OF CONTACT PERSON: 14-7-7 — [ J a 0
TAX MAP NO. : Section .3/ Block '7 Lot ke,
CROSS STREET: a-091-1\1 1011
70
BUILDING PERMIT NUMBER CROSS REFERENCE:
11111111
Signature of Applicant
RECEIVED BY: A' il---A--Ar
Town Clerk's Office
DATE: /i/D /
UD.,,eing) ••- . O t-- e v r '
SUFFOLK COUNTY DEPART MRM'�+OP NOM
ROYAL.i PERMIT FOR APPROYA > *
SING F/1MILY itesamms NW
c O
T .a
m O °ATE/d r 3 (- S• 1,Qc1 /0-a, _0//
JFLot 31 r Pa N _,, APPROVED _ . 1■
�E� `° - FOs!MA MMus oR, I.`
297.52' — wE�+� M
EL_26.5 EXPIRES THREE WARS MOM MATE or A VA1.
I
•••••1,./ N
VOX- / 'O`< 1`
+Ep /PR�Qj /
C.
�" E j _ N 0 C NOTE
°' :o�3,l� Z ,:y/ v - - - - AREA =- -43,890 SQ. FT. . . . -_
rIl �, • SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON
(nyo/ N JULY 25. 1997'AS FILE NO 10035 '
40 •
�/ „ • VERTICAE DATUM N.G.V.= DATUM (M.S.L. 1929)
o ~�/ ? ELEVATIONS SHOWN HEREON MAY BE FROM MAPS OR SURVEYS PREPARED BY US
\ l ANP ARE SUBJECT TO FIELD VERIFICATION.
c.",, 73 \ o/�
Lot 2 03 rn cfl CP \ o / - �- - --
pR� ,1 // erly 1' SURVEYOR'S CERTIFICATION
\ N
SANITA� _ or fo Ketcham •
SYS�M ��� p . noWTHIS MAP WAS PREPARED UTILIZING SIODIVISION MAP MADE
I �' '_ Kenn._ M' '� BY US. r:
Ken �a�, r:
178.99'
IC) mx (Va ;
NO SANITARY WITHIN 150' 1•-)..
EL=2� r
ST1NG QSTLL� 1°' 1 �'
t',
TOgEU AS , Z in
SUPPLY WE1L 289'30 i _ o -- --\ ___
i ,�C�� NE�'I/y
r ! O rl i I.,‘• ‘,.11.,
' rme Y ;a 2
79.59,00„ W I now or o T. dram r____41,244,1c. * ,_ilf4,.��i
/ Lot FranceS(vacan�) JAWARDOHNURR, N.Y. NO. 4 7 1-s;t -�v A._
water) co H W. YOUNG N.Y.S. L.S. N0. 45893C. a
e Are° lP„bC Recharg pweltln9/ // (
Q�ANoS�� J
I
/ � a
PLOT PLAN ,_,
0
D . B . M . COMPANY
5 Y
Lot 2 "H�ghpoint Woods"
At East Marion, Town of Southold
Suffolk County, New York
MAIN RQA� 4
(WY-S. ROUTE 25) County Tax Map District 1000 Section 31 Block 04 Lot 16.8
I BUILDING PERMIT PLOT PLAN
I
J