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HomeMy WebLinkAboutCamp ,,,iii,. ELIZABETH A.NEVILLE �t ,to Town Hall, 53095 Main Road TOWN CLERK ky0 P.O. Box 1179 M. REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER `� k ` �° �1, Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER ®�..4.` ��®• ��� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK SOUTHOLD $TTIFOteacEltri SAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2707 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : LISO CONSTRUCTION CO Address 1 : PO BOX 439 City St Zip JAMESPORT NY 11947 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 #R10-01-163 Name Of Owner CAMP, GARY & JOANNA Mailing Address 1 20 ALISSA LANE City St Zip RIVERHEAD NY 11901 Property Address 1 THREE WATER LANE City St Zip ORIENT NY 11957 Tax Map No. section 15.00 block 6 lot 24.000 Cross Street UHL LANE Building Permit Number Cross Reference: Issue Date: 12/17/01 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) r -"--_. f0,,,A ,,~,............. FFFFO„ vLj 7o7 ELIZABETH A. NEVILLE Is`r • '��; Town Hall, 53095 Main Road TOWN CLERK % ® P.O.Box 1179 1 C4 REGISTRAR OF VITAL STATISTICS �` Southold, New York 11971 MARRIAGE OFFICER ®* �• Fax Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER =__76ftf 4:1/ Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLE 1 84) TOWN OF SOUTHOLD /..q go 46- „ TO: Southold Town Building Department DSC /0' 7 / FROM: Linda J. Cooper, Southold Town Clerk's Office T "''r,sp OG o� SOO): n DATED: December 10, 2001 t0 .,-` Transmitted herewith is a copy of application No. 2803 for a Cesspool/Septic Tank Construction Permit submitted by: Liso Construction Corp. 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: C .e gr ee 1,272,0, -.4.-et. f `�� 4(e-v/v.", ,i,/ ,'" Signature �y ///0/ Dated 6•~ • OFFICE OF THE TOWN CLERK cOULk••����/", ��� Lk' � c TOWN OF SOUTHOLD •• Q�' Application No...>1 ,-Y-05 FT I7ABETH A.NEVII I.F,TOWN CLERK i f P.O.BOX 1179 : ; r - f- 0- • • well ill NUMBER 12 \ cesspool z 1-}.S 2°- 5 ....-\-- roy 5 88 ° 57 '40" • - 125 00' /� OO pazov 00 O -- - --- - __.___...__._._ IOpi t-To --__-- 5 0 O _ ce559cot.- ,.,.-- 0 „ 7.------- /C:Xa 1t future/ To ci) 3 PROP ce ssp I l UH _ LANE < w \ N / N N N O ' 0 `\ O N 8 8 ° 57 ' 40`•W 125.00' , '11 ' 6) \\n vvi.I..._____--------------- LLI 7 W cL cesspool I ce ,/ ,k t_ 'well LOT NUMBER 10 . Z J 8 50 ' -- ala ever..,...,..—...._.a___—...... alPPOLs.COUNTY DEPARTMENT OF HEALTH SERVICES PERMIT FOR APPROVAL OFCONSIAUCI'ION FOR A • SINGLE FAMILY RESIDENCE ONLY I. DATE / s o/ 9, REF.$0..X.-_Qj.�- (o 4 apFRQVED 1 �- ` , PARK V I EN LANE POI mamas OF,4,..BEDROOMS . EXPIRES......r) THREE YEARS FROM DATE OF APPROVAL --' Approved In . . ., . . of R iisw determination dated• // 3 0 0/ '1 270 /4-4q`¢ `..r6 /pcAti-P Q .) . , l• 1 ' ,r WCL. [LL Z-Asr OF E-FOvs` C1~SSPooL. WEST OF Bou Wa.t )`° RICTNE ' 7 /4t'•i /SC ' C) 0 (Th L W J) - 0 . Q • _J EXCAVATION INSPECTION REQUIRED - FOR SANITARY SYgT f'_ �Y HEALTH DEPA ___ ENT -�- .- EXCAVATION INSPECTION REQUIRED • ' `-) .••;W:. - FOR SANITARY SYSTEM- SY HEALTH C\1 Lmz -,11. 11. ,Y _i }- -- ^r z-L) , ' �..i N O1'E ' LOcP\--n o 4 OF Arzon-k Er -S J EU.S 4 ,C E 55 POOLS B-1 f E : .p,I4O Pe NomP r4r n, tZz_. , a i._._eEvf .:ra. JOB NO. (-31 1 - 1 4 SFILE NO. OR IEN T BY T I-IE, S , *9E ,..J MEM (OR 1Mfir'ISIONS) fJUAkANTEES INDICATED nas«vrt SURVEYED FOR HOWN HEREON FROM THE SHALL RUN ONLY TO THE PERSON • TRUCTURES TO THE PROPERTY FOR WHOM THE SURVEY IS PRE- )NES ARE FOR A ,,PCM: PUP- PARED, AND ON HIS BEHALF TO L©1 N'U M g E R 11 'OSE AND USE Aha:'/ 1 HE i T'OIEE THE T7Tl.E COMPANY, GOVERNMEN • 'X. NOT INSTr1,^i; TO C:•'.E. Tr'E TM AGENCY AND LENDING INSTI- RE':" LTU 0. i w" ',, ..i,1:' t•3 TU PION I ISTLD HEREON, AND TO A? OF O R l E N T BY THE. S EA1 - v.,,, -_ 1••,-: TI-5 ASSE4GNEES OF THE LENDING '12P I, -1 ,,,.W.; IN3TITUTION. GUARANTEES ART. SITUATED AT ORIENT P�1 N T )n.,;-.,. '...:.:.:.17..'..:"...2.!. Et"'T TRA.N"iISRABLE TO ADDITIONAL C.ISTETUTIONS CR SUBSEQUENT svA..1 -?.:- i,P. ^;I o; 0.'iMiItS. TOWN OF SQ UT HOLD ,SUFFOLK COU14TY ;NY- , .4:ra c '10: : Ss...1::xa ;Ur) op cOPlES OF MKS = VEY MAP tern SCALE 1,, = 3 0 ' DATE g 6'—2 " He N? IIOR( STAT. E�IUCATIOM BEARING THE LAND SURVEYOR'S Aw. INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BS FILED MAP'NO. 2 77 7 DATE 1 1;- 21 19S 7 GUARANTEED ONLY TO Q„ ^� TAX MAP NO. 1000-15 -6-2 4 (REF. ONLY) DESK HAROLD F. TRANCHON JR, P.C. LAND SURVEYOR ' • (-(r`^A,-al F:T'Aca--,e,--g-- . 1866 WADING RIVER—MANOR RD. WADING R'IYER, NEW YORK, 11792 ® • N.Y. LIC. NO. 048992 516-929-4695 ' , HAROLD F. TRANCHON JR. 5-E