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Home My WebLink AboutSmith (2) ELIZABETH A. NEVILLE ��P� Town Hall, 53095 Main Road TOWN CLERK ; P.O. Box 1179 REGISTRAR OF VITAL STATISTICS 110. PPD Southold, New York 11971 MARRIAGE OFFICER :®m�s � ��, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �41 $ iii Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �� OFFICE OF THE TOWN CLERK SOUTHOLD T SAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2697 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : ELIZABETH & WILLIAM SMITH Address 1 : 20 EAST 14TH STREET City St Zip HUNTINGTON STATION NY 11746 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 #R10-99-0224 Name Of Owner SMITH, ELIZABETH & WILLIAM Mailing Address 1 20 EAST 14TH STREET City St Zip HUNTINGTON STATION NY 11746 Property Address 1 10605 SOUNDVIEW AVENUE City St Zip SOUTHOLD NY 11971 Tax Map No. section 54.00 block 5 lot 37.003 Cross Street DOGWOOD LANE Building Permit Number Cross Reference: Issue Date: 11/19/01 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) V siliOfFOLt 0? 7 7 ELIZABETH A. NEVILLE I"At `� ; Town Hall, 53095 Main Road TOWN CLERK ; P.O. Box 1179 REGISTRAR OF VITAL STATISTICS v° ryv Southold, New York 11971 MARRIAGE OFFICER .®) ®c g0 Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ® IP �� iii 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: November 9, 2001 Transmitted herewith is a copy of application No. 2790 for a Cesspool/Septic Tank CONSTRUCTION/ALTERATION Permit submitted by: William and Elizabeth Smith 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: Maintain required setbacks from adjacent wells,buildings,property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. ,�..� /7"-ea-e-e‘ , • • Signature /ool5 ,/e;O Dated •ti? 0' OifF04 /Off' co ELIZABETH A.NEVILLE �� 'y ; Town Hall,53095 Main Road TOWN CLERK \ cat) P.O. Box 1179 REGISTRAR OF VITAL STATISTICS ��1,, Southold,New York 11971 MARRIAGE OFFICER ,fiFax(631) 765-6145 RECORDS MANAGEMENT OFFICER ie .. i Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ///l, OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD (\<' SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2264 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : JOHN PRIZEMAN Address 1 : 131 HICKS STREET City St Zip BROOKLYN NY 11201 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 #R10-99-0224 Name Of Owner J P MODULAR HOME Mailing Address 1 131 HICKS STREET City St Zip BROOKLYN NY 11201 Property Address 1 10605 SOUNDVIEW AVENUE City St Zip SOUTHOLD NY 11971 Tax Map No. section +,.54.00 "_'block" "S " lot: 37.003 Cross Street DOGWOOD LANE Building Permit Number Cross Reference: 44,4az?...1" Issue Date: 3/21/00 Elizabeth A. Neville Southold Town Clerk rTnWkil Crpi OFFICE OF THE TOWN CLERK .'' 40OCKc,' TOWN OF SOUTHOLD �0 Q�; Application No02770 ELIZABETH A.NEVILLE,TOWN CLERK i 0 J P.O.BOX 1179 % / L ; Construction SOUTHOLD,NEW YORK 11971 2 c • T . WA=1 Alteration Telephone °iy�o ��'' $10.00 - Residential ✓ '' (631) 765-1800 __1 ,��' ' ' $25.00 -Non-Residential .,,.,/ #i TOWN OF SOUTHOLD • a • SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION • t • • for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. • Fee .$ I0 00 DATE 4D OVII Ig-- ii9-°° i APPLICANT NAME: -112.4IP1L H SHrr-H- -A ADDRESS: 2Q t '- 9 Sj-C1- O rM6t-oi -FnadI pit 1I74 SEPTIC V -- CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION SfrJirrR1? iiiM (31_ SItl1/4061 -FA-WI .rtAIVL-L-nier' • LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTIO rOR ALTERATION: - OWNER OF PROPERTY: J 17r- }-- ''ibUIL`LI,'l Shl- r OWNER MAILING ADDRESS: 7-Q 'A, 1411-1- c--- I-\-u► niukoo ,00, Aa �� OWNER PROPERTY ADDRESS: 10606 Soup Dim >� CQL , p1' 971 TELEPHONE NUMBER OF CONTACT PERSON y pe 6 ( • ' '23 —7'5 II TAX MAP NO. : Section 54.00 Block 5 Lot 31 . 003) CROSS STREET: f7Qsf3OjJD WIG- BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Applicant RECEIVED BY: Town Clerk's Office DATE: r ` •s SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES WASTEWATER MANAGEMENT COUNTY CENTER RIVERHEAD, N.Y. 11901-3397 (631) 852-2100 ******************************************************************************** WILLIAM & ELIZABETH SMITH 20 E. 14TH ST. HUNTINGTON STATION NY 11746 CASH RECEIPT ************** Date Processed: 08/24/01 Receipt ,#: 84485-P-38763-12290 TRANSFER Hdref No: R10-99-0224 Fee: $60.00 Received From: WILLIAM F. SMITH Amount Paid: $60.00 Check Number: 2121 Project Name: RESIDENCE @ N/S SOUND VIEW AVE. , 271' E/O DOGWOOD LA. Location: N/S SOUND VIEW AVE. , 271' E/O DOGWOOD LA. GE0145 SURVEY -��/EY OF PROPERTY I SEPTIC, DETAIL PRo'PosEo �j1. /��/��) �'y,/^J� meq/ not t0 scale [WELLING SITUATE: S UT, 1Vi-1 TONN: SOUTH /��OLD '• p9raCesa SUFFOLK COUNTY, NY IV ___ -- _ i 1 x `, _ existing gvade max 2 SURVEYED 0c1-OI-Gq /� cover min. 1' - `-- main 1 tnv - cover X11 B.—_ 12_0 AMENDED II-27-GG, '"° 11 3 900 gal. 11 f -- septic min pitch 06-05-00, 06-14-00, ]pools - min. pitch tank 1/4" per ft 6 seep 1/4 per 06-20-0I, 01-05-01, 07-13-OI BS ala 08-13-01,08-17-01 min 3' SUFFOLK COUNTY TAX # separation 1000 - 54 - 5 - 313 ground water EL = 2+/- CERTIFIED TO: WILLIAM F. SMITH #�,..,....... ELIZABETH R. SMITH \ , oti �d 0 �P cp," (- \ \ ft \ , ,/„ \\� -. l o`` �1 °C 0�0 V./ 41)11 ./ �o��0--104 3J 0PaJ ` )J yJ J •]J } J j /*)jiJ) t<• , ') C, C97 U' C"?o {' fly •, oma„ iJ .ro \ -IC 9 ')) '?e n �s j �/1/;))7e:.5 ST�/`�,yon 620 / �� (Y) `,l TEST HOLE r 4'` / . �' McDonald �p - `� �� r , , __ ezPO�C.IP_ Ylr o ' ° ° ,( \ r ` Dark - - ...-',1\504.`\ \ �/ 1'\ .. Brad f;"nd / ,iV .rO, �� - - ) y Brown 1 ° ss\\ 'r �P-ty��,� / /:// Qqi-r• — -- P_< - Loamy 0'(\°„ i f/ t� KP / / Sand ,\00.\.-- \\' P\��o�; 6 � �\��`p?U' / �,1 A OP Brown \nPJ 0,`��P �� / / 6. Q „DU/i^ /\/ / / •\i%/ 7 ) y j Silty �t0 CV2 '5D - / `r.\ �_/ Sand / ,, i O�\0 / / •5M I \,�- //% \\ ®/ ,, 0' , 130' �Q\�� i 1� / r C ,� �' Pale / Q��Q % o, l'-' T) /- -� `\ - ,//4.c`ti /Sw oF , 1$ / /Ground 1cJ - i \ / / �� Water 7✓< O \ ° V l) / / V, SUFFOLK COUNTY i...?,;n �' FIEALTF{SERVICES <\\ - / C..V)) l/�'' ��P`� '� TMNT OF /) �r Brown e i PERMIT FOR APPRGIfr, 0 ""'TnU�ION FOR A ` , %.'I ' / -" .' �, Fine SINGLE FAMIL, :•)f.,.:-..: F,' \` -)-),, �o��/ �,�. w 7/ to Goorse Q Sand DATE i 131 1H.s EF, . 2\0- l G 1 - 0,-iy °aVP �. ►" CAVAT}�fil Iti�PECTii�iJ REQUIRED 5W ° F"QR SAPIITARY SY9�EN� APPROVED z. ®Y 1.4E�LT. -- -- FOR MAXIMUM OF BEDROOMS �° -- co EXPIRES THREE YEARS FROM DATE OF APP-a ►p L \ NOTES: 0o"oS'., MI MONUMENT ..\<<.,,,,, CE�. Eii, y_ O PIPE /� ,'4".3 .r, P -5); . . AREA = 36,000 S.F OR O C,2 ACRES •• * 4'L ,y, *• ELEVATIONS REFER TO,MSL N6VD'2q ;rsk,i. .'—34 4.' J I N C. a I I�JERS L jl R, 11 SURVEYOR 1 II 0 1"E 1 �1 ��'I'S NO' Q `2P,�i �, 6 EAST MAIN STREET N.Y.S. LIC. NO.50X$2 i GRAPHIC SCALE 1"= 40' •-F� LAND ;#0° RIVERHEAD,N.Y. 11901 REF.\\HP SERVER\D\PROS\99-2''29H.pro 369-8288 Fax 369-8287