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HomeMy WebLinkAboutYoung I••11,1 FF014.� ELIZABETH A.NEVILLE � • d Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 • REGISTRAR OF VITAL STATISTICS 1� Southold, New York 11971 MARRIAGE OFFICER �����, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ®1 $to•I Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER - � OFFICE OF THE TOWN CLERK SOUTHOLD -NRjklaosTSTRP1QSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2694 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : KEITH YOUNG Address 1 : PO BOX 2576 City St Zip AQUEBOGUE NY 11931 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 #R10-01-0212 Name Of Owner YOUNG, KETIH & STACY Mailing Address 1 PO BOX 2576 City St Zip AQUEBOGUE NY 11931 Property Address 1 FARMVEU ROAD City St Zip MATTITUCK NY 11952 Tax Map No. section 121 .00 block 7 lot 7.000 Cross Street HARVEST LAEN Building Permit Number Cross Reference: Issue Date: 11/19/01 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) -iftofF0,4„ 0?6, 5 f ELIZABETH A.NEVILLE es 4 Town Hall, 53095 Main Road TOWN CLERK e • P.O. Box 1179 REGISTRAR OF VITAL STATISTICS ; ,t Southold, New York 11971 MARRIAGE OFFICER ' `' �1 Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER `���® ®��ie Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER = °� ���� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: - Southold Town Building Department NOV 8 2001 FROM: Linda J. Cooper, Southold Town Clerk's Office lown Clerk DATED: November 8, 2001 Transmitted herewith is a copy of application No. 2787 for a Cesspool/Septic Tank Construction Permit submitted by: Keith Young 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: 244-Zr ,:r." ZZ Signature ' ///01/ Dated 1OOFFICE. F TIE TOWN CLERK ."s'cuIFilk���' TOWNOFSOUPHOLD ��� O ,1 CSG= • Application Nodi ELIZABETH A.NEVILLE,TOWN CLERK P.O.BOX 1179 O ConstructionL/ SOUTHOLD,NEW YORK 11971 ; oT Alteration • $10.00 -Residential ✓ Telephone "102,•. 0".�O�'', (631) 765-1800 _ �l ��;," $25.00 -Non-Residential • ..moi✓ TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT R g C E 0 V E D SEPTIC TANK or CESSPOOL NOV 6 2001 Permit .No. �1n 1C1 tiown Cleric Fee .$- DATE NpV 1: ZOO -f APPLICANT NAME: /.( /f// Yt- I2A7 i APPLICANT ADDRESS: /4,7 0, ,'L7 AC,V . //7-?/ --SEPTIC XC CESSPOOL-K-2-- ------- -- DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION eD/JS7We i/DAJ/ ®G 5,��/x- / �S�OoL> D/z- LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: • OWNER OF PROPERTY: /1X//2/ .1 S'/-79-e,' )7a/t./ - OWNER MAILING ADDRESS: At9. /90X ,/Y //93/ OWNER PROPERTY ADDRESS: /.S /rilo�!✓ 2a�� `� c/a 4 -1/X i /. / /Il i -V TELEPHONE NUMBER OF CONTACT PERSON: 1722-2(a4-f' TAX MAP NO. : Section /p2/* Block 7 Lot 7 CROSS STREET: A €V6 ' - 44�� BUILDING PERMIT NUMBER CROSS REFERENCE: Signatu a Ap• • nt RECEIVED BY own Clerk's Office DATE: I LI, ' CSS .t= � :1-,,m=1 \iFr OF LOT 33 _ - - - - _ _ • Y F, OF FARMVEU ASSOG I AT ES - , _ \ N I. MA ' II TUCK - e s ;whe yet OF SOUTHOLD - N W E :',,,,-.ID INN :• '5 FOLK COUNTY, NY , 4,-----%':'-' ,. ` -FILED SEPTEMBER I, ICBG, FILE No.8808 \ ' S ,t; p SURVEYED MAY 25, 2000 rtiw : o PROP. HSE OG - I7 - OI °r`�\'-`N6 LI3 p9-2p-OI T.H. �D� op vo! i ,• I• f SUFFOLK COUNTY TAX # 32 o 1000-121-7-1rAti �4 �� '' : 1N G �� 1��� 4° P f ��� Test Hole `'. a STAGY YOUNG '"pa ®m'19�3 o(NG i-7S� �� 0 08-2 7-OI 2* COMMONWEALTH LAND TITLE 1 / 7 \ r Y INSURANCE COMPANY ` o LOA w `. , C IS LOAMY ML '"^= rt .� I C' 030 SILT ►Ir1 n °f��• yv �a o13 2 p °' i �� pP-0 rn-� f 500' TEST 13 t..1,�• ® lira,, HOLE yT 55 \ 7 `� p LOT ,,,,t,„ Y PALE .,.,� .o 0rn i AND i IA •s tp ° VACANT i °2 BROWN FIELD . I ;>..$ FINE SW f-W ;;s?- J �` SO' coARSE i TO L--;;;` % w VVV. �` f' .--/p� SAND rr• : • C;, 0 �..turtc .,•- 7:,____i -71- / 'r rn O 17' N8 ry 0 ® '50„W ------ • ° FROM T YARD rn DiNeLL/NG / - / LOT / _. Z 34 / SEPTIC i / 1 /� FRONT YARD i 363.467 ic . \‘'3 073 DWELLINGu _ — — — — — — — r I a .• te,,m o m� .' �-• 73 ,v LOT ..F_—qy " 1 r.+��* L: 714 J�-� ,. �JrJ Slr�,A� -,���v„/�`r. �� J'Zi �� TT 'p bearing o licensed l or addition to e l is a f I..JJ ,�.�J � (r.^(d\l1i ���y map taboo oscute-land surveyor's al is a . N �{! L• V�” �..f l7 "- violation o!so Naw York State E*ko cn Lo G �!RAAlt ®R f�,�•'.�Cb'ltE1 C- \ ' �/ �r. •� NOTED: _ �� L�l7 _ e��+ l� ._t{ �/ 'Gnej copies tram the cngma'al Ns swvey r�lf��"�L,. �"�.1f12F.n't h�,Ji 'bG ,•°( OC. �/"�_ eeon¢eds olwshour;er ons�dfz.o,'eevollewe II MONUMENT FOUND D o1) '�,��QO,l,� ,O� -Lertlilcodcns indicated hereon signify that Nis vey was propared In occcrdonca with the ax- is[ Godo o!Eroctice for Land Surveys adopted p[�1(�'11 the New York State Association of Professional F�,Sr- ,V V 1 : 4/I� , Land to the Surveyors tor l em the shall run only v STAKE FOUND ��� ©��iv D y d•V. a person y is prepared, DATE`, , JJ �L' s \ and cn hs behalf to Ne title company,governmen- t. n- /1 ��A^^C� , 111: ��'-•.�fJ.�•+ , tothegssigyi.mid ll Neglondifan;iwnn Lereifkaa �... ' .`V ` `1 ; I Iffl17 • ' Lions assignees not citronstoroblelend to ioddhana iGeitut s APPROVEb AREA = 53,G54 SF OR 1.24 ACRES AOR t'�F ihl�PA®� ` o •a0 EE YEARS YEARS-a---FROM ®� or- H P��vAt :�tis�o:! 02'��PJ0 �Et `fi Ca E �L "; >� LAill (',. `� 14,Y011"'. p(PtRES THR •� A� 6 EAST MAIN STREET N.Y.S.LIC.NO. 50202 GRAPHIC SCALE 1"=40l RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.-\\Hp server\d\PROS\20-180A.pro j 9rz,/2001 9,0.1.2&A1.1 „'P Sm-ver-V1,1205,...10_lpOApro