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HomeMy WebLinkAboutBreither t - /�,®�®S11FF0���w ELIZABETH A. NEVILLE Town Hall, 53095 Main Road TOWN CLERK % P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER � efi � �, Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER -__ gg, 0®0 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER „ „ ' ,,,,��� OFFICE OF THE TOWN CLERK SOUTHOLD IVASNIIZPMIiOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2671 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : CRAIG M. ARM Address 1 : PO BOX 1675 City St Zip SOUTHOLD NY 11971 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 #R10-99-0184 Name Of Owner BREITHER, GERARD & JOANN Mailing Address 1 105 VOORHIS AVENUE City St Zip ROCKVILLE CENTER NY 11570 Property Address 1 235 LATHAM LANE City St Zip ORIENT NY 11957 Tax Map No. section 15.00 block 9 lot 1 .026 Cross Street LANDS END ROAD Building Permit Number Cross Reference: Issue Date: 10/18/01 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ELIZABETH A.NEVILLE �� Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 Southold, New York 11971 REGISTRAR.OF VITAL STATISTICS MARRIAGE OFFICER :®� ���, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER � � ss22�,, �� i Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER - `z�' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: October 4, 2001 Transmitted herewith is a copy of application No. 2672 for a Cesspool/Septic Tank Construction Permit submitted by: Craig Arm 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 A//s1/0 Dated ' 1111%iii , OFFICE OF THE TOWN CLERK ,e TOWNOFSOUTHOLD �' COf ilLKco Application No�� ELIZABETH A.NEVILLE,TOWN CLERK ,►-pO �= p p P.O.BOX 1179 I iG: , I.: Construction SOUTHOLD,NEW YORK 11971 v • T • tr Alteration Telephone 0,� ' ,Vet . $10.00 -Residentia (631•) 765-1800 ' Ol $��'I. .,,,�� $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION , RECEIVED for OCT 3 2001 • CONSTRUCTION or ALTERATION PERMIT 1"hoga d•wn Ceerk SEPTIC TANK or CESSPOOL Permit No. Fee .$ DATE c2c.- , 3�'? , ,2,,„, APPLICANT NAME: . c -A.tca ,.-. , p1/49_,,,,,,, APPLICANT ADDRESS: rPn 6(t•,, l.Col 5 • Sc»-rc-toi-p, ►,-4.--e 1►o\-1 ] . SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ►` t J C srizk,e.--rgl.-1 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: • OWNER OF PROPERTY: -V-4. J1,-4-1 Wa-ervt-tzTz— OWNER MAILING ADDRESS: LDS vcpc:3121-$AS Av tip. 9.o •au c_�.---2 r-�Y 11.570 nn - � OWNER PROPERTY ADDRESS ..../...171-1,60.," ` C (2'12-t X(. l--1•c' , l l°) TELEPHONE NUMBER OF CONTACT PERSON: C031-7(45-112402- TAX MAP NO. : Section IS Block ocj Lot I. 2..Co CROSS STREET: I--a4,.tDS 61).�,p 2r-5#4D BUILDING PERMIT NUMBER CROSS REFERENCE: • a--,_ ( -,____ Signature of Applicant RECEIVED BY: - Town Clerk's Office DATE: , . • .f-iiipr • • 2 ,' c P, Lot numbers refer to "Map of Land's �J ' •.1, i7 '• End" filed in the Suffolk County Clerk's SURVEY OF PROPERTY well 150'+ Office on May 3, 1973 as File No. 5909. LOT 2s AT ORIENT POINT on(dwelling) TOWN OF SOUTHOLD LOT . s 68'57"40"" E 170.001 SUFFOLK ,- NEW W O Loa 2817112"---4-1*----CAVATIC*1 el=12.d�A elm/I,y COUNTY, i.IY RK INSPECTION REQUIRED (house U/C>, FORSANITAR`>rSYSTEM 1000- 15-09- 1.26 pap W en IS a t BY HEALTH DEi tT�fAENT ,. SCALE: 1'=4D' AUG. 26, 1.999 L. LOT CD ----- A . .�©, 1999(revis1.n) (vacant) X ----......., Z I "TE111Hcip-' ApilVTOV'-- AL ,.' ' . .cs9: C.P. lsi ^ . Si7FFf U,<,O D •EPARran oF II'!#SERtfjS AITROVAL L0� 27 c r'+ SPNC FArinLy a®Or;POR A 1 O W . ' ,. $l O t)1� � Z iC (dwelling) ..' N � F. �� ��,��. eye'/, coa So = Q tst e j.3 , , R���� il . Z • _.. , - = ,.:, .� :�„ ;<t ,�.� aat."unit 5w • Minimum distance between -, y ,. b end cess�aot is to e n well 4 _1a! S°\ b 50 feet. Well ���� i i C.I . 1 Q a , i" C. The location o f wells and cesspools -,..-...L.,40.41 ectsppN-' 't`➢ shown hereon are from field observations • e1=9.7. and or data obtained• from others. ' N 88'57"40" W 140.60° - el=9.b I am familiar with the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE 60'�.� ?, � DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES ' and-will abide by the conditions set forth therei. _-- •n the el�a8.7 permit to construct. �P�EOF NEiy y 1 Cj �N 1.MFTZ O� ,Elevations ore rel et to *re- Five . 4° c<<, # Edsiern Towns 'opislgraphtc Maps. 179 43 / ^g� • M 1 , - • (vacant) ir "'�� +'� ',; A 6.s. �� N0. 496.18 �t .rr :.:m►. ANY ALTERATION OR ADDITION TO, CHIS SURVEY IS A VIOLATION CON r'T i'. '�1 P„1. OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. , r =mpnument • EXCEPT AS PER SECTION 7209-SI9 DIVISION 2. ALL •CERTIFICATIONS (516) ,,, o O� .=pipe HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P. 0. Be ,•-." ..' 496 $ .AS� , SAID MAP DR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRA tkAri6'' • ' AREA 41,08�, sq. WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, '--„ , '� 1