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HomeMy WebLinkAboutDody #/ SII®®st��®t� ‘4,e, :\ ELIZABETH A.NEVILLE �s�t s " ` ,^ ®G� Town Hall, 53095 Main Road TOWN CLERK ® - P.O.Box 1179 ego REGISTRAR OF VITAL STATISTICS ` M Southold, New York 11971 MARRIAGE OFFICER `� s �° 10 Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER =__�® ��®,11� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ,��� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2761 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : PETER & LUZVIMIDA DODY Address 1 : GENDOT ASSOCIATES City St Zip WADING RIVER NY 11792 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 #R10-01-0090 Name Of Owner DODY, PETER & LUZVIMIDA Mailing Address 1 PO BOX 534 City St Zip WADING RIVER NY 11792 Property Address 1 495 VICTORIA DRIVE City St Zip SOUTHOLD NY 11971 Tax Map No. section 78.00 block 9 lot 60.000 Cross Street MAIN BAYV I EW ROAD Building Permit Number Cross Reference: Issue Date: 3/11/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) oi'1°OFF04 ELIZABETH A.NEVILLE Town Hall, 53095 Main Road TOWN CLERK % ® P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER � ifi �g�l�, Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER =_ ®i ® � Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER '� southoldtown.northfork.net ... ...i OFFICE OF THE TOWN CLERK - -= r3 }3 TOWN OF SOUTHOLD u IVIAR 6 2002 TO: Southold Town Building Department ,sp Ti'?,� FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: March 6, 2002 Transmitted herewith is a copy of application No. 2866 for a Cesspool/Septic Tank Construction Permit submitted by: Gendot Associates Inc. for Peter Dooley 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: 9r7e2.4,e.ta/te,Ce,t4.44Z-bot., ff:eetle6 4e-soga.A4, "714z-dac",�. Signature 0 /.41 -7///0 2- Dated OFFICE OF THE TOWN CLERK /COFOUr TOWN OFSOUTHOLD • 0� CDG Application No.4 LLIZABETHA.NEVILLE,TOWNCLERKr. ; $10.00 - Residential l/ P.O.BOX 1179 SOUTHOLD,NEW YORK 11971 ;f . .,.• �1•••i $25.00 - Non-Residential Telephone ..*el * (516) 765-1801 • TOWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION, for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE 6/411- OWNER NAME: ' It)ZWi‘ " f Jaa Io CIS 61.4114 I-15436.014c-SC.. OWNER MAILING ADDRESS: eo gro,Ns34-1 Up, �H ►2;��. ,1114 I) )Ofl OWNER PROPERTY ADDRESS: 4 + 5 -010404 S,J4l�l 04. I I g 11 OWNER TELEPHONE NUMBER: --C11.1` 001 TAX MAP NO. : Section -1Block 9 Lot 60 CROSS STREET: 4111 61111-01-1 I�,d TYPE OF SYSTEM: Septic Tank 15 New 44 Existing Cesspool New 5 Existing — Residential � Non-Residential — LOCATION MAP: Must be attached hereto before permit may be issued. (Locate building and system; give north arrow and feet of distance, approximately, to building and closest road.) 11.11 0/1/011114' Signature of App ican /cg it(5 RECEIVED BY: //`fk P • Town Clerk's ffice DATE: , , . ���� r, 5 a ( 4 • • -a SURVEY OF TEST HOLE DATA PIIEI-;I DESCRIBED PROPERTY PERFORMED BY McDONALD GEOSCIENCE ; W. TI-1- .'Eh I, FI;E'1/r," RESIDENCE SITUATE 26 FEBRUARY, 2001 LOT 10 \-".7_ i,-- ) -- -- — w-FTET, MEr7— SOU THOLD (BA YVIEW), " S-EXISTING GRADE HIGH WOOD cn AT \ W r_ P' TOWN OF SOUTHOLD BA YVIEWRESIDENCE BROWN LOAMY SAND SM I (:(2 O N/F BUCZEK -(0c SUFFOLK COUNTY, N. Y. 10 CAAINZ/NK FENCE PALE BROWN FINE TO MEDIUM SAND SP 40' TO CESSPOOL •FD 149.68'��IP SURVEYED FOR PETER R. DOOLEY 2 — RAIL FEN-C IP N. / •NYT LUZVIMIDA R.DOOLEY • 17' --45 4 N o O TEST I HOLE O 116' TO L ELL ZONED R40 - - RESIDENCE N —�40\ 40• L. 40EDrpt ...,4..., / ^- SURVEYED 15 FEBRUARY, 2001 \ PROPOSED --T cr FOR S.C.D.H.S. USE ONLY / WATER SERV i � ¢ SCALE 1"'=30' PROPOSED 0 2 \ 4 BEDROOM 50% EXP. cn a RESIDENCE CESSPOOL y -cc AREA= 18,724.64 SF l f <c a OR N/F LONDON W Q w RESIDENCE 0.430 ACRES PROPOSED (. SEPTIC ® W (GARAGE UNDER) s O U- �G CESSP� s ELEVATIONS SHOWN HEREON ARE v < J e - r \ TAKEN FROM SCDPW EAST END 0 co 1 (� 5'•-� j---, O TOPO MAPS ar I`- c M a PROP. r Fz �/ \ DRIVEWAY �a r- z c ix c0' TO CESS"OOL la = GUARANTEES INDICATED HERE ON SHALL RUN �! Q 4] : ONLY TO THE PERSON FOR WHOM THE SURVEY Eli 3 IS PREPARED, AND ON NIS BEHALF TO THE N LO TIRE COMPANY, GOVERNMENTAL AGENCY, 0 z s '�- f� , z FD _� N LENDING INSTITUTION, IF LISTED HEREON, AND L� w 0 . 0 RESIDENCE oO��M �` TO THE ASSIGNEES OF THE LENDING INSTITUTION. TO ® o ) N 60° 55 30 \ CO M N ADDITIONAL I ARE NOT TRANSFERABLEBQN „ w FD•N?T ADDITIONAL INS717U710NS OR SUBSEQUENT OWNERS . •g L. yy`i �� g / UNAUTHORIZED AL 77 RA710N OR ADDITION TO THIS Kt. .� f� x(� �� /50• D � 7--Th SURVEY IS A VIOLATION OF SECTION 7209 OF Li a `� F� �� j � THE NEW YORK STATE EDUCATION LAW. E: - 0 „x 5'- 0 _. x ... 1h VACANT i� © THE LAND SURVEYORS EMBOSSEDCOPIES OF THIS SURVEY MAP SEAL SEALRING 13 SHALL ' ,-, 3 rz N/F COLOMBO �\ L[. (� �S NOT COP BE CONSIDERED TO BE A VALID TRUE z— ...4 1,2 411 I I ,p-A\ (c. > _ ...., w U) a. m TIE: 1 N 29° 57' 20' E 332' , 11 � P • E —1 2 N 34° 40' 30' W 155.68' = r-- ,�,,.,, SURVEYED BY:-- '` c-a�• . RESIDENCE O --0 ,rn STANLEY -J.' IS,4 SE :QR. PUSLIC P O. BOX:2,94 (::7 WATER SER V NEE✓ SUFF.Or ', 6 6)-24-46,35—)1