HomeMy WebLinkAboutDay klIFFOLt
Nier,ou ea
ELIZABETH A.NEVILLE ���'I �'�; Town Hall, 53095 Main Road
TOWN CLERK H ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ' ' i Southold, New York 11971
'I' Southold,
Fax(631) 765-6145
MARRIAGE OFFICER VP* •lI
RECORDS MANAGEMENT OFFICER _ ®1 �a®,iTelephone (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. 2763 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : BOB DAY
Address 1 : 8055 INDIAN NECK ROAD
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner DAY, BOB
Mailing Address 1 PO BOX 555
City St Zip PECONIC NY 11958
Property Address 1 8055 INDIAN NECK LANE
City St Zip PECONIC NY 11958
Tax Map No. section 86.00 block 6 lot 26.001
Cross Street ROBINSON LANE
Building Permit Number Cross Reference:
Issue Date: 3/20/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
,,,,,,,,,,,,,
;
/0,ob �G�:
ELIZABETH A.NEVILLE � ` 'y�; Town Hall, 53095 Main Road
TOWN CLERK ; y P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 0 v �� Southold, New York 11971
MARRIAGE OFFICER �i ' t`��1► Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER "'/Ql , ��� 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: September 25,2001
Transmitted herewith is a copy of application No. 2755 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
Bob Day
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 RESUIRED. .c
/4(te-'4.114/t.
Signature
0,,A3 A2_
Dated
OFFICE OF THE TOWN CLERK ,�•" f I RICA.
TOWN OF SOUTHOLD •'• •
� /-_ Application No. 7J S
ELIZABETH A.NEVILLE,TOWN CLERK 7J1
P.O.BOX 1179 ; Construction
SOUTHOLD,NEW YORK 11971 v T
Alteration
Telephone ,f- tQ�i,,, ' $10.00 -Residential
(631) 765-1800 -= 1 I;,��' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. •
Fee .$
DATE l a'- )
APPLICANT NAME: /�h62)p)I Y
APPLICANT ADDRESS: Q (5 TA/ (A-
���l��� // '9;'e
SEPTIC V CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Whh ' tat Aro Al4 / 4444/ •ter
ai /
A41) 11/91A/ /C/47-
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 66 c4)--/,
OWNER MAILING ADDRESS: � 16,� 15-1
'
DeCe 4Zfc
OWNER PROPERTY ADDRESS: eGz,vj ,/����� „
�10 11 .919
TELEPHONE NUMBER OF CONTACT PERSON: tf' g/7/Vq Y �
/001 .
TAX MAP NO. : Section No Block Lot 26 , •
CROSS STREET: x/.0&,,1` 447.4 pA./
BUILDING PERMIT NUMBER CROSS REFERENCE: PO 67)0
•
Signat a Sf App cant .
RECEIVED BY: •
Town Clerk's Office
DATE:
1 The locations of wells and cesspools
shown hereon are from field observcrtions
and or from data obtained from others.
I am familiar with the STANDARDS FOR APPROVAL
AND ,CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
and will abide by the conditions set forth therein and on the
permit to construct.
•
, e
, .
. '
r-t -18
* 41E-44
• Pk.
\ - Al
.. .
Z \
A/4-
nY \
0+ 4-,(4-7..
-.1 ,,t \ Aro_..-
>I '6 \ *°.- ..
-
q ac), \
vk -t, <44 „,...........
- \
< \
--:
, •. -.,-47.,
/
\
\
\ Ex/Li'rfiv 6 /
\, iviu 4----......_4ir / /
TEST HOLE 'N , 1
tk 11
's.
/ --:•
roc
- - ---- 4P- ---.-- • / -
*
.. , . Dark brawn _ ‘ „ ,
r_j
4
, 44 '$451,,I,,r C.:-P•„7
1
sandy loam 4
law , .9-\- ‘ _.. ' o14
l'-alv.t..sand OVERHDWIrI
"AZ
Pala brown - N • ne )C ,.-''' --.c°1":ri .w .
sand 0
- /
. SP , Vt. - ' ______
•••:,"',..--1011.41t,
. -4S•Cr /'low . 1'reve ..4,-......„ ,,, •././/,,,
Waltir kt pale . 16 // ,.0. io •k
, .SP ir ty
-yreit 9 rt
\
• (
_ "Sc? , vA!. • ,,,,,..,46 ,.../
IlsrPIKRCoutrfr DEPAinstin sr Hum Ss , i .4 V4,5:., ;11641111:67-- ./if.:;:- ler- Y 4' •.
....;iiii ',dore. \ / , ..;;t: .-7
PERMIT FOR APPROVAL OF CONSTRUCTION FOR% - ,tiA., , / ,-,1 /, • ' V '
VIP'.. . .'" : \ -
, • . ,,.• , ' ' 7"-----
--, , ,` -
, •
SINGLE FA411,:t RESIDENGt. nraLY
, ,,
/.. , / \ / '.)er. .",•
,....,..-- , • ....,
,•\ ', ", ' • / ,„ \ c \....„.., .„ __,r
._ -
, DATC5-h16,3147.N. tt_k ,-0 it
c - 0 o ' - \ , /- •
•
, ...- .\ . ; •
N. \\ 'Ia."
\
Appsovati (.74,0"---- /s -- „--- ----.._
... , _ .. , , / ,
1 FOR SIREINUM OP. t( ,BEDROOMS ' I ,,, ,
- **,.. \ ,. / ,
-,.. •. . \ , •
-,—, EXPIRES THREE YEARS FROM DATE OF APPROVAL . . k ' „)( \
\
t,-
..,,, . "-t • -.. \ ./" ., ,. ,
---)c,
, 0
'-1.F4, LPO:WCt.ZEp-L
CNES FROM FIRM' (s.-4. .. \
-
14A361301646 MAY4, /908 \ \ ; ‘
. o r ,
e\ ,
to , \ \ ,
. , .-\\,\ COASTAL BARRIER IDENTIFIED 11-167-00 cg. I • / \ \' ‘
\ ' .
t , \
, \ ,
„
,
\ ' ‘ S 5
. -
_ .
. . ,
A ., ,...,
.
. . ,
,. .
,
.
,i .
,
"A. ) •
,
'?,(-14 .
• , .
, . , . . , . i . ' • 1 ' .. ,
, .
. , .
_ .
, _