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HomeMy WebLinkAboutBerry • ELIZABETH A.NEVILLE ���� Town Hall, 53095 Main Road TOWN CLERK ; ; P.O. Box 1179 �y Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ® �� Fax (631) 765-6145 MARRIAGE OFFICER Telephone (631) 765-1800 ��® RECORDS MANAGEMENT OFFICER `=��®1 �i��, 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. 2791 R Residential x Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : WALTER BERRY Address 1: PO BOX 247 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 #R10-02-0053 Name Of Owner BERRY, WALTER Mailing Address 1 PO BOX 247 City St Zip SOUTHOLD NY 11971 Property Address 1 215 SOUTH STREET City St Zip SOUTHOLD NY 11971 Tax Map No. section 70.00 block 10 lot 5.002 Cross Street GAGENS LANDING ROAD Building Permit Number Cross Reference: Issue Date: 4/04/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ,___ ._., ,. ,,.... ,��'��VFFO(� a ---7 q . I' • 0, ELIZABETH A.NEVILLE � ,..o. _, ., � �� °f'� Town Hall, 53095 Main Road TOWN CLERK ® P.O. Box 1179 1 ca 4 ,' ae t Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax (631) 765-6145 MARRIAGE OFFICER :®�. ` '�1�� RECORDS MANAGEMENT OFFICER =_4®i 41 i�®�i" Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER _ ,� southoldtown.northfork.net -......' OFFICE OF THE TOWN CLERK ---- TOWN OF SOUTHOLD -, l5 r-) '' �;, .: : ' i fo ''i << ;Rr. ` APR 2 2002 ' 3.-�� TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office T'_"_: "'�'_i DATED: April 2, 2002 Transmitted herewith is a copy of application No. 2894 for a Cesspool/Septic Tank Construction Permit submitted by: Walter H. Berry 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 V DISAPPROVE Comments: 7Z'4.-e4tteZ4 Signature 0 7,,,j2.-://( 2...— Dated OFFICE OF THE TOWN CLERK '4.i,,�,•••••,,,�'i TOWN OF SOUTHOLD : �' F0L�1 FT.T7ABETHA.NEVILLE,TOWN CLERK 0�: Application No. 2,e91/ P.O.BOX 1179 . SOUTHOLD,NEW YORK 11971 = Z ; Construction v (XI Alteration Telephone ,ly,1 1.9 $10.00 -Residential (631) 765-1800 _ , 111• .0.1 ._,_s,,,. $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 y/Rio 2_ APPLICANT NAME: / kjkr r APPLICANT ADDRESS: O OY 02Y;16-re Pict( h (:)(,L-ii-kb /(1 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION t�j 01 S 4r &c-f-, LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: ‘UG 145 (-) Re_r,r OWNER MAILING ADDRESS: Pa 6ax c el ? (Som-4/1 ,t ///7 OWNER PROPERTY ADDRESS: 62 /$ Soc(14Sjr .e.4 S 4 VI"- lig? 1 TELEPHONE NUMBER OF CONTACT PERSON: 63/ 26.5 009') TAX MAP NO. : Section 20 Block /0 Lot 2— CROSS STREET: (9a, yerk_s BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Applicant RECEIVED BY: -....k117-7,QS-LA Town Clerk's Office DATE: 2- 2- r`F .17 S- 72 �FS 4 G!/CLL /� f15E F Z,v 1_ F E r G./GL.L II i //V/ Map of Described Property 0 --P II /0 - Situated at Southold 4 Town of Southold, Suffolk County, New York `) District 1000 Section 70 Block 10 Lot 5.2 Zo I O G. ,,c7 ' \ la: / ' 0 ''4'7 l� 2.7'rte 1 402° 7 ' /s"E /. .7: —7/ 1 e".7A./ -� a•a..� i ZZ. ZZ '0 I 23 ,a -. y >.r--' --'_ '�> Iii 2Q o y� % 17 r0-1:7n� :22 - , j J�. :WFFOL:. _:OLJNTS DEPARTMENT OF HEALTH SERVICES • • S E Pr G. /'1 to Q i� Z. ('J U uma 5T r f 4 'ERM1T CDR APPROVAL OF CONSTRUCTION FOR A . >' G.P, �. J 8, -1.0 SINGLE FAMILY RESIDENCE ONLY fi Z/ 7 s,7 `� ; OATE _- H RE .NO. fIO-�©i - e2s-� E X� 7-- • I 44. <( 0 Z 7 -z..--2..,..,,,i --— i.,... - - - r • O ����� 2 '�;5,7 FOR MAXIMUM OF4BEDROOMS ` N N 5%Y %� - EXPIRES THREE YEARS FROM DATE OF APPROVAL t� \ O Q 2� 2 3,7 % r • en ‘` 3 �,o 'it( \r\.i . 7 _ U zG �- 2 ov6- s . . P .41"L" /6V r t 0 Ground Surface Elevation _ - 19,0 4-17 sect - <( ' _ fq.i S. �; o� i Sand /Loam \:!;:,,%,.::-1‘-i, T 7 r / 0 5' Dark Br tT i (OL) :J g* . ,t.. f;a ,-:',0 23. 2 ,9. e.4.12,:s74 zee r i9 S 17' 2.5' Brown Loamy Sand (SM) �• ; 3 �"2'""�E J f o' I ,' • `"e' ANTHONY ABRUZZO R.L.S. Pow �`�� ccii2� 14' Pale Brown Fine to Medium Sand(SP) --- I 2 o REGISTERED LAND SURVEYOR + i s.G ,e.,4 -e---e___UzD/zivE No Water 1700 Hortons Lane �� /-� 377" Test Hole (By McDonald Geoscience 1/11/01) -- Southold, New York 11971 (AJPy'`.vim, ,_ _ ir - ,U,:- i ;: ,;1:--1.67::, _0 i62) 2,w/://7/— OF X Locations of adjacent septic systems and wells are by owners and are approximate (631)-765-6242 • qj O g 77]] p3„ _ Z y c • Revised proposed septic system and well: 3/14/01 7/22/0 SURVEYED: January 8, 2001 1-1 44' it"--1 -5-' Scale : 1" 1' File No. 2425 -4.L Mr 1 -1 "-D, Tu ' 12�P-Ef2.S .� 7-/-iE a c497 R-AJ 77v :�1`.s 7v o6rA F« )14,4 i