HomeMy WebLinkAboutBaxter f "`" ofil UFFOUreo
ELIZABETH A. NEVILLE Town Hall, 53095 Main Road
TOWN CLERK
P.O. Box 1179
REGISTRAR OF VITAL STATISTICS rrli Southold, New York 11971
MARRIAGE OFFICER `� ,� ��� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER $®.1 46si� 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. 2963 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : THOMAS SAMUELS
Address 1: 25235 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
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 #R10-01-0162
Name Of Owner BAXTER JR, WILLIAM
Mailing Address 1 NASSAU POINT ROAD
City St Zip CUTCHOGUE NY 11935
Property Address 1 14345 ORGEON ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 72.00 block 2 lot 2.001
Cross Street BRIDGE LANE
Building Permit Number Cross Reference:
Issue Date: 12/26/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
Li
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0' G 00'-, 9 (03
ELIZABETH A. NEVILLE ����� '�� Town Hall, 53095 Main Road
TOWN CLERK % co - % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ' 0 rft i Southold, New York 11971
MARRIAGE OFFICER :®,1,iL �����, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER "'/®1 Ali IT,
Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ southoldtown.northfork.net
_____;\_:—.------„)
\--
i , OFFICE OF THE TOWN CLERK
\\'1\l's:, DEC 1 a 2002 ','em.) TOWN OF SOUTHOLD
TO: 1.Tovv1L- Southold To Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 6, 2002
Transmitted herewith is a copy of application No. 3087 for a Cesspool/Septic Tank Construction
Permit submitted by:
Thomas C. Samuels for William J. Baxter Jr.
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: 1 1...A.. << - , /
e'r ide-e.-- (-4.7.,
Signature
Al--////:..2-
Dated
,ti X
•
OFFICE OF THE TOWN CLERK 'O��CGU Ln
TOWN OF SOUTHOLD _ ,` `1 L�1 4 Application No. 30-87
F.I.i7ABETH A'.NEVILLE,TOWN CLERK ��O Gi; P P
P.O.BOX 1179 `
Construction
SOUTHOLD,NEW YORK 11971 '_
ci Alteration
Telephone -‘0 �Q / $10.00 - Residential
(631) 765-1800 = .- t ,r��
, $25.00 -Non-Residential
TOWN OF SOUTHOLD
e •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION •
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE 70275/0
APPLICANT NAME: VOW C`, X41MA
APPLICANT ADDRESS: ..,9,52,35 4-24//V
SEPTIC /CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
,Vt // oYfPE I'
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: /40/1u0 40746--g if:
OWNER MAILING ADDRESS: opmG{ pDG/Ur
OWNER PROPERTY ADDRESS: /10/15 ope-6 v
e re'66Ue,• ivy.
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 1/2 Block Lot 07
CROSS STREET: Adie. Q6y
BUILDING PERMIT NUMBER CROSS REFERENCE:
iii 410. `
"ignature of Applicant
RECEIVED BY: V 1
Town Clerk's Office
DATE: (2470
a 5
i 5. -,
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SITE DATA
SCTM# 1000-72-02-PIO 21 "S j; i.I, . _, LU a,
PROPERTY O'MARA RESIDENCE ` -- -1 I Cos)
O
ADRESS OREGON ROAD 0
CUTCHOGUE,NEW YORK
2
' .,,•«�. ,-w SITE 141,11867 SQ FT
•__.•+,,„.,,,..,,...,..+.............. .^n,. .".'^'”'°"""""""4'.,'.."".,,...•,w,.,, AREA (TO TIE LINE)3240 ACRE W
Cb i_d a "''r.c is 3
.4.•i i-� ,.t� �..I,i�,�11v1,Y l.+on S",,:i�7�...FkF�l .Jf f<.r..-111 ,..., A ZONING R-80 ❑
PERMIT FOR APPROVAL ( C O'� ISTI'�!.�CTION FOR FLOOD X
,r'r- 0!7,I ti4' SURVEYOR: JOSEPH A INGEGNO
f,"1),i� 5 I., 7FCi.. r. .. ',,..
� RNERHEAD;NY Umi
LICENSE# 40668
1/4PR N j
DATED•JUNE 26,•2001 �i�O
ELEVATIONS REFERENCED 70-N G V D 1029 DATUM <_
ATI: 1 1 ;I,j• , „�,.,w NOTES- -EXISTING ELEVATIONS ARE SHOWN THUS 50 0
7
t�rp i SS.':1=,'�I � ^V 4-- „ S--"I •-' j yg. 'a• "'" F''ITi7t rA ' -._ m' PROPOSED RESIDENCE WILL HAVE PRIVATE WELL111
4 4L Iir+i:iz
FOP. Ii,i.L".�`".)el`' .......ti.M• _ CESSPOOLS
:-.11-1;',..a +L-I ! 7 ;'i':,' M CRATE OF�PPROYAi.•
THE LOCATIONS OF WELLSAND
ff SHOWN HEREON ARE FROM FIELD �
pl��r, L k� OBSERVATIONS AND OR DATA OBTAINED O
�a�Czws..• , .s,,maxr,+w„Q,•sa,nww:*�1+w�+•. ax•�• _ FROM OTHERS r
SITE 'MAP W Q
z
O'MARA RESIDENCE O
OREGON ROAD _ -- - - -
•
CUTCHOGUE,NEW YORK' ' ,._
f
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-4,k-1,(.'.,'''. N TEST HOLE BYMcDONALD w J• 24
:"`-f. t,_p GEOSCIENCE E
`,,' 5ro ,7, .,.,.^w.>r-1. TEST HOLE DATA(716/2001) _
�''°7t4,e'' '. .,.... .,,-W---- '..,.•"...'..,.,'.r •c GRADE ELEVATION t720FT W• •moi
siir„�n ,: :'r.,..,....•..........._ ,r 1^ • . I _. i 1. i L'.;I" 1..., ..-1;.,.T g
?:::‘,3i''','"'el "c / ^1' ! I j i.� �. .-,1. ' w• N
;" •(, :_�,L,t-' f+� 1FT DARK BROWN SANDY LOAM OL
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mak , f•�-�, a .to Q I--..
fist .
14t PALE BROWN
"'� 17 FT FINE TO COARSE SAND SW
COMMENTS NO WATER ENCOUNTERED
NO SCALE
fROPOSFO SFPTIC SYRTFM
(1)1500 GALLON SEPTIC TANK
(2)8'DIA X 8'DEEP LEACHING POOLS
(1)8'DIA.X 8'DEEP EXPANSION POOL
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I'NOJEL.I NL :
2005
DRAWN dY. RJB
Gh CHECKED SY: Tcs
DWIL....VII GRADE LINE ELEVATION='77.0 FL DATE:
/e Is �. 41/4 • •.1 V 1"A.x 7112101
k. �, '' .� 1'=100'-0•
�4�- A�.O ,, y. SEPTIC 4L cPING SHEET TITLE:
'7,{`��.' 1'ti 2.07I Q' TANK POOL I.7,_O
r . "„)r i� �.�_ SITE
t� '"is 1�xa �°t ,
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A ' SEPTIC PROFILE PLAN
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SITE PLAN ` IP.t4.:.
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EXISTING CONTOUR
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