HomeMy WebLinkAboutOates on
ELIZABETH A.NEVILLE n"..%
Town Hall, 53095 Main Road
TOWN CLERK % P.O. Box 1179
REGISTRAR.OF VITAL STATISTICS : ; fpg
Southold New York 11971
MARRIAGE OFFICER � it
��� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER � ®1 -2 • oil
. Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 3 ��' 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. 2964 R Residential x Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : THOMAS OATS
Address 1: PO BOX 419
City St Zip ORIENT NY 11957
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 #R10-01-0202
Name Of Owner OATES, THOMAS
Mailing Address 1 PO BOX 419
City St Zip ORIENT NY 11957
Property Address 1 805 GREENWAY WEST
City St Zip ORIENT NY 11957
Tax Map No. section 15.00 block 1 lot 28.000
Cross Street PARKVIEW LANE
Building Permit Number Cross Reference:
Issue Date: 12/26/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE t.�1%- Gym; Town Hall, 53095 Main Road
TOWN CLERK % ® P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
% 2 Southold, New York 11971
MARRIAGE OFFICER V .,!i �����, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ._�Ql 400,i• Telephone (631) 765-1800
FREEDOM OF.INEORMATION-OFYIt.;ER ��,,� � southoldtown.northfork.net
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_, i i' `J OFFICE OF THE TOWN CLERK
I• ;tULU i TOWN OF SOUTHOLD
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TO.:__- -?--- Southotld-Town uilding Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 6, 2002
Transmitted herewith is a copy of application No. 3088 for a Cesspool/Septic Tank Construction
Permit submitted by:
Thomas &Linda Oates
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: : , / —
/
--.77-7d-e---4... (4/1- .
Signature
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Dated
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OFFICE OF THE TOWN CLERK i''cJl{� Ut 'QG
i
TOWN OF SOUTHOLD
� Application No. •
E JZABETH A.NEVILLE,TOWN CLERK . �► .
P.O.BOX 1179 : Construction
SOUTHOLD,NEW YORK 11971 tufa •
T
Alteration
t •
Telephone �0���1, $10.00 -Residential
(63t) 765-1800 l;. 1;,�'' $25.00 -Non-Residential
•
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
APPLICATION
for •
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE
APPLICANT NAME: a-)
APPLICANT ADDRESS: `PD (50), LJ/c
(()f ce4-- Ply //(5`)
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTS ATION:
OWNER OF PROPERTY: rmjz lIe �-L Ocvti
OWNER MAILING ADDRESS: poi (36x J�/?
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OWNER PROPERTY ADDRESS: BOS (ee�-� ccu/ CAA-4-
P) r2t r
AA_4-P) r2GC,i7
TELEPHONE NUMBER OF CONTACT PERSO14,:?(` 02.07- 96,/f
TAX MAP NO. : Section lc Block 1 Lot $r •
CROSS STREET: dark Vice.,/
BUILDING PERMIT NUMBER CROSS REFERENCE: .
Signature of Applicant
RECEIVED BY: •
Town Clerk's Office
DATE: clita L G •
f/ J
Sz- v ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION
`I Lx I 1 -} f. ii i y N i V OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW,
`UR VE Y DE PR OPER T Y EXCEPT AS,PER.SECTION 7209-SUDDI,VISION 2, ALL CE'RTIFICATONS
HEREON ARE'VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
A D T �Tr� 2N2 NOV 27 AM 8: 52 SAID WHOSE SIGNATURE APPEARS THE
IMPRESSED SEAL OF THE SURV YDR
H T ORIENT V 1 IIT QI+HEALTH SERVICES ��14�
v L 0.[.f 0 'ICE WASTEWATER MGM; o WE4`
TOWN OF SD LOT NUMBERS REFER TEl "MAP OF GREEN
SUFFOLK COUNTY NEW o' R ACRES AT ORIENT' FILED IN THE SUFFOLK
1000-15-01-28 . A T ' COUNTY
UFILE NO 8K'S 3540.OFFICE ON APRIL 13, 19E
SCALE: =1 _
JAN. -22, 2002 -^ al ...wit
%...'1...._ .-•r ...__._.._... _....._.
March C3, 2002 (revIsforti
mo-r 421 2.49‘01,436411 ) 'SU JECT TO CONVENA11 s S&t;;'E 8TFIOT0f 4 3 L 'R ,a ooc9
p.''.c ELJ�. r 4.
�- .. .-i.._�J3ae•.._...___ .._,...:....:fVS •+d_'h�9"ZZ_Y:2+'.'S- rr._ _
.LOT 14,
SCDJS Ref.# RIO-0l-0202 11�0�
\\ <DWEL�' e
- \
(L.F 147,g9i EL lg.l' EL. 19•1in
N803600' E r-
ill 2 .
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EL. 14 4' O• Q
Z0ofl'' '''''
PROPOSED DRIVE " Y N
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;s /pa rnf 1 . �iii
,�;
E. ,'a /iii :moi:
3:.
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la
//4":/:?°' '''''
,'- z s 7q
-{ R7
50r, -- - `, / -
TEST HOLE - . /
•
u/a - /
DARK BROWN SILTY LOAM OL ;'
1'
DROWN-Lt7AMY SILT ML
'6; r/ '
iv EL 172
3 t11
O �` 1 EL- 16.8,
O f �
BRIIWN SIk.TY SAND WITH VERY '
_
' ,11 HEAVY GRAVEL SM ,•' 134,001
/ / / / / /
PALE BROWN FINE TO COARSE SAND SW EL. 9'1` % 0 '� —/ - /G
8O4 3b,�• V/
,/ %,� WELL Approved an accordance wi.Yn.E7rd of Re ew
-- 16' el 2 s ` /l LOT 12 dete data' 7 2s Z
CWATER OARSE ISANDPALE
SW BROWN FINE TO / CDwt-L��+�G>
23' ! ,`/ MSE G GRADING PLAN
, .-- / FF.
4.. Fl. FINED GRADE 15' HELL
fC,F.1 \ ,---- I
NOTE' SEWAGE DISPOSAL SYSTEM AND . _ IE. �3ETS r, A Ira 25 ., , I
PROPOSED WELL LOCATIONS AND - —
DESIGN PERIMETER ARE BASE UPON =PM
AI
SUFFOLK COUNTY DEPARTMENT OF HEAL TM \ rp .3' .
SERW(C�S STANDARDS AND DESIGNED BYE ,
JOSEPH FISCHETTI, P.E. r
H725 HOBART ROAD. '
j. . ,. . SOUTHOLD, 1971 r ST E> CTED WATER 3. ,�
, EEO
r;' 1630 755- k954 —z— - _ _ ----
_
• RE &tATrF MATERIAL AROUND ALL POOLS •
r AMRTMENT'! SUFFOLK COUNTYOFHEALTh Sw/T7 3`COLLAR OF CLEAN SAND 8 GRAVEL:
• PERMIT FOR APPROVAL OF CONSTRUCTION FOR A .
SINGLED'. Y RESIDENCE ONLY 1 EXCAVATION 1f1SPEC� 14(113112..
D '
FDR SANITARY S. _ -r
DATE - 1 0 S .NO to - o/- Dao BY HEALTH DEPA _, :�
APPROVED �, � (-
)p•
-
N 0 T S ` OF 5..BEDROOMS -p Mt T. c
I am .familiar with the STANDARDS FAR APPRO� rim .,,1
AND CONSTRUCTION OF SUBSURFACE SIWAMPERES THREE YEAliS FROM DATE OF APPROVAL OF �� =
..A
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES _ Q�ti, e
and wilt abide by the conditions set forth therein and S� aN�T MFrj^ D,P�
on the permit to construct. '' :.rte `��
'�
73
The location of welts and cesspools shown hereon are yf � It
- •I N..Y.S LIC, ND. 4961$'
l bsery tions and or data obtained from oth rs. ' �;' �` 4'dr:��_�
from field o a . T -1 C , i •?E-YO> , P.C.
{ yrs ,'r ,�. FAXlfb31) 7€5-17
Elevdttons are referenced to an assu+�ed datum. �•
-- A P. a. ;�',C�r+so`S��
p
:: MTIAEA=2'3 .25 t SIS, ppWg L ` N, C�PIPE _ Ac PER f�= SOUTHOLI�, N.Y. 11971