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HomeMy WebLinkAboutWalz 444 ®� � ELIZABETH A. NEVILLE _ 'y� Town Hall, 53095 Main Road TOWN CLERK % ® _ % P.O. Box 1179 H Southold, New York 11971 REGISTRAR OF VITAL STATISTICS as r'® MARRIAGE OFFICER � ®y Fax Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ®1 -4, 0 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. 2976 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : FAIRWEATHER BROWN Address 1: PO BOX 521 City St Zip GREENPORT NY 11944 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 #R10-02-0176 Name of Owner WALZ, ROGER & LESLIE Mailing Address 1 2505 OLD ORCHARD ROAD City St Zip EAST MARION NY 11939 Property Address 1 2505 OLD ORCHARD ROAD City St Zip EAST MARION NY 11939 Tax Map No. section 37.00 block 6 lot 5.000 - Cross Street Building Permit Number Cross Reference: Issue Date: 2/18/03 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ''''''''''''''''''''''''''' ey 9 '7 ELIZABETH A. NEVILLE 010 t Town Hall, 53095 Main Road TOWN CLERK k C' - P.O. Box 1179 REGISTRAR OF VITAL STATISTICS : Prt�, Southold, New York 11971 MARRIAGE OFFICER �i Fax Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ;_�®d �1� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER . ���� southoldtown.northfork.net \ — OFFICE OF THE TOWN CLERK a\ TOWN OF SOUTHOLD 0,-6 2• 0 2002 ;�. TO: Southold T�dwn Building Department r` FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: December 18, 2002 Transmitted herewith is a copy of application No. 3097 for a Cesspool/Septic Tank Construction Penuit submitted by: Fairweather-Brown 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: �> �✓� . Signature /-7/2-6://12— Dated I f ` b • ,(~ , i 1 L ?('f- // /////IIS/� OFFICE OF THE TOWN CLERK ,C.,�FI U�K�I TOWN OFSOUTHOLD ''� �G Application No.3)`77 FT.WABETH A.NEVILLE,TOWN CLERK - 0 P.O.BOX 1179 ; r I •= Z • Construction "--"'SOU HOLD,NEW YORK 11911 T Alteration Telephone O,��O ��Q��' $10.00 - Residential (63t) 765-1800 =1 $25.00 -Non-Residential TOWN OF SOUTHOLD SOUL HOLD WASTEWATER DISPOSAL DISTRICT RECEIVED I i APPLICATION for DEC 1 8 2002 CONSTRUCTION or ALTERATION Southold SEPTIC TANK or CESSPOOL Permit No. Fee •$ DATE /i0/� D oZ� APPLICANT NAME: /I') �i'/er/� /Fft,,er#, _f&)Y APPLICANT ADDRESS: ? 0 5;9/ SEPTIC / CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Gcp1ra-1�e pjjm 7'�ry ecle, • LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: QO�t�il� 1f- keS e.) �aiv OWNER MAILING ADDRESS:I` 01 5" bid Orc a.r-d i€L /1.S.r .h I I' ®r1 /try f OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section d 37 Block te, Lot c • CROSS STREET: BUILDING PERMIT NUMBER CROSS Jade, Sig iture of pplicant RECEIVED BY / r, Town Clerk's Office DATE: w a 4 s FIN.FLR. - GRADE EL. CAST COVER CAST COVER NEE /DATUM 0.0 TO GRADE TO GRADE �l i ■ MIN.SLOPE d!s` ,.. 1/4"/FT, — , MIN.SLOPE — , ./ I/8"/FT, TEST HOLE DATA - I. Ee.. 0�GP ..� G�\C�G (2)80 x 6'D. BY: McDONALD GEOSCIENCE N 5 \000 (V co \--10°\'\--10°\'SOUTHOLD,N.Y. N m ni -9.5± DATE 04/18/02 _ ' GROUND WATER EL.-1 4 9' l' DARK BROWN SANDY LOAM OL 3, BROWN SANDY LOAM 5M CROSS SECTION OF PALE BROWN FINE TO MEDIUM SAND SP PROPOSED SEPTIC SYSTEM 19 PALE BROWN SILTY SAND SM Abaind-O7 len•CDF' sifFi � sra1"Iriaby system PALE BROWN FINE TO MEDIUM SAND SP to be witnessed by Health Department. 14,9' -- - WATER IN PALE BROWN FINE TO MEDIUM SAND SP SUFFOLK COUNTY*Y DEPA�`sTMaNT Off' HEALTH SERVICES 2I' EXCAVATION INSPECTION REQUIRED PERMIT FOR/. ri.MOVA.7.,OF •„ (:,V ,r TRTi..-T ) fl FOR A COMMENTS:NONE FOR SANITARY SYSTEM ani- +� 'FAMILY �aa7L,_4:4 _ONLY to SCALE. N.T.S. HEALTH RARYuET DATE 12-1$-v2 HS REF,NO. CR 1©-c, 2 k APPROVED r !,,.•..,... .. _ 1 NEW SEPTIC TANK fi 0k� FOR z=f�V y a 3` c Y DS�`��]t OMS C AT LOCATION OF AN - 'J�i rvi(�xii...E.)i o 117,,'J,.. nl 1 EXISYING SEPTIC FUTURE 14 SYSTEM 12 • T..0EXP S THREE YEARS FROM DATE 0i'APPROVAL • \0‘,\\y.. tI 0,e 0600A \ PROPOSED 2ND FLOOR d 8\ GOND TEST 06 \ ADDITION TO EXISTING �hen 05 G / to-u\ O\ HOLE ' 8. ,, I STORY FRAME HOUSE. Q` 2W \ 8 Al hk � ( sok G, ,. o 0 \ PROPERTY IS CONNECTED TO ow �� •a. c� o5�3d� ,��� �\� oa r 5.C.W.A. .off Fss¢ * \\ -o 2•Yp�. O .�� S% 6yG \ 6 'A0 ----- IC si, 0 THORPE \ ���"'Z�Oe RESIDENCE i I4\ / C5 00' '? ,3 \ ` 16 114 i \I2 i ' X. / J f7 \Io N/O/F N MARTINS / / \8 RESIDENCE 7 /�` 12r-- / e / \ W E y / r10 BASED ON % / \ S MAP SURVEYED FOR \ ROGER J.4 LESLIE WAIZ 8\ / / \ AT EAST MARION / 4 TOWN OF SOUTHOLD,N.Y. \ / / N. SUFFOLK COUNTY TAX MAP INFO- A 1000-037-G-5 / / LOT NO.'S REFER TO MAP OF GARDINERS _....•-•BAY ESTATES SECT.2,FILED IN THE 6\ / / / co ��q- SUFF.CO.CLERKS OPFFICE AS MAP 275. / 1 \ / / C. NOTE:EVERTHING SHOWN IS EXISTING .2- EXCEPT A5 NOTED. // 4, nry � ?ONS 4/ O O v J Z� \ SITE PLAN ._ sp ARCi SCALE: I"=30'0" .- c V, ,C',>,- .-r I ro rtg`Offe ' • e V u;