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ELIZABETH A.NEVILLE 411
II 0 Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR,OF VITAL STATISTICS ,+fit
Southold, New York 11971
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � ®� V„ Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICERfir ���� southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2981 R Residential X Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : ALEXANDRA JONES
Address 1: 11A BAYVIEW LANE
City St Zip HUNTINGTON NY 11743
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 #R10-02-0223
Name Of Owner JONES, ALEXANDRA
Mailing Address 1 11A BAYVIEW LANE
City St Zip HUNTINGTON NY 11743
Property Address 1 GUS DRIVE
City St Zip EAST MARION NY 11939
Tax Map No. section 38.00 block 7 lot 10.015
Cross Street SUMMIT DRIVE
Building Permit Number Cross Reference:
Issue Date: 2/18/03 Elizabeth A. Neville
Southold Town clerk
(TOWN SEAL)
- C 87
i ,��
ELIZABETH A.NEVILLE Iii i� '' �l 1 Town Hall, 53095 Main Road
TOWN CLERK ® - P.O. Box 1179
REGISTRAR OF VITAL STATISTICSSouthold, New York 11971
MARRIAGE OFFICER `` �1�, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER =_�®1 • i1. Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER I r0�� southoldtown.northfork.net
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CE OF THE TOWN CLERK
1 y .j ..,..).:_C 2 0 200a�' + j TOWN OF SOUTHOLD
TO: ;Southold Town -Vildi•g Department
I
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 20, 2002
Transmitted herewith is a copy of application No. 3102 for a Cesspool/Septic Tank Construction
Permit submitted by:
Alexandria Jones
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
DISAPPROVvc,id.,004„.eie,e,.4..4i2k „,E
Comments:
4i 7 -.),,e,,,p-- /5-7.-eea. ..", - ' 407.-
.7 774---'''.4 4'.dw .1..,,)-
Signature
/:,-----/-2-6;/.2—
Dated
OFFICE OF THE TOWN CLERK ,,•,,•••......,,I
TOWN OFSOUTB:OW ,,•;�Oc��FFOIkc�y_` Application No. (��
Ri.i7ABETH A.NEVJi.i F,TOWN CLERK • 2
P.O BOX 1179 FOy
SOVTHOLD,NEWYORK11971 Construction '�
v rn
` Alteration
0 ���
Telephone i,f�ol �����• $10.00 - Residential ‘�
(631) 765-1800 ,
„��,,,,•' $25.00 -Non-Residential
TOWN OF SOUTHOLD
a •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee •$
J DATE 2-CI02—
APPLICANT NAME: r______c bre 0Aie5
APPLICANT ADDRESS: / 4 B4 Vie-it) L4 AIf
h lV T!AJ `dal A f 7
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: - "I ` ,
OWNER MAILING ADDRESS: C//9- 84- I/ !EPki LQ/V '
"fc)AiJ / iv 0FO,�/ A71//7 C3
OWNER PROPERTY ADDRESS: ,31a6=4.4--T __.) .1.-L-6 ..\0-c-w-e.
TELEPHONE NUMBER OF CONTACT PERSON: 63/ — 73 c9-72a
TAX MAP NO. : Section .fig'
Block 0? Lot gl ,
CROSS STREET: _ i `�`_
BUILDING PERMIT NUMBER CROSS REFERENCE:_ _
i ,
Signatur- of App ' - t
4 cbcg.„._
RECEIVED BY:
Town Clerk's Office
DATE:
Young & Young >;\ a
400 Ostrander Avenue, Riverhead, New York 11901, ' 3::
i %.'
; 631-727-2303 ( t n`
14/ Alden W. Young, P.E. & L.S. (1908-1994) 'a $
1 Howard W. Young, Land Surveyor
1\
I i x� Thomas C. Wolpert, Professional Engineer
a7 1 47
Robert C. Tast, Architect
c O cn I s ;?
O,- I N? 1
1 oa i rr EIFAI T� r1f+-: �eRT►Iv�� Tr-Io'�.
o i �
N Z I Lot 26 o—I i SUFFOLK'COUNTY O�:PA£iTt-; NT OP c ;H SERVICES „n
I\ OC tV I ° 1 / ,,t.,y T:r "IA4,Cha F I v
N g _ yc 1 J I };F i"i.�,��r hin2l 4 c Y-e4.7,5'd3TRUCTI N FM is
o > o o I Subdivision 3" V o<
—r °n N tes, Section �� 1 _'iLL ': _i3,� ":81�EIdf<'2�1 T?.'
w D ` it Esto x 1 1:1,..(9_,:c. �'
p I "SUmm (vacant) or I rl'_ti�.,.lD, 1?:;?. �.td :.i-0Oa-pe1L 3 e
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(n- (n I 213.02, 0 x. 11 •�" t•�ti"1.:._.�l�r3k:.y i:Cs;.,a Z11::::;.-1.-
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s 53'04'26" E _1�$ C m
x 150 IA ..i3 SURVEYOR'S CERTIFICATION
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• WE HEREBY CERTIFY TO ALEXANDRA JONES, �o
^o 9�'s�J,5.(seM FE Im MARGARET GILBERT, BARRISTER L: '=^1 IAt• a
/�' Lot 27 w '•2 `'° -r1 � r+ C{E „
4,00__ t� IN SERVICES, INC. & FIDELITY NATI! y 0'
�L 6/w N_ _ ,0 INSURANCE COMPANY THAT THIS '} A'. %
,3 O• 1 C IN ACCORDANCE WITH THE CODE OF PRAC f `1T�'.' 1 ���:
/ S. ® 1" 1'' ADOPTED BY THE NEW YORK STATE ASSO• 1...
> :8, 4.P 5T i 1 ADI'' no;�. ,
W. t-3 W_ 1 LAND URVEYORS �{ �{i ,hpp
> H .Y , 1 1 1 51 ��.
x-s ,•--,3s aw '-- ; ,1.. f ifitul' ' cc N
(lON " - , HOWARD W. YOUNG, N. S. L.S. N 45893 1i�1 4583 I
J
tP PC. �J -P PROP,,E & GARAGE '91 N 00 ,1 �SFD LAN0`��
o Cr:. o O(F_4 BEDROOM) - 1
�], s `j 2j 67 V /Z- 1 tam
c) c c6 °^ ,4,24' SURVEY FOR 8�
`� p 1 ALEXANDRA JONES & MARGARET GILBERT `
f-- U7 f�. 'j9; PFOPVEY O
1_ . � O' `Ong ,,.o 0� P 'v 1
,��-�� LOT 27 "SUMMIT ESTATES, SECTION 3" E"
fil
CD-:-1 WY' N o lig: 1
>c) `r � 2' > _ _ At East Marion Town of Southold s<
Li.i JttJ O 140 x EEE
1,� o al- o __" ---" T ? - Suffolk Count New York =
N � " 6T _ ---- EASEMENY� Vi
o o� a�>; >r Fo,--"-- DRAINAGE 143.88' ;
4. 1 County Tax Map District 1000 Section 38 Block 07 Eot10.15 `6,5
t" ��, 1_� N Lot 28 4.56 I `- BUILDING PERMIT SURVEY „v
NOTE r Subdivision Section 3" '
AREA = 30,466 SQ. FT. ' „Summit Estates, `� c
(Vacant)
ff�;
• SUBDIVISION MAP 'SUMMIT ESTATES, SECTION 3" r / ADDED BUILDING PERMIT DATA NOV 19, 2002
FILED IN THE OFFICE OF THE CLERK OF SUFFOLK r •
MAP PREPARED SEPT. 24, 20021
COUNTY ON MAY. 21, 2002 AS FILE NO. 10769. ' NI
• VERTICAL DATUM = N.G.V. DATUM (M.S.L. 1929)
SCALE 1" = 40' BP ge.
C-MONUMENT SET • ..MONUMENT FOUND A-STAKE SET A=STAKE FOUND JOB NO. 2002-0516 € 1
DWG. 2000_0585_027_2002_0516_bp .s,
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