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ELIZABETH A.NEVILLE �,,0® Town Hall, 53095 Main Road
TOWN CLERK ® P.O.Box 1179
REGISTRAR OF VITAL STATISTICS � �+, i Southold, New York 11971
MARRIAGE OFFICER "-:$*
,� �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �__"�®1ils �i� Fax
(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. 2982 R Residential x Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : CHARLES THOMPSON
Address 1: PO BOX 71
City St Zip PECONIC NY 11958
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 #R10-99-0232
Name of Owner HOOKE, HELEN
Mailing Address 1 333 EAST 79TH STREET, 14Y
City St Zip NEW YORK NY 10021
Property Address 1 MAIN ROAD
City St Zip ORIENT NY 11957
Tax Map No. section 18.00 block 6 lot 21.008
Cross Street
Building Permit Number Cross Reference:
Issue Date: 2/18/03 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE �� �d; Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold,Southold, New York 11971
MARRIAGE OFFICER � �s ���� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � ®� ��®'i� Telephone (631) 765-1800
FREEDOM OF INFORMATION JFFICER r��� southoldtown.northfork.net
11,, n,)
'
OFFICE OF THE TOWN CLERK
Vit
0 J, a 0 2002. \9_=J TOWN OF SOUTHOLD
UL
_•;- n Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED:
Transmitted herewith is a copy of application No. 3103 for a Cesspool/Septic Tank Construction Permit
submitted by:
Charles Thompson
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
Dated
OFFICE OF THE TOWN CLERK ,r,,,,,, •�..���I
TON OF SO
FT.TZAaETHA.NEVIT.r�1F,TTOWNOLD
CLERK ���•'®�'�FF�Lk�vl "•.- • Application No. 3)03
tAl
P.O.BOX 1179 �
SOUTHOLD,NEW YORK 11971 ; o • rn Construction
• cn Alteration
,
Telephone _,�� ��/• $10.00 - Residential
(63-1-) 765-1800 _ �,
$25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
•
Fee -$
DATE
APPLICANT NAME: CU„,/,-s., j� ,
dam, �v
APPLICANT ADDRESS: / (, )/2
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: %/c/",) A4,0,4e / / (-el /'1C /Q
/n 0 C4,1
OWNER MAILING ADDRESS: 3_33 .,L 7,9> ' ,T/ ' /5e,'
/V, t-'1 /6 en '7,./
OWNER PROPERTY ADDRESS: moo,,
(7.4/r7n/ Iv.
TELEPHONE NUMBER OF CONTACT PERSON: 7‘,..c —,5-71-7
TAX MAP NO. : Section Jo Block ry 6— Lot , /,
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
' Signature of,,orrplicant
RECEIVED BY
o Clerk's Office
DATE: /J-
•
CARL DEMAREST SURVEY OF PROPERTY
NOTE- y •
ep - & DANIELLE DEMAREST SITUATED AT
�� G ASE ��y v (WELL&CESSPOOL DEETEERMIIN BLE AT DATE OF SURVEY), - ORIENT
�� s
�$ "o, TOWN OF SOUTHOLD
(s-i .
(eibrmum distance between_weN , ,�� o,
�� and cesspool is 150 feet. q, h� SUFFOLK COUNTY, NEW YORKO gq'g4 �° "�• S.C. TAX No. 1000-18-06-21 .8
i \ q� a� SCALE 1"=50'
p,A� •
SIJ�FO ��T DAItT�AENTOFHEALTH SERVICES �10��,��� P�
V
it-
.9..J5 SEPTEMBER 23, 1999
EpGE vp', . 40. t4-)�y - OCTOBER 27, 1999 ADDED SITE PLAN
�,. ti PERMIT FOR APPROVAL OP CONSTRUC'I'ION FOR A `c .eDECEMBER 6, 1999 REVISED SITE PLAN
•N 'S , , SINGLE FAMILY RESIDENCE ONLY 'iN.?o��� `,
AREA = 74,348.53 sq. ft.
g �0 1.707 ac.
°'23 R 3°0p• DA' j--11 -®C) HS REP.NO r to .. Q- 0X3 �e :B
s., z..„.,----3. 2,`'2o
.s8 T , 4�� CERTIFIED TO:
\ O � r 0 HELEN HOOKS
�o O. T a APPROVE!) 1Giy''~' A� - ae- o COLLEEN McDONOUGH
a a \; FOR MAXIMUM OF �' .D.: ► .-4MS ofl,cb NOTES:
00� I W 1. ELEVATIONS ARE REFERENCED TO N.G.V,D. 1929 DATUM
O, O�\F �'. +D��m a w EXISTING ELEVATIONS ARE SHOWN THUS: to.D
�^ , \`'�• EXPIRES THREE YEARS FROM DATE OF APPROVAL
,�, CO 2. LOT NUMBERS SHOWN THUS:LOT O REFER TO
` 0- 4�j�`� "3 MINOR SUBDIVISION MADE FOR JOSEPH 6c EDWINA RATAIER
\\ a F u $ �' y 3. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4'BEDROOM HOUSE AS I.,046:. GALLONS.
\ �~ •'-+� �J ' ,144. 11 ITT t�] 1 TANK; 8' LONG, {'-3' WIDE, 6'-7" DEEP
\ \\ gti - �" 6� D��i. Q"�' 4. MINIMUM LEACHING SYSTEM FORA 1 TO 4 BEDROOM HOD S 300 sct1ffDEWALL AREA.
tp ` :Si) -IS """' �i §? 0 y�� 2 POOLS: 6• DEEP. 8' dia. .rCft -
\ S
\ \ L I O I➢OU 0��� � �.(� f 7.1x 7.z PROPOSED EXPANSION POOL O
13
1011^S OV' 0.'�R\b'OPS - .`. PROPOSED LEACHING POOL
\'.:
.1 PLS' ���,�. � ��.�,y PROPOSED SEPTIC TANK -.-.( - . y
1p R o / 10 7
\, ��d °[� 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD'�. _T OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. `CJ
\� lG ' - Lt.o •• 0, ,�•Z 6. FLOOD ZONE INFORMATION TAKEN FROM: -` _ '
_r
\ , FLOOD INSURANCE RATE MAP No. 3610300068 0 . . _-•...
fa \ t ZONE ZONE XE AREAS FLOOD BASE 50ELEVATIONS
VYFM FLOOD,AREAS 100-YEAR• t'lOD WITH AVERAGE
`Y \ • '/n �� GO 1 SQ ARE MOF MILE: AND AREAS PROTECTED BY LEVEES FROM 100-YEARI FOOT OR WITH DRAINAGE AREAS LESS THAN•FLOOD
Py - • ,p It 0 ZONE%: AREAS DETERMINED TO BE OUTSIDE 500-YEAR FLOODPLAIN
•PJ- \ 3' ,IC.� u kms;' ,.• ` V.1 7. ZONING USE DISTRICT: R-BO
I
�`ro� ' �9 too. A �;;: �:�11111P'� '� °i•% . ��,���� TYPICAL SEWAGE DISPOSAL SYSTEM
. eye p 46 0 Q' (war TO sous)
0 �� - _
`0 \'n ''A. 'V TOP
'X69 r� rimun • O.IOJ aSaa aero' wADF110R a TO=aaor DA'1°E
\ Q '4, ^ r OURS, Dom,s.n oun mb.
LIST' m AVE p
Y % • a�u
MOW
C,�.. .'J; `. `\ LO 'P�Fp - *9 eR'\ F- a� a'3.4 j a� Ir . s
•
0• !$, T3 TEST HOLE .#�� - I °s
!lam .
TEST HOLE DATA `- • \o • Al
�` `\ 1 4, SEPTIC TANK (I) I -i �- .pa
(TEST HOLE DUG BY McDONALD GEQSCIENCE ON AUGUST 9. 1999) ver`''' ve• p w J �vw a�rrn IV•em.000.�wi a+mo Daus _`
4 .'Or /� D' I.Y,•+nom \ N ?.Z 4._ ' ,�OF 5 '�vwfw"�S'ys°s'.�ivtco°C tau •.a ° ro µiii Wien °v'm `
-0/411 VW.dElthin SO Ilin Ve VW IS i1411011117- LEACHING POOLS (2.)
� BROWN SILTY LOAM OL N �, ' Cfr *' E �4\aG f� s Ma rFrr Y Mat�M9 of IDms aem OM z WY.mDlxre w WV) e.,aYM var ra IA a woeboa- a aao ma a m4wL.mw
4•I 4 t.5' t' ! \ Qd1 a A W..a.DOOM(MOM WM LOW UO OCUSE EMIL r wwona :roDLF�'o�.tC..
�I�j�4.44 PALE BROWN LOAMY SILT ML �� `'L. \ we p1.0� LOg. x OT aOirSre WSW Orrei(oR MOO
rr .f w A ro'S4Lwow. IlTiEOe POaS Mo MIDI we eE MNDM®•
:�a!A14.I. y 5' /-1.57.3 - : 9 \ \ / i g•S Oo� I 0 I s Pl a NI a•..,naraix.e.me ALL lanes Faa mwu aµpgl6n.
yt rt \/ i e 11 �+ O.N.a ma OM=aorwe NL ruoao POOLS MO some mel,MrL OE wamam.
• PALE BROWN FINE TO MEDIUM SAND SP y� N `\ `\. S 'kq', OL
•° '. .vi \ X - `g C PREPARED IN ACCORDANC/ THE MINIMUM s
�� �\ \ 66 lk �T. �� FORSTANDARDS ANDOl. ± OYYDRIJiP Joseph A. irlg no
zO
TITLE
11��11 pL�,I� ��jj-I ��.JJ��qq�7 yI \'O ` O" 0 10 * FOR SU�r:a-c�f:y� YORK. STATE LAND
I jy.�.1 V• S7 7�Y 7Y5 7 3.a • . •, BROWN FINE SAND SP 3 O
rr�� pp``,,q (�
Tri
CI) �• 0 UNAUTHORIZED ALTERATION OR ADDMON
Jifaos R�`V •, • ` v`•• 0GO •,° TON OF
g.L710N 7208 OF*BS SUFNEY THE NEW YORK STATE \ � 6VI� "�7►
S3. {r�'.>,1 � ik
0 LET. a EDUCATION LAW ��'0y0 A.�I G�. , Land Vurvey4r
�� 4f' BROWN FINE TO COARSE SAND SW SO. �J 0° ....7 '-.1O CORES LAND SURVEYOR'SEy MAP INKED NOTBEARING
R '` -••.' , 0y0 4.
e e®� • 0.2 � 12J' 2 ��-5 EMBOSSED SEAL SHALL.N9T BE CONSIDERED .•r.. . s _
(I 4 To A VALID TRUE COAL.• IT
l ( A�;(•�'(j(� • Title Surveys - Subdivisions - Site Plans - Cotrstructioh Layout
CJ C13RTLFTCATIONS 1 CATID HEREON SHALL RUN t✓ L '+I�l•
`�`�(l�1 � pT (�p „BRO fQY To.THE PERSp�7 FD(t�TNE SURVEY r, PHONE (516)727-2090 Fax (616)722-5093
j I 1 V _ _ FINE 40 COARSE SANDS 1 g0 \ IS PREPARED.AND ON.IRS TO THE •IkOFFlCES LOCATED AT MAILING ADDRESS
S� THE E](ISTENCE OF RIGHT OF WAYS TrtLE COON*. GOvERNqp�ENFT cY AND /� e
V ~ILR yg ,! \ 1NG INST[TIJRON LLSTTIitt)_NE�N•,AND - Q!"
ANY. N ESHOWNJS E RECORD, N TO ASSKRIEFS OF THE LAN IRSh-
ie, Af1Y, NOT SHOWN ARE N07 GUARANTEED. CfXiIF(CAfIONS AAE T•Ypp RAgLL $. Bill N.Y.S Lic. No. 49668 One Union Square P;0. Box 1931
•
Op r t Aquebogue, New York 11931 Rlvetheait'Ne'w Yolk.11.'U1
99=541.