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HomeMy WebLinkAboutTaggert a . ti ,,,,,,,,,_._ '/1o�,gOFFOi,t42 ELIZABETH A.NEVILLE ;_� • Town Hall, 53095 Main Road TOWN CLERK ; to - P.O. Box 1179 REGISTRAR OF VITAL STATISTICS V' t Southold, New York 11971 MARRIAGE OFFICER ,fiL �� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER -__ye' %*,,• 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. 3031 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : JASON TAGGERT Address 1: 1045 NAKOMIS ROAD City St Zip SOUTHOLD NY 11971 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 #R10-02-0121 Name Of Owner TAGGERT, JASON Mailing Address 1 1045 NAKOMIS ROAD City St Zip SOUTHOLD NY 11971 Property Address 1 815 WABASSO STREET City St Zip SOUTHOLD NY 11971 Tax Map No. section 78.00 block 3 lot 29.000 Cross Street HIAWATHAS PATH Building Permit Number Cross Reference: Issue Date: 5/14/03 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 4Jr 0" c)FFOL,$ 3031 / ® . ,' C '. ELIZABETH A.NEVILLE ��� OG1 % Town Hall, 53095 Main Road TOWN CLERK ® - % , P.O.Box 1179 to Southold,New York 11971 REGISTRAR OF VITAL STATISTICS I Ito `F �� Fax(631) 765-6145 MARRIAGE OFFICER �' 0*01 Telephone(631) 765-1800 RECORDS MANAGEMENT OFFICER :_WQ� �� i p FREEDOM OF INFORMATION OFFICER ------..,..016 W ���� southoldtown.northfork.net -.__.---.'- .-. ._ ___ - - OFFICE OF THE TOWN CLERK ,; ' APR 2 8 2083 TOWN OF SOUTHOLD I f _ _.. TO. Southold-Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: Transmitted herewith is a copy of application No. 3155 for a Cesspool/Septic Tank Construction Permit submitted by: Jason A. Taggart 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: yGf..f�.7,gr;,i.€; g:t4.:14a.o" .....f ec. lce #.. e. 700.2.0 , . Signature a/04,...,0,2-9 . -o03 Dated . 1. ,•, -tet OFFICE OF THE TOWN CLERK , l0 •' COM/01; TOWN OF SOUTHOLD �' 0 QGy; Application No. 3/sr ELIZABETH A NEVILLE,TOWN CLERK O J, ��- P.O.BOX 1179 < ; Construction SOUTHOLD,NEW YORK 11971 v m Alteration t. sae Telephone *-1/ 10.00 - Residential .y � (516) 765-1801 =_ ' 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 $ /f9 d D. DATE Y481,43 APPLICANT NAME: ro.,Povv �, �,ct: APPLICANT ADDRESS: /O9r. 4) irOMA Rjj (cov- 4' i4) ,uY 11971 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION !ter LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: 31,..),12, tz_nscy. OWNER MAILING ADDRESS: /p /S mArt 13 RO 9 v—r 4I )c ? -1 / OWNER PROPERTY ADDRES/S:c S //OR /1 S S O TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section 78v Block Lot CROSS STREET: ,V/ c Ai/ BUILDING PERMIT NUMBER CROSS REFERENCE: A Signatt,410f Applicant RECEIVED BY: Town Ierk's Office DATE: l -a0 3 SCDf-iS. Re(.# RIO-02-0121 r ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION The locations of wells and cesspools - OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. shown hereon are from field observations EXCEPT AS PER SECTION 7209-SUBDIVISION 2.ALL CERTIFICATIONS A T'J and or from data obtained from others. HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P ATH ,• SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR �/�//�THA/S I ! WHOSE SIGNATURE APPEARS HEREON. HIA°'^ NOTE' ADP'TIONALLY TO COMPLY WITH SAID LAW TERM-ALTERED BY' SUBSURFACE SEWAGE DISPOSAL SUKFOLK COUNTY DEPARTMENT OF HEALTH SERVICES MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY w SYSTEM DESIGN PERMIT FOR APPROVAL Or`C:1::::_____________HCI:::FOI y, OF ANOTHER SURVEYOR'S MAP. TERMS SUCHRSINSPFCTFD -ANC w BY, JOSEPH FISCHETT1, P.E. 'BROUGHT" TO-DATE'ARE NOT IN COMPLIANCE WITH THE LAW o HOBART ROAD SINGLE FAMILY RESIVACp�_I oS31) 765 - PI.Y. 11971CAR (631) 765 - 2954 1 LSE DATEI f a`I/��tl.c. ey go. N/O/F �� v6�� ( i 110.00' CUP /.od APPROVED -� I E. ���� ���� T Fort MAXIHUM 0 �{ 3Eoroonfs N. 84`21'00` ���aa ate. ow�.e�, 9111.7�{ N v _ • S` E C�;R,�S THRr%:YEARS I=ROPfl BATE Or AFM ROVAL row' of n \ NS - e well iF I te,sr, ')' �� lam familiar_with the STANDARDS FOR APPROVAL Z ? nal n,Derv' b(CAVATION INSPECTION REQUIRED- it o \ AND CONSTRUCTION OF SUBSURFACE SEWAGE 0 L it SAND RY SYSTEM �t D el TEST HOLE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES T (-a m I and will abide by the condition BY HEALTH D- RTM+�EVT it (!) 1 /n", 'el,. O / it r I Brown loamy "I) sand SM (KJ / it 0 \ 2' a 0 ©dywc/, it ----__--}-'� Brown clayey a Z / '12(91 /00' -" a-i - 1 `weLL sand SC F ti G �t Am 8 `,_ - �� I Pale brown SURVEY OF PROPER T Y n /0/9 0/j/Ve o it a O� fine la coarse - _ 12 A _{s �, a 3, sand SW 6 5, AT SOUTHOLD P -•"'P '• ;t TOWN OF SOUTHOLD �'• brter own to In ale SUFFOLK COUNTY, NY i IEi IL ,., LIo9 i I brown fine CSO ---� / ��= - r� sand sw 1000 - 78 - 03 - 29 \cp I,� Ir,,. sT if $ y SCALE• 1" = 20' 1 E-i/S it �1 73 FEB. 20, 2002 1 ,p 1 IE III. (m MAY 22, 2002 (prop. hse 1 2 f it JUNE l0, 2002 (cross secl4pn septic system J �`/ 19 it ,, JULY 24, 20021d�revision;l'-4 L �8 it a ,P'.. Illt 71 ---------- OF 3/fro (� 5 St 1 `,' c'r 1$ 3S _ hse it O m `; ` ro IIS 4 beol- Orn may,) pr.,R ,,/s 41 0 1 y,,,, , »' LT, n lir e//$ it =''O C I Y '111 {\, a/I/3 lit F wou� e/ - ' a T, if row of Y 1�eY � � ��>M>A t Fo mAr°Fia If1 PROPOSED arAne^ S to N T"MEr %Q�� \ `r ~ �et 1,,,i2. r y-- F R w ~ 110.00' I fE la.i -iE 9 a 4,�Pr'I 3; t '}.+�'; e. p N • IYYUII 1{rsI M'� ogre I/F➢2 , • /,`',14.4i to N. lC. Na 49618 O - .� W --111,,, oI N dean sand! �. - _ PWOPb.4D SE7Afi6 L SYSTEM 6 POOLS •"P" cENTFR LP Q- D s.'B LUSQV srnF a w a moo oAc Prrr usr POOL CLUSTER . (31.1 iT S,6/ DRS �. a', N/O/F LAND OF wo-re 1 13 =p,-,p eiev�',.,1 SZ o SEMTAr'A `OTTO OF Lfwcwa P 0. `;- t ',NI 765 1797 ( b/ices. �--- LA �.,A 1 S ;t oLv eil'n5 Pu CROSS SECTION - SEPTIC SYSTEM • /230 TL- ' crr 11971- ET ELEVATIONS ARE REFERENCED ,Hdt ,4 .,•4,4 - - TO AN ASSUMED()ATM i ` i" _ I r 02 - 122 064,-,:,.,-,' .. -' •- - /