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ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOWN CLERK o a P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS A9 Southold, New York 11971
MARRIAGE OFFICER ,L � Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER `may"'/Ql �a��i��/ 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. 3032 R Residential x Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : ELIZABETH THOMPSON
Address 1: 250 MERCER STREET, B806
City St Zip NEW YORK NY 10012
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 #R10-02-0014
Name Of Owner GREENE, ANDREW & ELIZABETH
Mailing Address 1 1220 SIGSBEE ROAD
City St Zip MATTITUCK NY 11952
Property Address 1 30653 COUNTY ROAD 48
City St Zip PECONIC NY 11958
Tax Map No. section 73.00 block 4 lot 5.000
Cross Street HENRY'S LANE
Building Permit Number Cross Reference:
Issue Date: 5/14/03 Elizabeth A. Neville
Southold Town clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE /01 Gy. t- --- - - - -Town Hall, 5095 Main Road
TOWN CLERK h _; -P.O. Box 1179
2 Southold New York 11971
REGISTRAR OF VITAL STATISTICS v Af '
MARRIAGE OFFICER ` . 1 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER 4,,0 � ies Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER sl
= '� //'� southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 29, 2003
Transmitted herewith is a copy of application No. 3156 for a Cesspool/Septic Tank Construction
Permit submitted by:
Elizabeth Thompson for Elizabeth &Andrew Greene
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: �• :� .f
Signature
1/4G-S''' 7-9 .2443
Dated
• 1 a. ♦7. -
4_ • .••
41%,,, OFFICE OF THE TOWN CLERK ,fF, '-� •
Town of Southold Oc, ,�^
Judith T. Terry, Town Clerk i-`"' $
Town Hall, 53095 Main Road ~�•� •: Application No
ter:. �• y � �
P. O. Box 1179 L',,:--1 7-4-,,,L?",.- I�
u' i:', Iw;f, Construction
Southold, New York 11971
�� Alteration
Tel b C*
1 v1 Residential
(516) 7G5- 1301 j it
Non-Residential
•
TOWN OF SOUTHOLD
. i
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
• for
•
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
r•
Permit No.
Fee .$ •
DATE 0
APPLICANT NAME:
' mar ( i. ii-o
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APPLICANT ADDRESS: ZCp M .
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SEPTICCESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION _
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New Se-Net-lc- 4 &2 l-kcvs-¢'
LOCATION MAP: Must be attached hereto before
permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
•
OWNER OF PROPERTY:
•
• OWNER MAILING ADDRESS: •12j St ASgeC
IA1 wT(IC I ' S
OWNER PROPERTY ADDRESSG"53
Mil,. .1.,6 C. •-48
•
TELEPHONE NUMBER go
OF CONTACT. PERSON: ZIZ - (014 -
TAX MAP NO. : ). �l__
Section Bi•ck
Lot _ 05-
CROSS STREET: •
BUILDING PERMIT NUMBER CROSS REFERENCE:..
11.
SIC-Matt-we o'aW
Sic
A 'plicant
RECEIVED BY: - ' '
P.r 'ow Jerk's Office
DATE: L.O
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SCOW Ref. * RIO-02-0014 " 4 `0
2
3 3 m� �s n _
Y O td\ � SUFFOLK Coi t a�De. ' n'^;t e.... d SERVICES... .._..
2 .SCD \ %.1 � 3:�e:1.,�w �OF �3�'tSa.��
M Cf'CO �\ -`� PERMIT FOR APPROVAL O CONST RU T ION FOR A
1:7
SINGLE FAMILY RESIDENCE, ONLY
o Z ;,4:S ` ' �s�� Gam®
37.1 'sP,�• °� \ \ , DATE ' -i/03H h, , N . K(o -o). - 0 C3
, /7:11 II \ APPROVED
y �� as �\A\• '__ ------..•\ 'rr FORM �M
q D�d+� �� --- I_- �\ F AXtl�4 ®F t i��ROCiMS
` oti - - _-- \;°' EXPIRES THREE YEARS FROM DATE OF APPROVAL
TEST HOLE # I , __- -
Dr. Brown �\ �\ 1\ t \� .\�
• CldyOL Loam �\ �1 `-. `� t` 14NY ALTERATIGW OR ADDITION TO THIS . LRVEY IS A VIOLATION
LL 2' \ ' OF SECTION'7209 OF THE NEW YORK STATE EDUCATION LAW. •
Br. Silly Sand I \ \L ;�` N, , EXCEPT AS PER SECTION 7209 - SUBDIVISION 2. ALL CERTIFICAT/C
SM 28 I \ • --- \??G `� HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY/F`
8,5 \ --_ - P SAID.MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEY
Water in Br. I p • -j , \O '\l WHOSE SIGNATURE APPEARS HEREON.
Silty Sand SM l 1 I�
9'. I 1 M \ 1 O ADDITIONALLY TO COMPLY WITH SAID•LAW THE:TERN 'ALTERED B'
Water in Grey' I 1 �}. 8 , ` MUST BE USED BY ANY AND ALL. SURVEYORS UTILIZING A COPY
Clay CN CO sy�,o se amj' OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS INSPECTED'AND
3/' I ��3� 1 _ BROUGHT - TO - DATE'ARE NOT IN COMPLIANCE WITH THE LAW.
Water in Br. I `\ +.. '` a I. 1 In 30 ,
Silty Sand SM I TEST ` 1
39 I BORING �1 l am familiar with the STANDARDS FOR APPROVAL.
Water In P% Z I # i SL '� 1C- ` �\\ AND CONSTRUCTION OF SUBSURFACE SEWAGE •
Brown Fine to Q I �� A 'o -1 , DISPOSAL SYSTEMS FOR SINGLE FAMILY-RESIDENCES
Medium Sand O 1 ' ��' T \ c� and will abide by the -conditions set forth therein and on the
45 `, \\� f;� -t •N \ t'oy permit to construct.
EXCAV AT-51714•76:74.397� f X14130 as TEST HOLE
FOR SA��I '6 SYSTEM� j� \ r.A...,,,...N.\ \.\ # 1
Frf HEALTH f FAR is i"Irm 9 �, 1 ^` \
...„,�,�, I The locations of wells and cesspools
........-_-_,,,-...L.....................1...,
�� _ '� i o`' `� I sho.wn hereon are from field observations't-o S t,r�rr 1 / - and or from data obtained from others.
C , A,,_4i e, POLE l - � .. . 1 .
b I I 2p I S COASTAL EROSION HAZARD LINE
� - - / I I COASTAL EROSION HAZARD AREA MAPS . •• 1 ,,
Q ?C Q C. a %1 �! ti / .,/
��j / A• , • I 2 PHOTO N0. 57 - 556 = 83
TEST HOLE# 2 2 � _ � � •
I I CERTIFIED TO' 1
sand :-�:ii �� ell Q
HBc I I� ANDREW J. GREENS
>. (3 ' 150 fig:•.. , - O
COMMONWEALTH LAND TITLE INSURANCE COMPANY
Brown slily I .. _...
sand SM I / I �` ..• ••._... .-
l3' if
I \ 1
Brown
n clayey ' 1 \ 1 I \\\l Q `� ..
sandBrown MSM ' it I I ' I 'o W- 24 " •
. 2I Iiti I 26 1O
Waley in § t i ewe�, O
brown • 4' N -
slily sand Q f
SM Z O
/ , A
_ 28' 1 i �l
Water In ice-
brown clayey ' \22- SURVEY-, ,,} F 'PROPERTY
sand anday
sandy day 8 CL 46. ; 0 POOL AT PECONIC •
Water /p '\ • N TOWN OF SOUTHOLD
brown l0 \ Id ' t SUFFOLK COUNYT, NY.
medium sand
SP 52' \\ - - 1000 - 73 - 04 - 05
o _ 22\ SCALE: 1" = 60'
01 •�` W t TEST HOLE # ISL DEC 26, 2001�r1
-\ O \ ,
TOPSOIL a 31,l dot(:sl bole (rI S
\ M 3'
\ Z -FIne Br.,Sand
411.
O 8 Sdt, Trace
\ Small to Flee
TESf L£' Gr.,'/race Br.
VARIABLE WIDTH EASEIE'NT To
9 E #2 1` N �- 23� sily Clay SM Wager Level
MIDDLE ROAD GRANTED TO Fine•Br. 8
PETER a TROY' MARGARET S. - _ OL""> 28, 2eo2
TROYANO, HENRYCIIMAM, lah ,
AND STELLA Recti ANS.40°571017•17 " ' SoGrld 8 Silt
129.66 dame•Grayish
ax'• Br..Slily Clay,
NCO. '28',Trime G.R. SM •
ri.\-' -Coarse to Fine
.THOMAS'P'ArWL/ANJGLE 8�Br, Sand,
8 Dark �- -
N . ' Some Gravel
Some-Br. 8
>- M• iP 0 N DD\ -
of .• Grayish Br. ,
�W L
OEINS I a Slily Clay SM
Id=
=5 NAEANT \ O 3Y6' Coarse to
e Br. Sand
cWn , M e-WELL 8--Fine Gr., C.-°
NEW YO
-, Trace Sled `'� MEr Q .i
V �.P Iso'• .2.
3 Io°-Med. Gr - +e�t' ? Fp
1.1.1c),-. Coarse Io,allne io
=1.1.7,1 - Or. Sated,4 ss
c=•. IViO/F JOS yW f0._31ed. - ‘..,kL47. 44
EBL'U <1RA 36'6'' .Gr.' SW , -
•
i1.
ELEVATIONS ARE REFERENCED TO N.G.V.O. / 4111 •
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