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HomeMy WebLinkAboutHoell s,,%StFF014-Co ELIZABETH A.NEVILLE G • 'l� Town Hall, 53095 Main Road TOWN CLERK o P.O.Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER � , - Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER = "�Qljig lad.�e el 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. 3081 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : STEVEN W HOELL Address 1: 239 OLD TOWN ROAD City St Zip EAST SETAUKET NY 11733 Descripton of Proposed construction or Alteration SANITARY SYSTEM FOR ONE FAMILY DWELLING. APPROVED'AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-02-0175 Name Of Owner HOELL, STEVEN W Mailing Address 1 239 OLD TOWN ROAD City St Zip EAST SETAUKET NY 11733 Property Address 1 355 ROCKY POINT ROAD City St Zip EAST MARION NY 11939 Tax Map No. section 31.00 block 1 lot 5.006 Cross Street ROUTE 25 Building Permit Number cross Reference: Issue Date: 9/08/03 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) • _ 1 ��•0 ASUFFO/4-c;` 6 l ELIZABETH A.NEVILLE iti I.'Z`� �4`� Town Hall, 53095 Main Road TOWN CLERK p • t P.O. Box 1179 C/3 = ; Southold New York 11971 REGISTRAR OF VITAL STATISTICS %;O PA�� ,, Fax(631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER = oil OFFNit ELIZABETH A.NEVILLE 1� Z` 6$ Town Hall, 53095 Main Road •TOWN CLERK - P.O. Box 1179 Southold, New York 11971 REGISTRAR,OF VITAL STATISTICS W i •• • MARRIAGE OFFICER • • • =® �` Fax Fix(631) 765-6145 RECORDS MANAGEMENT OFFICER ft/ �0.0 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER = .' I ��" southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10/or Non-Residential @ $25 Application No. ' Permit No. Applicant Name-cT3 EO kik) Applicant Mailing Address 59 OL ©'- F'OP& ` Sr€:(-0.Kkkrin.- -Q, LC? .V.-S Septic Tank V or Cesspool Brief Description of Proposed Construction or Alteration Location of Proposed Construction/Alteration: Owner of Property: ( �'G k L- Owner Mailing Address: z)ct C5(._g(6 Owner Property Address: a-s� >t �� �� �,1 K��- 3OC � [ = �� E•�cs.rtc Name and phone number of contact person - Tax Map No:[600 Section Block Lot ,`j s ,( Cross Stree tc ::NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL • * L 4 ignature of Applicant at Received by: , ( s . ��� C.P. l }. c j C.P. We° ` � � F SURVEY OF PROPERTY ��� �� p-n A T EAST MARION LOT g 4 ,�73 TOWN OF SOUTHOLD 308.43. o0 SUFFOLK COUNTY, NY :\ 4 � n X000 - 31 01 - 5.6 a ^ �.,� SCALE 1" = 50' w - m W o a AUG 30, 2002 tet° o N, 76.54'10+ E. 7� rn Q , N Ilin\\ B N a OCDO30. E7. o.,• 5� Z PLEASE NOTE • W .ai elf ,:l. -..� Minimum distance between well 6 pi°P and cesspool is to be 150 feet. DL Wats ) `° prop — _._•-_ _..._.w._..�- _. ,....-._ ._. _� r ,,, 3 - W SUFFOLK COUNTY DT2,42. 6c,:l•T! G rrI AL H SERVICES _`tom O W .A �� Pt ncc ,, • J �i O J1� �!." f',�- ^Ti y,Y^°r ,re 24 LOT 2v y b / w.01 �i �i��i� "v-�4i �Y rx �T. fir'v'ti.' Rpv'�1-? T� nLOT ppE 6� . .• . n ..0.I FOR A ��,, y ��,, r ,; ,CIT LY Nv n..IING..,.. :it t:1:Y ,.<i ,.l'�:.a I:.,-`4:72-N.�L`:.?a`.i P,E 300.0° ' -' .a DA l4-2 � HS �3-.. .,r -Kip 7-A..a_4_12.2 a? TN � �' APPROVED - y• _. 1ul! y FOR ..1'i iM�.1 l .14. IY,;J el , . 0 ~W. NOSKI .D. �+znyT'�r.J "a ff� c..Y./�:"'a i i,O.APPROVAL i3 i'.e'�S l8`ti.�. 1'Ci�......i.:, iI P1ff.i�i'. k..'4J_L'!A ,A/..r OF 1:t "+u/y 24 9 •5410 F JcEPE • S'rK S. 76 N/01 CANT ' - _____.___...__.._.._.� Pore b - p�.La,Q- co ice , - ,. • — estate ., G P I am familiar with the STANDARDS FOR•APPROVAL �4 0 AND CONSTRUCTION OF SUBSURFACE SEWAGE ,tip,, DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES - Q and will abide by the conditions set forth therein and on /he • ROP` permit to construct. - • • .\..Of NEW --o P�� `• oxkl Y.MFrj^�O� l • i� gs, asa . � .4 rl i,s„'1e. --t AMY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLATION .` ..r `�l OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. � 'n EXCEPT AS PER SECTION 7E09 - SUBDIVISION 2 ALL CERTIFICATIONS NOTE' HEREON ARE VALID FOR THIS MAP AM) COPIES THEREOF ONLY IF AREA - 43,427 sq. ft. I 9�I"��„ti Al `olr. �i10. 496/8 SAD MAP OR COPES BEAR THE IMPRESSED SEAL OF THE SURVEYOR LOT NUMBERS REFER TO ' MAP O EAST 1 N�% ° 490 It‘ �J ~`' WHOSE SIGNATURE APPEARS HEREON, The locations of wells and-cesspools MARION WOODS ' FILED IN THE SUFFOLK COUNTY ''E,CONIC 7f e App/ ID.L TIONALLY TO COMPLY WITH SAID TERM 'ALTERED BY ' shown hereon are from field observations CLERK'S- OFFICE AS MAP NO. 87759 (6311 765 - w = 6.311 765 - /797 MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY P. O. BOX 909 OF ANOTHER SURVEYOR'S MAP. TERMS SUCH 'INSPECTED 'AND and or from dais obtained from others. • 1230 TRAVELER 'STREET EET BROUGHT - TO - DATE 'ARE NOT IN COMPLIANCE WITH THE LAW. ' SOUTHOLD, N.Y. I,i 't ,,, . rF4** ,