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i°ELIZABETH A.NEVILLE �� Town Hall, 53095 Main Road
TOWN CLERK o P.O.Box 1179
REGISTRAR OF VITAL STATISTICS i Southold,New York 11971
MARRIAGE OFFICER �,iL Fax Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �4? $',i' Telephone (631) 765-1800
11
FREEDOM OF INFORMATION OFFICER ,s" 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. 3090 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ARTCO DRAINAGE
Address 1: PO BOX 1132
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION TO EXISTING'SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTINO REQUIRED.
Name of Owner GOGGINS, WILLIAM
Mailing Address 1 . PO BOX 65
City St Zip MATTITUCK NY 11952
Property Address 1 8755 NEW SUFFOLK ROAD
' City St Zip NEW SUFFOLK NY 11956
Tax Map No. section 117.00 block 10 lot 14.000
Cross Street JACKSON STREET
Building Permit Number cross Reference:
Issue Date: 10/20/03 Elizabeth A. Neville
Southold Town Clerk
(TOWN URAL)
®suFFot, �;•
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ELIZABETH A.NEVILLE tit° ® 't Town Hall, 53095 Main Road
TOWN CLERK ® P.O. Box 1179
REGISTRAR OF VITAL STATISTICS W Southold, New York 11971
MARRIAGE OFFICER l ��11 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ----_
0- Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER `' RI 4 .,„ southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 15, 2003
Transmitted herewith is a copy of application No. 3224 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Artco Drainage for Goggins
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: Maintain required setbacks from adjacent wells,buildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
Signature
Dated
ELIZABETH A.NEVILLE ���,, c®4� Town Hall, 53095 Main Road
TOWN CLERK % ® - % P.O.Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER : ® Fax 1� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =y�f� �0.0° Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER -_'' "i���,,1 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.3A 2ti
Permit No.
Applicant Name A (4 , t c(k( 0 Ce
Te
Applicant Mailing Address \ \3 7 _
V\\ \ .e.Q,L_ 6 \ A95-2-- ,
Septic
9J5-Z-
Septic Tank or Cesspool I/
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Brief Description of Proposed Construction or Alteration 1
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Location of Proposed Construction/Alteration:
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Owner of Property: vl Q h
Owner Mailing Addraes�Yks2-c-+-J 4QkV._el Yyk WIT t TUC-r—
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Owner Property Address:
Name and phone number of contact person �M Z-V-966
Tax Map No: Section 1/7 Block /® Lot / L/
Cross Street Citt-44-evx --V
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WIT HEALTH DEPARTMENT APPROVAL
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Signature of Applicant Date
Received by:
_0 . ? 4 322-4
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0' MAP OF
JA CKSON S TREE T DESCRIBED PROPOERTY
SITUATE
S 83° 48' 00" E 100. 10' NEW SUFFOLK
STONE
In FUTYO
co
MON. SUFFOLK COUNTY CON N. Y
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SURVEYED FOR WILLIAM C GOGGINS
IDONNA M GOGGINS
ILO N/F CROUCH
TM 1000-117-10-13
AREA= 29,695 337 SF I n
OR
0 682 ACRES I FN
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IROGERS
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OVER, qRK IN-GND
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N 83' 48' 00" W
S 83' 48' 00" E I79 .SP9.15' / CO
A MGC „ FD
75 0' S 4
BLOCKS S 3 24 O ICM
T s s N 83° 48' 00" W
I'� I I GONG ea 54 5 O \24.15'
N2 STORY a
Cc tri a WOOD
FRAME N b
21 B' o .107' ^ N/F GOODALE
DECK W/RAILING = '0 2I 0' —.91 COI'C STEPS
DECK W/RAIL
, LOWER LEVEL 41.1'X1 4' TM 1000-117-10-14
CONC PATIO CHIMNEY
57 8 AREA= 11,510 729 SF
OR
.EXL5?'77YF .1"..1,-,i c:II
.264ACRES
j r7ilk. Lu i U SURVEYED 21 OCTOBER, 2002
oI FOOD ZONE X o ey'STrn7S I.e"`G` hoc f SCALE 1"=40'
I0
d' FLOOD ZONE X Z LAced... i AA S Aon.p NOTE. FLOOD ZONE X
o° • FOR BOTH PARCELS
O a _ O o-- 10-i-. 19P y„ EXCEPT AS SHOWN
FLOOD ZONE O MAP# 36103C0501 G
2 3'11 BULKHEAD-I AE (EL 8) MAY 4, 1998
PPROX H.WL THIS TATE
84° 21' 48 W
75.01'
m� AREAS AND TAX MAP NUMBERS
`r.- AS SHOWN.
4a
�,. ZONED R-40
GREAT PECONI C BAY GUARANTEES INDICATED
SHALL
ONLY TO THE PERSONFOR WHOM THESLRVEY
IS PREPARED, AND ON HIS BEHALF TO THE SURVEYED BY
TITLE COMPANY; GOVERNMENTAL AGENCY,
LENDING INSTITUTION, IF LISTED HEREON, AND STANLEY J. ISAKSEN, JR.
TO THE ASSIGNEES OF THE LENDING INSTITUTION
GUARANTEES ARE NOT TRANSFERABLE TO P 0 BOX 294
ADDITIONAL INSTITUTIONS OR SUBSEQUENT OINIERS NEW SUFFOLK NY 11956
631 1734-5835
UNAUTHORIZED ALTERATION OR ADDITION TO THIS
SURVEY IS A VIOLATION OF SECTION 7209 OF / /
GUARANTEED TO THE NEW YORK STATE EDUCATION LAW •
'ICENSF I AND TRL. V 7'
WILLIAM C GOGGINS
COPIES OF THIS SURVEY MAP NOT BEARING NYS LI NO 49273 '
DONNA M GOGGINS THE LAND SURVEYORS EMBOSSED SEAL S',ALL -
COMMONWEALTH LAND TITLE INS. CO NOT BE CONSIDERED TO BE A VALID TRUE
COPY 02R1187