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ELIZABETH A.NEVILLEG'yd Town Hall,53095 Main Road
•
TOWN CLERK o P.O.Box 1179
Z Southold,New York 11971
REGISTRAR,OF VITAL STATISTICS Fax
`F �� Fax(631) 765-6145
MARRIAGE OFFICER ,L
RECORDS MANAGEMENT OFFICER ,may_"�O! �ao�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. 3104 R Residential x Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : JOHN J CONDON
Address 1: 1755 SIGSBEE ROAD
City St Zip MATTITUCK NY 11952
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 #R10-01-0153
Name Of Owner JAYCOX, FREDA
Mailing Address 1 295 FAIRVIEW AVENUE
City St Zip BAYPORT NY 11705
Property Address 1 1370 PLUM ISLAND LANE
City St Zip ORIENT NY 11957
Tax Map No. section 15.00 block 6 lot 10.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 10/20/03 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
AIL
C_
ELIZABETH A.NEVILLE /. k. 'y�% Town Hall,53095 Main Road
TOWN CLERK %% o - P.O.Box 1179
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
`F ►� Fax(631) 765-6145
MARRIAGE OFFICER ,L
RECORDS MANAGEMENT OFFICER %___ 6'1Jig . ,,0. '' Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER �������� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department ' _
1
OCT
FROM: Linda J. Cooper, Southold Town Clerk's Office 11 2003 ,:
DATED: October 10, 2003 -_ - 4; --/
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 3243 for a Cesspool/Septic Tank Construction
Permit submitted by:
John J. Condon for Freda Jaycox
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me.'Thank you.
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE y�
Comments: p• .G....�/ - .411.1. ice_ /.-
, _ a_i__,.__ . _.."-
Signature
/6A4/1-.N
Dated
`1
/' . ,,,,,iii,,,-
/�,�®�®SUFFO`�oe
ELIZABETH A.NEVILLE � �`Z` �y ; Town Hall, 53095 Main Road
TOWN CLERK ; q P.O. Box 1179
to Z Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS V.
• • ' • MARRIAGE OFFICER' • •• • \ $ Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER fff a�' 1 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER = '' , �.�� 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 SG or Non-Residential @ $25Application No. 3 V `3
Permit No.
Applicant Name CI:Trfc) �•%ro/t..)
Applicant Mailing Address /75Sc4 E
"177/7'21 .E_ c
Tank l7or Cesspool V
Brief Description of Proposed Construction or Alteration
A/e.F.40 ecce:, r/ev4-9,04)
Location of Proposed Construction/Alteration:
Owner of Property: ceDA A Yee2A.
_,Owner Mailing Address: FA/124)8E4)
Owner Property Address:
13.1v PLuVYI ISLiw/j iAbUE ,P/ft)/
Name and phone number of contact person 7i,A64-, Co oo `2?V
Tax Map No: Section c'/SJ Block .06 Lot to
Cross Street 1'Ecj,ia,,r "7"5,6 dlib
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SUR WITH HEALTH DEPARTMENT APPROVAL
•f Applicant Date
�Received by:
I
r.`
gxIsnNS
YELL
I
I
0 I VACANT I VACANT
nDWELLING LOT I t• LEFOPOOL EXITINGLOET
LOT I 8G DWELLING
88
- - - - GOT 5�
_— / NO EVIDENCE OF \\
SEPTIC INN THIS n11G AREA \ -
\ -
1
8°2p1
0 \
►c 11CL� -_ — 219.6 \ ' '
\ ESPO
1— O CESSPOOL \ —,f-
FOR A \ .z,..r"
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&j LOT \ / i-
.513 Z VAGAN"
\
In IL LOT
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ANT SO lie! w
(V
O • D� p�P\ / mOL
IMS DLL \ 1 ti�� �/ —+_a'c� — — —
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T seD TEST \ 1\ N- aw
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- \ •
r Fu-
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EXITING
jl0 ::��e� I CESSPOOL CESSPOOL
XITING
F wP
7��I •
y I DWELLIN
!r IrY31 ,. !r`L -
\� DWELLING
'd� LOT
/
- LOT 31
O
�' EXIING /
WELL /
% ,,
' // ,5%��. gra�C-,1, ,,
I// /f//i' .ZO,
\ LOT /
\ I18 f ,' E
\ EXISTING :%
WELL
y r
D
dTING gII�',Y�,
OWNER - JOE ql`'I C. ,- 4 11►.__1 1 .A 11 A.IT:'
6 EAST MAIN STREET
RIVERHEAD,N.Y. 11901
I map 369-8288 Fax 369-8287—REF.—\\HP
1 -
,a SURLY OF LOT q3 .
MAP OF ORIENT EY THE SEA SECTION
FILED OCTOBER 16, Ig61 FILE No. ' TY�lO
4
SITUATE: ORIENT POINT 3
TOIAIN: SOUTHOLD
SUFFOLK GOUNTY, NY
I
SURVEYED 05-I6-02
SUFFOLK COUNTY TAX # I
1000-15-6-IO I
I
�Rll' 1��: /� /►'9`{ � �J �1 ,ryr�( {� �y prey DWELLING
�' a P1�1"�1 IVB a A�l*1�pPp�V��aVF`�B+qA-���p\Aa1V��i47J
1F1�$R.Vaycox S!11 V 7�l'A��Y�3Ye�t L��'+ LOT
88
Safe Harbor Title Agency,Inc. �3Y ? �Al. -4.....97_;„.,s...,-------
Test
r9 €?� :. -� T�.._____-' I _ - - - -
_I—
Tes t Hole NO EVIDENCE OF
06-101-01 /_ SEPTIC IN THIS_AREA
__
i_
Clark e
i _ _
Brawn
Silty •`rr.....�e..�....... ..,
Loam + _,..�........�... .,✓.....i+..a.•�.......�
1' SUFFOLK COUWV:i L ART MEN't Ji- mE:r...,ai :SERVICES
/
Brawn
`c43 PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE FAMILY RESIDENC,>r Brawn
ONLY
Silty
Sand /
NRh
Heavy f . F. 1p /
Gravel a• DATE"`I I\®l v i H.� j' , �ko _ ,3 I - 1 CANT /
I ObiPT
.z.�•t- (( 94
�
O
Brawn y�11 ^/
Fine l' (ti!_ti.J_ _ BEDROOMS o+
hV
Coarse EXPIRES I HRl:;L ti..e:i. - `'L K, .., . r"
'"'"I'AL� Z
Sand
with I PR!'th
Light I Pea
Gravel 1
1
1
1
17' 1 �D]t i,
1 �leQ-/d�,1
McDonald NO EV DENCE OF
Geosclence sEPric IN res nREn
\\\ ID
EXISTING
DW `I
ELLING WELL
LOT \
Ill I \•
• DWELLING
LOT
NOTES: I `• IS
A
I \
STAKE FOUND \ \
S331A 111:, 1,I .. 3'x.'1 t„a I
AREA = 23,453 SF OR 0.54 ACRES ' 'iirs,`
Title # SAH220625 9S L" 13U EXITING
CESSPOOL
PER OWNER
A11.9V
jns
GRAPH IG SCALE I"=50' �- i1
MN I= IIIII
Elevations shown reference filed map