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HomeMy WebLinkAboutCadmus (lb�3S Nmi) NJa 0 Lmol p loo jnos -------- a 11 !AeN d u lagez ! B SL /60/L :a lea anss I ---------------------------------- ------------------------------ CNOU 1N Dd A>CCU lea J IS sso.p ------ --- ------ 00£ 101 L Noo Iq 0 L '£ uo i jogs qV dqN xel ------------ 0000-000-000 cN auogde lal JaLwo ---------- -- -------------------- 0000-6£6 L L M NJ k:M 1S'V3 d r IS 0 ------------------------------ Z ssa Jppy A l Jado.d ------------------------------ CNCU N ItfIV 900L L ssa Jppy Aj Jado.d ---------- -- -------------------- 0000-SSL L L M 3YYddflbH d r1 IS A} 0 ------------------------------ Z ssa Jppy 6u ! I !qN ------------------------------ JHM d Is £# L ssa Jppy 6u 11 !VA ------------------------------ SfVM NMdAM T TTv1d Jauvo jD au4V X 6u ! Is !x3 WN 00 '0 L $ 993 le ! Iuap !sab-ucN X le ! luap !sau 21 'oN I uu JQU uo ! le Jacb -MdSS33 Jo >Wi 0 11,d3S 1 V%:Bd NJ Ili 1 V%f3d -W9DdS 10 2:BiV 131M a-D4 fM t' - o�gUF�O��co ELIZABETH A.NEVII.LE O� G�� Town Hall, 53095 Main Road TOWN CLERK w P.O.Box 1179 REGISTRAR OF VITAL STATISTICS O Southold,New York 11971 MARRIAGE OFFICER ® �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �ol `�►aO Telephone(631) 765-1800 FREEDOM-OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION I OPERATION PERMIT CESSPOOL or SEPTIC TANK Residential'@$10_K-,:or, "Non-Residential @$25 Application No. - - ? `Permit No. Owner Name YJ . ry4e,(d~' '• I�,k ,._ ,� w `1 t . . Owner Mailing Address_ 3 57,-d"r.) ROnan, P, Qq l/'7 819 - Owner Property Address _Eas hogs nn QC-1 1193 Owner Telephone No. Tax Map No: 1600 Section .3 _Block Cross Street'__&ckW q i r� Please check each that applies: New Construction Alteration to Existing System Residential X Non=Resi ential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system-, give north arrow and approximate distance in feet from system to building and closest road. New,construction may submit copy of survey with SCHD approval.) wser Si afore of Applicant Date Received by: X,h! b YZIJI�A,11 B-P, .10V rp OIQ j!D S1aro) gill-77 rr, L. R iSL 70 YJJ'u, 7:, i.:` Lvl;j' 2nri-! o��0FF01Ir ELIZABETH A.NEVILLE,MMC �� r/y Town Hall,53095 Main Road TOWN CLERKC RO Box 1179 y 2 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p .F Fax(631)765-6145 MARRIAGE OFFICEROl �a0`' Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER J www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLE `-D TOWN OF SOUTHOLD TO: Southold Town Building Department NOV - 6 2014 FROM: Carol Hydell, Southold Town Clerk's Office BLDG.DEPT TOWN Of SCI THOLD DATED: November 7, 2014 Transmitted herewith is a copy of application No. 4280 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Latham Sand & Gravel for Paul & Maryann Cadmus 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. Thank you * * * * * * * * * * * * 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 ` �i Dated i• �s SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 4280 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED T0: Name : JOHN HOCKER Address 1: LATHAM SAND & GRAVEL INC City St Zip PECONIC NY 11958 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. Name Of Owner PAUL & MARYANN CADMUS ------ ----------------------- mailing Address 1 #3 SID COURT ------------------------------ ------------------------------ City St Zip HAUPPAUGE NY 11788 -------------------- -- ---------- Property Address 1 7005 MAIN RD ------------------------------ ------------------------------ City St Zip EAST MARION NY 11939 -------------------- -- ---------- Tax Map No. section 31.00 block 1 lot 3.000 ------ --- ------ Cross Street ROCKY POINT RD ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 11/18/14 Elizabeth A. Neville -------- Southold Town Clerk ('TOWN SEAL) November 18, 2014 John Hocker Latham Sand & Gravel, Inc. PO Box 608 Peconic,NY 11958 RE: 1000-31.4-3 (Paul &Maryann Cadmus) Dear Sir/Madam: Enclosed herewith is the Construction, Alteration or Modification Permit for a Septic Tank/Cesspool System for which you applied. AFTER the system is installed but prior to being used, an OPERATION PERMIT IS REQUIRED. The operation Permit is issued by the Southold Town Clerk's Office. The fee is Ten Dollars ($10.00) for a residential system and twenty-five dollars ($25.00) for a non- residential system. Your check should be made payable to the "Southold Town Clerk". An application form is enclosed. Please complete the requested information and return the application, proper fee, and LOCATION MAP (map must indicate the location of the cesspool(s)/septic tank(s), giving approximate distances in feet from any buildings to the pools and distances between the pools. Should you have any questions concerning this matter, please do not hesitate to contact this office. Very truly yours, Sabrina Born Clerk Typist Enclosures • _ t0 FXJZAIM A NEVIYd.E Town HoR,53M Mei-Raael TOWN C EYiS P.O.Ba:1178 REGISTRAR OF VITAL.STATIMCS %. utb*K New York 11971 MARRIAGE OFFICER • 4 Fax(631)765.6145 RECORDS MANAGEMEM OFFICER Telephane(681)763-1800 FRFJMM OF INFORMATION OFFICM smAholdtowniiarthforknet OF]E'YCE OF THE TOWN CTJMK TOWN OF SOUTHOLD SOUTROLD WASTEWATM DISMICT 'AP TLICATION CONSTRUCTION or ALTMATION PERMM CESSPOOL or SEPTIC TANK Residential @$10-4- or Nan-Residential Qc $25 Application No.48 Permit No. Applicant Name_ 3n h rl �e�. LA-��Am1 n �- rA ✓sz J, Tn C Appucamt Mailing Aaaress_fid%x 609 Septic Tank or Cesspool Brief Description of Proposed 'on or Alteration f I �e + Oes s�000 IS Location of Proposed Consbuction/Altmufion: - ^/ Owner of Property.-J�Ao + QnAr�i 4n(1 Owner Mailing Address: SIU G(-)/-4 J lv)gE Owner Pmperty Address: m� 62,54 (rWign Inti 11232 Name and phone number of contact Penson John 1�a� r@ LA-� im SHnd1+ 6rA�lSL J 734-6'8ac� Taos Map No: /DOO Section 3 / Block__jLot _ Crus Street 20ck NOTE: LOCATION MAP MUST BE SUBNUTTZD WITH APPLICATION. NEW { CONSTRUCTION REQUIRES SURVEY APPROVAL 740�= Si tore of Applicant Date Received by. MAID mow Qq N5r39�od'E 128.98• h a 1• w '"o �n�r,� auroras —--- • 13, moi• t , ry\ VP f 43 Ob tr s�aaP = a mss• � • Y • JM _... 8f8.07• S56')coiri+N 106.60' V) _ ,r_ /CAIN • RDS D `'K (S,A?E RoWr .25) .4dew