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HomeMy WebLinkAboutBohach, William SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3523 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : WILLIAM BOHACH Address 1: 7480 NORTH BAYVIEW ROAD City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration ADD ONE RING TO SYSTEM. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS,BUILDINGS,PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner WILLIAM BOHACH Mailing Address 1 7480 NORTH BAYVIEW ROAD City St Zip SOUTHOLD NY 11971 Property Address 1 7480 NORTH BAYVIEW ROAD City St Zip SOUTHOLD NY 11971 Tax Map No. section 79.00 block 7 lot 1.100 Cross Street TOPSAIL LANE Building Permit Number Cross Reference: Issue Date: 4/27/07 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) y a ELIZABETH A.NEVILLE - ; • - - Town Hall,53095 Main Roar TOWN CLERK ® P.O. Box 1179 z : Southold, New York 11971 REGISTRAR OF VITAL STATISTICS W T � MARRIAGE OFFICER . '�C 1� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �= �f0 -`O� .0 Telephone (631)765-1800 FREEDOM OF INFORMATION OFFICER = * `Tsoutholdtown.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. •66S/ Permit No. Applicant Name ' o i f i`14 wit 1315 4A-C (- Applicant Mailing Address � 44-cg-0 /U 0 RN--`g 0o-/ S Or NB/ /V �, ttet7 1 Septic Tank or Cesspool Brief Description of Proposed Construction or Alteration Abl) oUG R�►v s ys--e n%A Location of Proposed Construction/Alteration: Owner of Property: L I(1%_w Be l Owner Mailing Address: 7`I-S-O Ai , Ay 1) s c u-`rN-0 i Nti IR.-7 Owner Property Address: 631-734-‘5'8-s-- Name and phone number of contact person i-V t t PA 2k- Co 4 1 L;w Ccs90490 L Tax Map No: Section j�' Block -7 Lot V Cross Street` APs L_ NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. 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' '1 N' EN,•t• = c,....sTAK , ,UNAUTHOINSE 0 ALTERATIEIN'IOlf•ADO•TI ON TOiTIOVSURVEF IS A v tOt.A 1"..je.Of- '71C1 F.s• : • -•, , SECTION 4209 OF:THE NEW YORK STATE sou 7.1014LAu -cop Es of.: trtiS• weivEY oft Nox tiemiitee,tHE Lota.suRvEY A s; Kso sEA!.qn ke.941,s_s,E9 SURDIvVIS, N 19.-P7K.XD,•IN'1'i:it:OFFICE OF THE CLERK OF CIL 0 TillOIN U E 4,1971 AS FILE NO.5599 ,2,761 si4 Al'Lt t I.i),,,L7...!1,4111,Q.,747107-OXLPERSONiEFg7HO.trINtk, ii eu",.. ..- ;, - ../.• •-6 =!s. , .• rnElmArn."1.t.VEurunis.cmnALF TO THE TI TLE OMPTY,GOVERNMENTAL AGENCY W4R4, -11131Y4 . + • . ,ANO sLEN NG.INSiltl)TIONX(SED HEREON,AN TO HE ASS I GNEE 4 OF,IHEAt.. t . 1,ENCING SiTtU LION.GUARANTEES ARE NOT RAN,F ERAEIL E TO ADO. .7% pEptiv qvcvATER,2 64IE - _ • ;INSrf•TuT „s or,tveSPuENr.twiNtris i . ,4 • ' ' •• • ..._..1,- 2..1...7.___....,... —__.... - 1 • . • •.:"--4-,.,..., ' , ,GUARANTr,E10 TO Is q Ell A'Oiiii :1 THE LocaTioN OF ViLLaS APv CESSPOOLS SHOYAN-HErON ARE FROM f IF,0 • , _u_y .. , • , OBSERVATIONS ANO/OR PROM EWA op TA/NED FOM tHF,RR - -4 CO"` SOUVIOLD1SAV/NGS BANK i - ---4- iRili404#Cf4tuif,•PN • • 1.824-1iuppLy ANO SEAVAGE,,OISPOSA7.SYS MS yON .If-, lESIOEFICF W,1/4. , ,,:,.. 1 ...i: e it ,, . , ..„, , 1E WA-0"THE STANOAROS OF THE SUFFOLK MINTY OF PAN.Nit NI OF Ilf At It., . 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'441(1--- a ' - ''''''''''f 4‘- --1.,`,;kR-I.VE;R' EAO•'• NEW•YORK, „ . , Chlor or Oenm-10. •nsirloorins .. • .' - ' 00 t N. .'A fz.•',SC,LE. 4 NO • ,f . ,.. ; • ,.",: • - 4..• it,0„,.,• ; S(Tvies, r. : :. ;:.: . .1,. •,„,1,;", •---•••'• , .=•,. 76-129 `,'- - -• e" .• • . ' ." ..' --', ., 1•••pas r r • ,,•:it, • • i , A• ••,,,ffit.„ , 1...71.4w. •4i. .vgPitIlrity, 4i.,:: .--.w:a:-,:.. - :•P::c:- 1-.-', ... i , . ,.r...4):,,••-_, .•••- . ,.:• . , -• - •: •• - • • 4. • < ,.rte'' ��,,%pF SO(/4, ELIZABETH A. NEVILLE +$ 4 '`� \ Town Hall, 53095 Main Road TOWN CLERK ; N * ill P.O. Box 1179 REGISTRAR OF VITAL STATISTICS ; G @A Southold, New York 11971 � MARRIAGE OFFICER ; �� Fax Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER l 1 / Telephone (631) 765-1800 FREEDOM OF INFORMATIONAI CER `'.. "UNri+'s � southoldtown.northfork.net \ --•,.. • ''i�` > ; , FFICE OF THE TOWN CLERK ApR 2 5 �' TOWN OF SOUTHOLD , TO: \_____1:=-----Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: April 24, 2007 Transmitted herewith is a copy of application No. 3681 for a Cesspool/Septic Tank ALTERATION Permit submitted by: William Bohach 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 r Bodies. EXCAVATION INSPECTION REQUIRED. . Signature a:/:. . 47,-,r--/d 7 Dated