HomeMy WebLinkAboutDavison, Eugene OFFICE OF THE TOWN CLERKD(I(`,
Town of Southold OGy
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
P. 0. Box 1179
Southold, New York 11971 O O
TelephoneOlc �.a0
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
NOTICE OF DISAPPROVAL
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Application No. 263 Residential X
Submitted November 30, 1987 Non-Residential
Septic Cesspool X
APPLICANT:
NAME: Eugene Davison
ADDRESS: 4300 Sound Avenue
Mattituck, New York 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling with Cesspool System
DISAPPROVED AT THIS TIME. Please resubmit after necessary approvals
from Southold Town Zoning Board of Appeals for more than one dwelling per lot.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Eugene Davison
OWNER MAILING ADDRESS: 4300 Sound Avenue
Mattituck, New YOrk 11952
OWNER PROPERTY ADDRESS: 4300 Sound Avenue
Mattituck, New York 11952
TAX MAP NO. : Section 121 Block 3 Lot 5
CROSS STREET: Bergen Avenue
BUILDING PERMIT NUMBER CROSS REFERENCE--------------
1.
-----------T. TePY
Southold Town Clerk
DATE : December 1 , 1987
(TOWN SEAL)
o�oS�FFo(,��p
z
•p Town Hall 53095 Main Road
P.O. Box 728
Southold, New York 11971
JUDITH T.TERRY TELEPHONE
TOWN CLERK
(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
November 30, 1987
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk,.
Transmitted herewith is a copy of application No. 263 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Eugene Davison (System for new SingW Family Dwelling)
Please review the application and location map and advise if the
project has received Suffolk County Health Department approval
and if we may issue the permit.
Please complete the form below and return it to my office.
Thank you.
Judith T. Terry
Southold Town Clerk
I have reviewed the application and location map of the project
cited above and make the following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS:
Signature
Date
OFFICE OF THE TOWN CLERK SVFF�G�'
Town of Southold �� COG /
Judith T. Terry, Town Clerk Application No a�v�
Town Hall, 53095 Main Road Construction
P. 0. Box 1179 Alteration
Southold, New York 11971 ��-
Telephone Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE //zZ $ 1�
APPLICANT NAME: k0cfW r> 4v/Sant/
APPLICANT ADDRESS: q3®d Syy*'j D 4o
r i >y
SEPTIC )k, CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Jvllc'L_;�
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Fts6 Ox0049 VI SOA..
OWNER MAILING ADDRESS: 4406 So o v'y *L*—
go-'Tr 1T v c.tC
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: $ 0106 419y�
TAX MAP NO. : Section X21 Block 3 Lot S1
CROSS STREET: ps &, "
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: ,--
Town rk's Office
. DATE:—
'a t....
_: �"a-���MIM1.• .�aa�lllr�rYl fYYIY ., .
_ �C
. .. rt ri .� ,-'+�.. , �� I I: ii t � . •� �,,,�, .a. r � iv.�,.. K<CO. HEALTH DEPT, APPIlfJVAL
,+
De/c
. L,
VIP to Af�,
AID
4
Wa
QFA
Y
w
,
rVx
��.. "• •Ips-... .. `+� \\ ,J � � �l�f, 1
1,
r , ... ATEMENT OF INTENT
r
,
4:
,
THE WA P Y AND SE*AGE 0JIM
J(, r' SYSTEMS F THIS RES#
` - tai x o ,J:.•'"''.� CONFORM Tb THE STAND�1
FOLK CO. DEPT. Thi
SUFFOLK 4 OF HEAD.
APPLICANT
,
e •
-
i
4+ u/
SUFFOLK COUNTY DEPT. OIC ::.-HEAD.
V#CE OR APPR0
S-{�� � F Y
d a D v
CONSTRUCTION ONLY
�/`fir•`}y� }��/ ``//� (��(/
�.�►�ar� `.."I/�f1����..#Y.• .�� � r� trite ' ,4
C � •
r
,
l
,
s#
� � H. S. REF NO
'67�Cts ENlS j1jV � AM VE
A 27'Fi3
/ CO. TA►X MAP DESI�3NATION:
SECT. BLOCK PC
. r
RESS ;
,
�„. `POO(t sir
t �aL�
e M ! aw r '�,,�I•(a ,.`.. nz r` "c. ,...,a...;.i..i4•FtMti•r UL:
r
L.. �/aayy.a
r�
34
bug -PoCL
9 �: ,. t ltat 1 tie C
,.. Tal AMP
o
d •.. 4 -
c
n
b•
a
4, 9
1,lAauah n*r
« �-." �;' .. � .-, ' l�, f,/Ql s� •rJ diiitMt+tipn er 4;-y,ir:il9
! t
r to this Survey 16 a tncdatian of
�
�.r ., , , 4i th.,r RiHwr Y7iA .l,,
r.
, �!y r1
i V7 J V1�. F iifQ6l€�t1 I/ltiM:
n `+Zl
.♦ 5j>. �,. � t:..tY1 r:t, s}� t. !ty J �� 1 M ,�':r :r ;�' '. ...:.. ,._,.... ; GE•NVS qo9 N+#e 1tNlvCy rilAp.n:t ix"3\€Itt'r
5 ,
9 t, ifidi
t � rM'idi i
W .M'S Oak
,,,a++,, >' <--,�. -.s ......,.a,,,,,. � .. r .^�•x �, :. Ya•,� +t..�y'v: "'�' KT'' .;,.+t, �+. .. c tvwy h!5:•&s;,dGr
/ tY
, ,. , i-f.,. .. 3 .# ":".t��, t,,•,,a... � ._..� ! A 114n�gyigget BUkt 01441 n42 stet aJr38t�i?fr/S
,.. .• r '}'/f t. ,k,+,{':aYM 11,tt` .f ♦ •F�' ',WAM� .-
�'� �'��}�'� tx t r; •��- d :�`t.+ �' tc+be t v8tii:Must cCrc7:
` " j-,•. „ ;' ''�:. ./. . #•.`. ><.. Srt4q'b!�Sl4 iraiC6ii:!.!?Qr:a:n„htdtr .
su te+7
r f ! atin t •r
Y tr'xMur t,, wnsri$k:e vagt
. i �, ��A , .. ., I ..��aA4'r• ^S W' y[e z V .n hc.<.:.ad;n•1!r!dra•
„v �#iR• L ,r,
}}n�� �+� Colts cC'r4pr»qY.,gnvcrnrnper4dt! s••:y,,'.
]r1 I�;• N
�.+ ....:. ._ .. � � lcar',%Sn4x rnr,+tltttttan!t�igtl:it.�:
.. .. .. I-E�/
*
a
w I
k � -.`
:., .. to
.•t ,i�„,,,a .. X t. •y i'.,' .' '' �r+�!Ayycyta.�'_'T`*�—.��
,, . :., "� s .:�. ,.n ::.. -, .. .. •. r�, x fte,. .d«. �I,.,,-.Mwrs J•A;,;{ r<'3r;i3-R
^•wlAf4 LX i;«..nei•.I !:'ir.. r.,•,
yr
•r,
•
nw
.f r
•
'
,
+i
.�. td• (��
a
L_ tl
.
r SEAL
40
!S.,� � '�,,,��ra �': ,- 1 , :. .. '.i'. ;;, r. - M ,- , a �..,. •S, :, � - /,,.. ,.h t t,'. N1•Y � ,/
..�4�Y ,.� , ycti .✓' c.+��:*4' rfh, _. l �,�'1* 1 r:.t r ?'y; a':! +� � ��'
4A, i ? f d ti r lV
,rte!�'f i
.►a!�Y F 1..
i
_.< :•. .,� .,.�,,,, ,r• AGK �
Y
x a
4
{{ _ V
, ..' Q ..'! il` ♦a. - '.. .. ..:.• .. � ,, m �. _.:rq ., i..i ryl ad:• � 'O"•1 �.
Aw..:. �. F '+'Sa' "� - y a..�: '*: �.,},1 a'.'i ., ., .du. L `� t , �• 71. �
�}1'. (p)
+F^aaI Wt .,.. -�. .....,... ..+."1•:. Y,. - r.,:' yS'J e,1 s �.
• ,a . , .`{ .l Yw, 1 w!. Y y / ,•I•, " r' 1llglaD 1. •.
, r
-. .. , ,, !f. ,Ra w,f3: .i�"":., a• ,Fv » �:i�~Z �1 �, y.,,l�•„' :�,U 1,9,t” .. •.,[- �\�
_ .. .. �; Yx i e 3f:, .� 9.^I:, ,y C• .�;,y..i7r i.` � ,.. ��
i'M�lirttMj!".•+`.'+ ,y#. .b�"'i? ':t rw'ik i. �e •YI. I��. I. t t� � �
.."1)3"' - .»� : ','4, `:PyG .�y+t'L ,�i. tr ,.aa Y•�y;i;i. t
� , �n,
CJI!1[?fi7 ([�i?`ft Y'-�' ,✓�aa�t� 3, ) �. t�' .w r t; �, ,�p si v
' yr
, , it