HomeMy WebLinkAboutFoster, Arthur gle OFFOUr
Off'
JUDITH T.TERRY IS_� t Town Hall, 53095 Main Road
TOWN CLERK o '- P.O. Box 1179
v. r $ Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER 1 1 Fax (516) 765-1823
RECORDS MANAGEMENT OFFICERN.N.O,( .���11�/ Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ,a"
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1702 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ARTHUR P. FOSTER
Address 1 : P. O. BOX 1132
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-97-0109
Name Of Owner FOSTER, ARTHUR P.
Mailing Address 1 P. O. BOX 1132
City St Zip MATTITUCK NY 11952
Property Address 1 TALLWOOD LANE
(ROW OFF COX NECK ROAD)
City St Zip MATTITUCK NY 11952
Tax Map No. section 113.00 block 7 lot 19.028
Cross Street WESTPHALIA ROAD
Building Permit Number Cross Reference:
Issue Date: 7/23/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
`'�,Iii ••
�o\O FO(,rco
JUDITH T.TERRY
' Gt Town Hall, 53095 Main Road
.
TOWN CLERK o P.O. Box 1179
c4 2
t Southold,New York 11971
REGISTRAR OF VITAL STATISTICS • t Fax(516) 765-1823
MARRIAGE OFFICER y�O � ���� Telephone(516) 765-1800
RECORDS MANAGEMENT OFFICER 1 * d
FREEDOM OF INFORMATION OFFICER �•y ,,.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 21 , 1997
Transmitted herewith is a copy of application No. 1772 for a Cesspool/
Septic Tank Construction Permit submitted by:
Arthur P. Foster
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.
Gy"�x.a-ov
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments:
ignatu )
Dated
( . r'tl.cccutz"
'OFFICE OF THE -I-OWN CLERK j0rO1X
Town of Southold COQ Application No./ 7
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road ` Construction
P. O. Box 1179
Southold, New York 11971 Alteration_-
Telephone °l * 1% 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 $ G
DATE 7— Zs/- / 7 -- -APPLICANT NAME:--4 -4A'°-- y� Flo-f ---
APPLICANT ADDRESS: NPO ` `='lam 1132 � ( � /VT I
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION : . -
OWNER OF PROPERTY :
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON :
---------- -- ----------------------------
TAX MAP NO. : Section f 60 ' Block Lot
CROSS STREET : &0 .___.
BUILDING PERMIT NUMBER CROSS REFERENCE :
Sig, attire of Applicant
RECEIVED BY : �-
To n let c's Office
DATE : � J c,
of ..„rv. ..... ... ... ..'._ .; '.,. - .a ._ +'. ..,... ..:.. :'''.:: ., '"',. '°§._.-.•_ ' ... , ,. - .. sae yY_..,.a. .reWY e:Wr1i -iY"'.:ea iYU WYW 1111W VIYW,:Ylsl Y I"I IY.IliliiiYlYY Iii idBl. „'
. `^- ,. », •'. ,'"".-.. .... ..... :, ..4 ...,d. - _yr..Wa,...__�:..,•.•.+:,e.., -to eiw+WillwwWmuur'anmWirYanmrilrSwmt3'W�iaxYYY�.al.alwa sem. a Wu e+ua+a 17 1 ii Y . 5.I ilY.,
I am familiar with the STANDARDS FOR APPROVAL The locations of wells and cesspools
AND CONSTRUCTION OF SUBSURFACE SEWAGEJfi•
shown hereon ore from lied observations "1.'
N DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and or from data obtained from others.
and will abide by the conditions set forth (herein and on the (� (.1, O 'I
permit to construct. �J'� _ N� -
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zZ - - - - - __ - - . _ _ _ __ - • „- v R "CLUSTER MINOR SUBDIVISION FOR ARTHUR FOSTER"
2 a rn. �- - - - ,, FILED FEB. 41997 FILE NO. 9963
_ __ _ _ _ - ,- = ; ---; - _ - � COUNTY�.� �. cls. . . �s�rCAT MA T TI TUCK
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_4 - �g ,�pug' �µ 5 PF �P. C uc r:.: `ORA TOWN OF SOUTHOL D
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3` - _ , '- , �, , - 59.25 ly .� .Y Rrcrr� .� SUFFOLK COUNTY N. Y.
• \lel � 5• F DATE S , . ,' ^. ' 1000 - 113 - 07 - P/O 19.14
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� �� � ' ��,' J � _ APPROVED l/
Mar. 31, 1997 �,,
Qrj R - aCR 1rG►Y�MUNI OF V BEDROOMS �� F'1'`
7 0,0
4-0 - \ ---_ - 9. - , ,. .�-----
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N \6 it .1 \ r 1 `� C7'*" E •� //J•� j0
J .t� ' . _••s-' ^� `:'l E3 THREE VS FROM DATE E OF APPRO y AL __ e
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�'�'3 �` �� . `J '"o- ' ;J,- -/ ANY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLA TION -={,
3 Y•• '9 -— ,:'..i,.,, ` ! OF SECTION 7209 OF HE :NEW YORK STATE EDUCATION LAW, i -- r
6 `1• �` L'� EXCEPT AS PER SE -'ON 7209-SUBDIVISION 2.'AL's CERT!F.'CA TIONS .\ '
5. M ORR ONSt i r - N ''a1/.Y.S.Y.$. l �Q� 496/8
``,, HEREON ARE VALID : OR --HIS NAP AND COPIES THEREOF ONLY IF 9h • N.
•
• `��,'A 1- _ `�' SAID MAP OR COPIES BEAR THE MPRESSED SEAL OF THE SURVEYOR r^ i
,'' WHOSE SIGNATURE APPEARS HERE?N, r'E..ONIC SURVE Y
OAF Ti" 1 a y AREA _ 2.3395 Acres (5/61 765 - 5C20
ADD!!ONAL/ Y '? COWL I WII-H SAID LAW THE TERM AL TEED By' a. 0. BOX 909
Nf CONTOUR LINES APE REFERENCED TO MUS' 8E USED BY ANY 4:41) AL SURVEYORS .2..C TRAVELER urlt.rz�vc A COPY / 3 T, AVE�R STREET
TOPOGRAPHIC 11/AP •:-VE EAS;ERN TOWNS ?F ANOTHER SURVEYOR'S APAP. TERMS SUCH AS 'INSPECTED" AND SOUTHOLD, N.Y. 11971
'BROUGHT-TO-DA Tr ARE NOT IN COMPLIANCE WITH THE LAW.
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