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HomeMy WebLinkAboutLehnert, Robert o, •' FFOL4 \,'C)• �G . JUDITH T.TERRY ;----` Town Hall, 53095 Main Road TOWN CLERK ; y Z ; P.O. Box 1179 v. ny ; Southold,New York 11971 REGISTRAR.OF VITAL STATISTICS O MARRIAGE OFFICER V** '�� Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER 0.( �`a1�� Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER ,•it' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 16118 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : ROBERT LEHNERT Address 1 : 5 KILBURN ROAD City St Zip GARDEN CITY NY 11530 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. #R10-96-0085 Name Of Owner LEHNERT, ROBERT Mailing Address 1 5 KILBURN ROAD City St Zip GARDEN CITY NY 11530 Property Address 1 ALDRICH LANE City St Zip MATTITUCK NY 11952 Tax Map No. section 120.00 block 3 lot 8.003 Cross Street NORTH ROAD Building Permit Number Cross Reference: Issue Date: 4/28/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) A . ... �i If' FO�,�co , /6, L �� G JUDITH T.TERRY i�_� ?J► Town Hall, 53095 Main Road TOWN CLERK % o P.O. Box 1179 y REGI I U O5' STATISTICS % O ''��,, Southold, New York 11971 4 0 1 Fax (516) 765-1823 MARRIAGE OFFICER �/ RECQS awegT OFFICER 0! ill *ao�ll Telephone(516) 765-1800 FREEDO? U TION OFFICER . ,•SII rnw'1 O w,. OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Ccoper, Southold Town Clerk's Office DATED: April 16, 1997 Transmitted herewith is a copy of application No. 1718 for a Cesspool/ Septic Tank Construction Permit submitted by: Robert Lehnert . 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. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recom ndations: APPROVE DISAPPROVE Comments: RECEIVED— y/)7.A..4.:( ppR 2 5 1997 Signature 3 ` 3ej Wil/,,7 s uthold Town Clerk k Dated t Z OFFICE OF THE TOWN CLERK 9f FO �/ Town of Southold O�� � / /`� Application No,/ Judith T. Terry, Town Cleric Town Hall, 53095 Main Road ` 'En ' mac Construction `�_ P. O. Box 1179 _ _ Southold, New York 11971 t ;%#-•!' 1, Alteration l Residential vTelephone - --- (516) 765--1801 -,'n' a. Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee – l DATE //0-7 ------------------- -------- --_ . . APPLICANT NAME: eZeiNeeci APPLICANT ADDRESS: 3 , oc, SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION _______6(.4'71-d __e_eS_/12e.eliC.,e. ki/eXLS"1": /*/4".21---- 6.tage .C___ LOCATION MAP: Must be attached hereto before permit may be issued. • LOCATION OF PROPOSED CONS- -'',,jj��R��UCTION OR ALTERATION : r----- OWNER OF PROPERTY : wrQe4ti .i&X/ileee i OWNER MAILING ADDRESS:,5 Zi( /'/V 4:342- j, OWNER PROPERTY ADDRESS : / .z.e,eic..7.24 ,6,,,,,_6„. _ � TELEPHONE NUMBER OF CONTACT PERSON: S77– 7c.1-1—c:›.9/0?/ 1/ TAX MAP NO. : Section /a d Block Lot c: CROSS STREET : BUILDING PERMIT NUMBER CROSS REFERENCE: / dr 7 . ii/ ! i Signature of Applicant RECEIVED BY : 24� --' Town Clerl 's Office DATE: L4-7(621` N/O/F WALTER GATZ 3 & MARILYN CATZ R 0 DWELLING `Y .n N O N L, Z 9 PLEASE NOTE = (f) y Minimum distance between well iN. � ck S 1 and cesspool is to be 150 feet. (( ?; S 119e 46 00 289.9 4:k I I y w 1 N I • 1 I 00 I 24D._0. L ,CAT ION OF WELL E , i iri I 1 M I .. -425. 0.ISErE34CK r <, '. ,so r >- ii,.... I _,.1 Olt t z to ti w• . SLAB S r 73.4' : " LOT® I 1 Fri i I NO . —— �. s l"TT T-• --�—— "'"7777777, ——,— T,r -j• — —-� • T-+�r ,—_r —.77 r/7- i — —— ). i / /- /// - i / 1 / hilri, y / / •�� // /� i /'�, �% ,-,.///x f/ PROPOSED �/ / , �);1t r0 /',/!/ -�// / %',' n RESIDENCE �; / // _ _ _- ii ' , // //// // ,/ ///// cr ./ /////, // /,/, //,„ /,/"/ ii /// / ''•• / /IV - V / /, / / / // / / ',' 7 // / / //,' / , ,, /,,, , -/,/ , , . ./..../ „.7....z.:......: , 4 , % // ,//,,- ,,,// ,/,/,, / / '/' /f „T / ifir / / w 15.Q_ w 41,4 ..ovi I�I�vT O 0 1 IMMIMala way �- 1 + f V w f } �, 50 S ExP °Q \-- LOCATIl OF 1 u'? . I , . . . i r NL0 TEST BORING r> n N I v) rpt : .. ^ . - © i ^ �, . e'1 ') r7 :a tiI J 1 us 1 _ d' 1 A , . +' r 1. { tmt,.tri FOIL 11t ••••• — — ! ` P .- •- zetiroe. , 5o.ao 0 00 W N 2C3, 12N 24• 10 6.84 '30" W _ ... midDRI[cH , 1L,A0S11[3, ,n,,,,,,,,," T • ........ , .....- k r ., by Dept. of Health Services 1,./-00 1 c c,Api, , f"�'" CGRADE VLe) 1 C - arssT elk r• FARM FIELD rvu-77-a2—* i c°�= r►4-- • , Sh— Eim II ! °. ,.=.� :a0 CLAN)00 .r,illu..,+ , ler r IIP WOO! I NO WELLS OF CESSPOOLS /�a� eitLP ,__r,1___ I 1100..r.u,,.,.a.m. --/ L i bv' MOP lei trDfR = C L Y 0 45 'v _i . I SUFFOLK COUNTY DEPARTMENT OF HEALTH SER CES 1,1 , 9J10f iAL C parr PERMIT FOR APPR©VAL•OF 'OR"T?;1CFION R A , �'.NGLE FAR LY RES ENC ONLY = • DANK t DATiEP 2 6 1996 r ,-o $-5'minor t CQ . earti.t A . SILTY LOAM Ci. it""tt t r APPROVED / n 4 1.,.....-.-11....u.-..-_-1,t4 X1LO WY FOR MAXIMUM OF DROOMS T LTi CTiC i ' ,: :i1r7-711r.--.3 sILT - t . EXPtRESTHREE YEARSFRO OFAPPRO Ai. �,, ,, t �+"�� -.,'. "= " PAU BMW FIE TO - GOA 164 0IJITH -,.. :".'• 10%GRAM:- SW * =PLO Mk IP , arikap• 4'• 7 CO%et r—-\ _ '...,1`, y t •"..*. • `tATICN F IM TEST NOLE `f DATA 11146 GSTAINED ON AUGUST 14 19% t • PRGM f"�GDCNALD GEOSGIENCE SCUT+-HOLD 1IJE!I .: TT' NEU YORK (516)•165-3611 } ' Pr WWINfl TATA