HomeMy WebLinkAboutMoeck, Stephen 1f FFO(
ELIZABETH A.NEVILLE �,`Z` Gy` Town Hall, 53095 Main Road
TOWN CLERK I1 < P.O. Box 1179
c4' 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax G�
Fax (516) 765-1823
MARRIAGE OFFICER
Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
60
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1892 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : STEPHEN MOECK
Address 1 : 1525 AQUAVIEW AVENUE
City St Zip EAST MARION NY 11939
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. REF #R10-98-0049
Name Of Owner MOECK, STEPHEN
Mailing Address 1 1525 AQUAVIEW AVENUE
City St Zip EAST MARION NY 11939
Property Address 1 ORCHARD STREET
City St Zip ORIENT NY 11957
Tax Map No. section 25.00 block 5 lot 4.000
Cross Street OLD FARM ROAD
Building Permit Number Cross Reference:
Issue Date: 7/10/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILL.E , i' Gym•` Town Hall, 53095 Main Road
TOWN CLERK ; o _< % P.O. Box 1179
Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �'�f Fax (516) 765-1823
MARRIAGE OFFICER :� ..J� •
RECORDS MANAGEMENT OFFICER ���! ��� { S Fax
(516) 765-1800
FREEDOM OF INFORMATION OFFICER
z
OFFICE OF THE TOWN CLERK
4 pg8 u
TOWN OF SOUTHOLD
• �' DEBT. uth Id TownBuilding Department
•
Tow S .UTHOM p
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: June 23, 1998
Transmitted herewith is a copy of application No. 1966 for a Cesspool/
Septic Tank Construction Permit submitted by:
Stephen Moeck
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 applica ion and location map of the project cited above
and make the following rec mmendations:
APPROVE
DISAPPROVE
Comments:
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Dated
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OFFICE OF THE TOWN CLERK , ' If llik -
TOWN OF SuUTHOLD ;'%-a CQ�'G /Application No. ! 76
ELIZABETH A.NEVILLE,TOWN CLERK �,Q '�►
P.O.BOX 1179 : Z Construction
SOUTHOLD,NEW YORK 11971 o T
fr Alteration
Telephone `'O� Q $10.00 - Residential
(516) 765-1801 ' Ol l —
N/tw�'� $25.00 -Non-Residential
-- >••
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE ‘/�/?8
APPLICANT NAME: 5roti/ & ino, --c_Ir
APPLICANT ADDRESS: /S.)S' W/d/rtiJ 14Ev
/ /� (d•v /YY //f37
SEPTIC / CESSPOOL '`' '
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
4:4424 �r ` • `S7i y Iif 9Cr /ke,ey /1/4?0•7/'
$y444 Y i- 6a) $ :� c /'oats
),,c,..,-,-____J__ -L-L_ vicIty,--,-C-- C(--4---e- --.( ,
may LOCATION MAP: Must be attached hereto before pe itbe issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: /45 /"M11/4=
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: QRCk-✓v__Al
TELEPHONE NUMBER OF CONTACT PERSON: 777- 8c2 77
TAX MAP NO. : Section oZ S Block Lot t
CROSS STREET: O/ Jif/Ps t /110
BUILDING PERMIT NUMBER CROSS REFERENCE:
2
• AP"' teeta-e-c-
Si- ature o Applicant
r\ LO,e-U-:____
RECEIVED BY: ,
Tow Clerk's Office
DATE: /^ c- 3 i?�
\ ANY ALTERA774.1 OR ALUM*
SLIMY IS A VICI!-AIDN
•au
\�_ S 7Y Q�)!E PEW TYORWR STATETE ALL 7E*
•Q, v,,�' SAD HAP OR iiG4i ME SA MAP MO SEM OF THE VEYOR HEREON ARE VALID �.s
-------,,_„_.4... .. 04,0 q sEiitsr r BY MC ALL siiruYEralf M V��a�C►rer
9 OF AMa7TER ri.RVEYORS MIP. TOWS SUCH AS TEP A1D ,,
�.Yp, Q�, 6s,, p. •� ' 'MOUWlT-TODATE'ARE NOT R MCM.MMC E WITH THE LAW. e
;P-p E' VrL1Fe�
I N"'r r� T \� l am Iamlar with the STANDARDS FOR APPROVAL
6,i AND CONSTRUCTION OF SUBSURFACE SEWA(
DISPOSAL SYSTEMS FOR SSIGL£FANCY RESIDENCES
sand wN abide by the conditions sel forth Mere*and on the
0) 2p�Ob. 4.�r permIl/o construct
••) j
vs �ak 1y Q w
C'? �\ The locations o/we's and cesspools
(/ l shown hereon are from Held observations
oZOj• y� 'tel sia9 spr 0� \ and or from data obtained from others.
!' 25. a4 /5.,.. 1O
O ��`
r / k SURVEY OF
I2c.) 0 LOT 4
p OF BAYVEW FARM"
FLED JAN 15 1982 FILE NO.7045
LQr AT ORENT
°" s TOWN OF SOUTHOLD
w�„ SUFFOLK COUNTY,NY.
o Via, N100 - 25:253:7198'
- 05 - OI
w � �"'io 'SUPPiDIJZ O0pN7Y D�AAl1@)f OPH!'A[.7H SPRVIC83 GALE• 1rr = 40r
�� MAR.25 1998 o gg0
tir �` MOLE lIA1�YARSIDf RESIDENCE FORA P 3
r Op f
DA78yg..,.2iQ. t e 41'• _0 b�'
--------------------
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'v o APPROVED rI :".,,v,:i0.;":.:::pir /s,A,tekPOR MAXIMUM OP •'OOMS& '? i.
ai30 W sswe�veARSPROMnA�tRPAPPROVAy i' 1.11, I*
LOT , 0 ELEWATIOWS ARE REFERENCED I%iik7i • tei. .LIC NO. 49618
7 TO AN ASSUMED DATUM i��Da��909 r►
cANT 1 ZQT POL43• ,„„:4,t. AREA 13/6/{►763-
c �ij'�j gQ,ft, 1 0BOX
v,R,NB VELE4 STREET
SOUTHOLD, 1L Y. 11977