HomeMy WebLinkAboutMohring Enterprises t ,��/IOi
��Stf F0 AP
JUDITH T.TERRY ��_ 4: Town Hall, 53095 Main Road
TOWN CLERK ; y Z P.O. Box 1179
‘4. n� 1 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O
�
MARRIAGE OFFICER
:�y* 0' Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER � * . ,1�� Telephone (516) 765-1800
�
FREEDOM OF INFORMATION OFFICER •��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1556 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MOHRING ENTERPRISES
Address 1 : 338 GLEN HEAD ROAD
City St Zip GLEN HEAD NY 11545
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-94-144
Name Of Owner MOHRING ENTERPRISES
Mailing Address 1 338 GLEN HEAD ROAD
City St Zip GLEN HEAD NY 11545
Property Address 1 KIMBERLY LANE (LOT 10)
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 13 lot 20.010
Cross Street NORTH BAYVIEW ROAD
Building Permit Number Cross Reference:
Issue Date: 10/08/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
, /_S-- --- ,
••_.os ,�co
*IN
�
JUDITH T.TERRY �ts_r I`� Town Hall, 53095 Main Road
TOWN CLERK ; y - Q P.O. Box 1179
i*► i Southold,New York 11971 _
REGISTRAR OF VITAL STATISTICS `may l���1, Fax(516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER N. W0? alg * se.. Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER , ri•o
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 4, 1996
Transmitted herewith is a copy of application No. 1622 for a Cesspool/
Septic Tank Construction Permit submitted by:
Mohrinq Enterprises
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 recommendations:
APPROVE �-- ---
DISAPPROVE L` �
Comments: ,Plf^' C , 14 % - y V'/41 `
i
RECEIVED
Signature
OCT 71996 /0/V/9‘- `
9�
Dated
Southold Town Clerk
+4
OFFICE OF THE TOWN CLERK ,-f,,
Town of Southold ` '
Application No. /6
Judith T. Terry, Town Clerk 4. ,
Town Hall, 53095 Main Road ; Construction L-
P. O. Box 1179
Alteration
Southold, New York 11971
$10.00 -Residential �--�
Telephone ,•"
(516) 765-1801 * , 'I $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCT ION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
APPLICANT NAME: ` it 47ec �Gl
APPLICANT ADDRESS: Jfc' 1/c-cci ,2d
SEPTIC iCESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /-PCc/
7Z5G4i( -/ circ(i e ` 7
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: aAd /- J C L-GT
OWNER MAILING ADDRESS: 17J C/rot (/ c/ 72c
.4./J4- -- `7 V //3 15
OWNER PROPERTY ADDRESS: frt. ( t--\ 'fr (? x 4 Gi f i—z it 0
TELEPHONE NUMBER OF CONTACT PERSON: ( 7/-0yhF/
TAX MAP NO. : Section 76 Block /7 Lot Z G
CROSS STREET: p GI/ / 1470r° (C.,c./ (-
BUILDING PERMIT NUMBER CROSS REFERENCE:
S;'nature •rfApplicant
RECEIVED BY: AZ
Town Clerk's O
DATE: /o -- x -76
le •
The locations o%w.Is and ce pools shown hereon we from field NOTE' LOT NUMBERS REFER TO "MAP OF PARADISE BY THE BAY"
obaerJations and or from data obtained from others.' FILED NOV. 4, 1976 FILE NO. 6463 A T THE OFFICE OF THE
ROXA NNE SUFFOLK COUNTY CLERK.
RO,q D The water supply and sewage disposal
systems for this residence will conform
tl = to the standards of The Suffolk County
�° WeLL EASEMEI 0
0 1 Department of Health Services.
(76 FiiF
1
O• 1 Sarlif7Ty sf.is ( : !
Nn1. QeIN`116 y . ` pl�c �1�.irtl lE�r dr s etv4sy 4 el.
VA-::---c �to
-QPtleen\esti- , �t9;„.....4..,,,......-.....---.....-------........._
ko V,0p\s `�� N 8.9 I LIJ
• 10"1105$'9°° *.'1'' '
Old
cmc .b
•V ID
/ 11 / ��Q(' ^ i'.
j •1.79 ,'•,}
,
,.\/e.. //7/` . 16'
tr
r /fns'-'``P
AREA TO n•
f.W'w vi ITS
9
RoEAND°A "A"E' p$ / el SURVEY OF
8.5
� —
\ \ \
4' ;= 3 PROPERTY
AT SOUTHOLD
TOWN OF SOUTHOLD
, /Q) .° 1 -"CA
f SUFFOLK COUNTY, N. Y.
fi\ '
� ��i \ 1000 - 70 - 13 - 20. 10
>i( a� �, Scale 1" = 40'
�, R�� P. y Nov. 7, 1988
3 �� � v DEC. 1 , - 198V ( 13 QH: )
n ° \ ti \ A.
a •en �•- 7
a J
n
-0 J E 0.6
s tt
tr ` /J`�.0/ .8.8
Va
9
PO ,,,o$.---'-----'
i:41.42(
vI
> un X000 • 11:11 /v1N�oPiv4/------
-� •'1 �-
-
Q co S no," S Og10
•18 4'0 I r �Q
20', • �/ / / 2
Com "
,49' `/ / r
\ 4 --------<
/V ':n':.:,.;
1-- A A „y) ''.`,, ' § !10
.8s4' 47 Lib /-
0 4f.: /41/
fiSS '. „,.,
4,:, w.4
Z e / le
to �..
t La
ti / v
�h' �O � �o�G�.. a Y a
z
• /�11. ,g�nfc ,,�0 �A��S� ..,
g . 90 0 `1+
/�j CERTIFIED TO,
/ COMMONWEALTH LAND TITLE
CE COMPANY
c4�N.(A - •RK BANK AND TRUST
ELEVATIONS ARE REFERENCED / . . 01. ME., 'r/‘`
TO N G V D. U Q tis I-1
/` r'' N. .S. L1C. NO. 496/8
Prepared In accordance With the minimum WELL TO BE LOCATED ON WELL EASEMENT 'lM ` ,_!, *
standards for iliie surveys as established AS NOTED ON PILED MAP OF SUBDIVISION. i 1"t1e if/'j••S, P.C. '
by the L.I.A.L.S. and approved and adopted
for such use by The N.e York Slane Lend (5 :�j T ..-:, . ia
Till. Association. P. a�9,0`
=
AREA = 44,758sq.ft. /, !,e /,.;,e. MAIN • !'
SOUTHOLD, N.Y. 11971
RR — R75