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HomeMy WebLinkAboutOhl, Clifford (2) 4 SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3504 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : CLIFFORD OHL Address 1: 216 KENSINGTON RD City St Zip LYNBROOK NY 11563 Descripton of Proposed Construction or Alteration 2 NEW POOLS AND WILL CONNECT TO TOWN WATER FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT Name Of Owner CLIFFORD OHL Mailing Address 1 216 KENSINGTON RD City St Zip LYNBROOK NY 11563 Property Address 1 1330 FLEETWOOD RD City St Zip CUTCHOGUE NY 11935 Tax Map No. section 137.00 block 5 lot 900 Cross Street Building Permit Number Cross Reference: Issue Date: 2/22/07 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ,„I//�.- ��,0"� S0(/lg,� 11 ELIZABETH A. NEVILLE • ,`O l0 y Town Hall, 53095 Main Road TOWN CLERK .IL �; P.O. Box 1179 T Southold, New York 11971 REGISTRAR OF VITAL STATISTICS y MARRIAGE OFFICER ; G O� ',� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER %. c i, t* 01 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER . CQO y,N OU , 00" OFFICE southoldtown.northfork.net OFFICE OF THE TOWN CLERK FEB " 6 TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Francesca Quintieri, Southold Town Clerk's Office DATED: Transmitted herewith is a copy of application No. 3650 for a Cesspool/Septic Tank Construction or Alteration Permit submitted by: Clifford Ohl (Sent previously on 11-22-06) 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. Francesca Quintieri * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE ` Comments: ./ .,„2eZe .440reee .‘ammilir -411111.: ' Signature o;- © G A Dated 4%, gQf Fot,� c; ELIZABETH A.NEVILLE - 1141;;`Z` Yfi Town Hall,53095 Main Roar TOWN CLERK -:.. - P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER � Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER � �fo ` �`',il11Telephone (631)7654800 FREEDOM OF INFORMATION OFFICER - '�I ,,,Ir. southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10 .i' or Non-Residential @$25 Applicatio ► •. %sem' 1. Permit 0.350_9 Applicant Name (2/i'1 iod ah Applicant Mailing Address 2/6 1<e—i y ( kt.3r. 6,L-1 ��C j i '7 //x63 Septic Tank,/ or Cesspool Brief Description of Proposed Construction or Alteration? !t' w.'foots cr41/;/l LUPI 1/Pe Cr. to 7nw� (.4,1g — Location of Proposed Construction/Alteration: Owner of Property: C/i {'-L0ryi i2 Owner Mailing Address: -21 i.s'rd fop-) Rd.J L y Lif// ()t I(/T/y _ 1/sly Owner Property Address: f 3 3 ) Fl -6 f- 1 iq®jct C(-11t.�7(4....e_ phone number of contact C' ' _8-,Y _� L Name andi person1��fw���t �/Z'�-/�-4yoz. Tax Map No: Section f S-7 Block Lot CR Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL �t� fr / l Signature of4$plic t Date Received Y cK / .eli 1,1 IIo '1 4 N q s 0 22 �t9 BROKEN , / SURVEY OF PROPERTY �M. �c x AT O.t.$ s O/L E/W. S ��'.3? 30� ei well • 01/ CUTCHOGUE gO0,i 'd�6 ce 0 Q. F �°��O, TOWN OF SOUTHOLD W w X °�' SUFFOLK COUNTY, N .Y. Q +'' ) /rO,. 1000 - 137 - 05 - 09 I ° '9 SCALE I11 = 40' o c d r`h ., /, so, MAY 3, 2006 0 6 P' 3 • / - ____----- Jd /5.4 • .,/ 3i� ����� Rtl:CES i ` ,ra,' .t / F�3' _ Q ; tip? 70 { _3 y sT Ki •P\ I[1 L. 4 6 O 4.0 26.1 FLA' v:. r O _- - �� _ IO.t 0 ,i 0 _ `18.1 8.OQty2STy. 12 N. a I \ co .! FR.HSE.\ IO!' _ t , , -1fN)0—0 b--op_9 Z 0 �' a 13.4 0 _ 89.9' LI] 3 N C.P. < 138. '� eWs Z OUT c• M 20.3. comaQJ Q r o �_r ( d HOUSE ao a FR R — —�•CM. 7 BROKEcm.N Cl) v EL 34.8 , "B.T' O/L NW 4 2.0 N. C S.83 /s .. . 51177::/o150 0 IIw. 12 4. 75 1� 34.4 1 Et: 32.1 0.1 N /0/p �ANp Op awe/hn HANSEN 3 (P b/, wafcr) 1 1 0 / am familiar with the STANDARDS FOR APPROVAL 0 AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions se/ forth therein and on the permit to construct. LU NEW SEPTIC SYSTEM i LU ( 3 BEDROOM HOUSE) LL - �, i .OF NEIVy I- 1000 GAL PRECAST SEPTIC TANK. g �xxT.ME7 \cf. I - LEACHING POOL 8'0 x 12 FEET DEEP The •locations of wells and cesspools .a, ` �� shown hereon ore from field observations fir �+1 P� ter►';; EXISTING CPs. TO BE FILLED IN OR REMOVED and or from data obtained from others. 11 Wil-k4 11 1 _ area = 15 , 854 sq.ft. r , ___� `aa;: 9618 ECONIC SUR • '' - 0$ (63/) 76 - 50 .' 'r ,�-s. " .. - 1797 P. 0. BOX 909 ELEVATIONS ARE REFERENCED TO NGVD. 1230 TRAVELER STREET SOUTHOLD, N.Y. 11971 1