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Home My WebLink AboutHuminsky, Tamara SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3944 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : DENISE HEYSE Address 1: 206 LINCOLN ST City St Zip RIVERHEAD NY 11901 Descripton of Proposed Construction or Alteration ADDITION TO EXISTING SYSTEM APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. Name Of Owner TAMARA HUBINSKY & ADAM BREMNER Mailing Address 1 440 WEST 23RD ST APT 1 City St Zip NEW YORK NY 10011 Property Address 1 1350 ROBINSON LN City St Zip PECONIC NY 11958 Tax Map No. section 98.00 block 4 lot 28.001 Cross Street INDIAN NECK LANE Building Permit Number Cross Reference: Issue Date: 1/16/15 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) a . ��,0%pF SOli ELIZABETH A.NEVILLE,RMC,CMC 1�� A. l0 Town Hall, 53095 Main Road TOWN CLERK 1 lig Jilt Z P.O. Box 1179 c, br t Southold,New York 11971 REGISTRAR OF VITAL STATISTICS % � MARRIAGE OFFICER k -� Fax Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ;,-foil �,I' Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER OUNT`I, southoldtown.northfork.net i... •"' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Carol Hydell, Southold Town Clerk's Office DATED: April 22, 2010 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 3944 for a Cesspool/Septic Tank Construction Permit submitted by: Denise Heyse for Hubinsky& Brenner . Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. Carol Hydell * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: , ay/Arita / /1(PP 5 APPROVE DISAPPROVE Comments: Final approval required from the Suffolk County Health Department Signature 0 aes -O(a Dated * 60; �, Sc�-j-.D Sf4m . • f'=?r Phone: 631-369-3886 Fax: 631-423-1594 PO Box 481 West Middle Road Calverton,New York 11933 4-9-10 Tomara Hubinsky/Bremner Job-1350 RobinsonLane 440 West 23rd St# I Peconic,NY New York NY 10011 For records this will serve as a certification of your subsurface septic system. After viewing Your property and using my electronic under ground void locator , we uncovered your septic System. Below is what is there with a sketch of its location. SEPTIC TANK Precast 1500 gallon with baffle wall LEACHING POOLS 4 8 2 precast pools each 8' diameter x 8 foot depth, 2 fZ tcbr'.13Sa r^.�,ti LIY A- Lau 50 361/z_ Csj< Pool CONSUMERS AFFAIRS LICENSE 32546LW and 15-446HI , f, Y9 , V . . ELIZABETH A.NEVILLE ': �I''+`t`� Town Hall,63096 Main R,ot TOWN CLERK • 1 ;.,, _ P.O. Box 1179 _ RE4ISTRAR OF VITAL STATISTICS � � fi . Southold,New York 11971 MARRIAGE OFFICER Fax(681) 766-8146 RECORDS MANAGEMENT OFFICER #?f� to. ill Telephone(631)786-1800 FREEDOM OF INFORMATION OFFICER = .1 4 X44 , sou tholdtown.northfork.ne , OFFICE OF THE TOWN CLERK .._ TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential $10 V or Non-Residential $25 Application No.3 11 @ @ Pp Permit No. Applicant Name bri, y e It(7' FL 72 7- 717 3 Applicant Mailing Address 2 Q ( L, p1 c o lit S t g, : vt-r- hetki Ail /l4 0 ! Septic Tank. or Cesspool ,// Brief Description of Proposed Construction or Alteration A)( 5-t, f, L... � `Location of Proposed Construction/Alteration: 1 (1 4 AA ; 4 /) Owner of Property:m: -�� r- �-A J h . .lsL rjN .'1 L r— t- Owner Mailing Address: 14 L/ 0 tnie V 2- 3 '8 s----E A-, t' ( /V i _IVT / Dei / '4") Owner Property Address: 13 `J 0 2 d b,`,1 S I 1 I k Pi .� PeLUn ;rc..._ / i Name and phone number of contact person Tax Map No: Section q ' Block Li Lot 2 5 . I Cross Street 2l2a!r, t .k4 Ck _Ix NOTE: LOCATION MAP MU BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES S Y WITH HEALTH DEPARTMENT APPROVAL r C--/ .V;(1 Signaturscant Date Received by: January 20, 2015 Denise Heyse 206 Lincoln St Riverhead, NY 11901 RE: 98.-4-28.1 Dear Sir/Madam: Enclosed herewith is the Construction, Alteration or Modification Permit for a Septic Tank/Cesspool System for which you applied. AFTER the system is installed but prior to being used, an OPERATION PERMIT IS REQUIRED. The operation Permit is issued by the Southold Town Clerk's Office. The fee is Ten Dollars ($10.00) for a residential system and twenty-five dollars ($25.00) for a non- residential system. Your check should be made payable to the "Southold Town Clerk". An application form is enclosed. Please complete the requested information and return the application, proper fee, and LOCATION MAP (map must indicate the location of the cesspool(s)/septic tank(s), giving approximate distances in feet from any buildings to the pools and distances between the pools. Should you have any questions concerning this matter, please do not hesitate to contact this office. Very truly yours, Sabrina Born Clerk Typist Enclosures • • • Born, Sabrina From: Bunch, Connie Sent: Thursday,January 15, 2015 3:20 PM To: Born, Sabrina Subject: Cess Pool Permits Permit#'s 3947, 3929 and 3944 were all issued final Health Dept. approvals.There were no copies of the permits in our files. Permits#5 3927, 3926 and 3922 are not here and they did not take out any building permits. Connie 1