HomeMy WebLinkAboutBoger, Scott 1
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JUDITH T.TERRY ?I i TELEPHONI:
To\,'N CI PRh (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 31 , 1987
Scott Boger
Willow Point Road
Southold, New York 11971
Re: Lighthouse Road
Southold, New York
Enclosed herewith is the Construction, Alteration or Modification
Permit for a Septic Tank or Cesspool System for which you applied.
Please be advised that each owner of real property operating an
on-site sewage disposal system, such as a septic tank or cesspool must,
prior to such operation, possess in the name of the owner an Operation
Permit for the system. The Operation Permit is issued by the Town
Clerk's Office.
The fee for an Operation Permit is ten dollars ($10. 00) for
residential use and twenty-five dollars ($25.00) for non-residential.
Please have the owner complete the enclosed Application for an Operation
Permit and return it to this office along with the proper fee.
For your general information I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by the Southold
Town Board. Should you have any questions pertaining to either permits
or the Scavenger Waste Laws, please do not hesitate to contact this
office. We will be glad to assist you in any way possible.
Very truly yours,
0101.14144 immotdlgiIr....
Judith T. Terry
Southold Town Clerk
Enclosures (3)
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OFFICE OF THE TOWN CLERK S�FFO1',0/A-
e,
of Southold .N OG
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
P. 0. Box 1179 gE4
Southold, New York 11971 O 0���
Telephone OI t ��. I
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 133 Residential x
Non-Residential
Fee $ 10.00
Septic ,Cesspool x
PERMIT ISSUED TO:
NAME: SCOTT BOGER
ADDRESS: Willow Point Road
Southold. New York 11971
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION •
New Single Family Dwelling
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Scott Boger
OWNER MAILING ADDRESS: Willow Point Road
Southold. New York 11971
OWNER PROPERTY ADDRESS: Lighthouse Road
Southold, New York •
TAX MAP NO. : Section 50 Block 5 _Lot R
CROSS STREET: Soundview Avenue
BUILDING PERMIT NUMBER CROSS REFERENCE: Unknown
Judith T. Ter�G
Southold Town Clerk
DATE: March 31 , 1987
(TOWNSEAL)
OFFICE `O 7`, E TOWN CLERK _
To Southold
Application No.
Judith T Terry, Town Clerk
Town Hath` 53095 Main Road Construction
P. O. Box 1179
Southold, New York 11971 Alteration
Tele hone Residential ,t/
P
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No.
i
Fee .$ /6
DATE A4l // /8
APPLICANT NAME: SCC1// 6060
APPLICANT ADDRESS: `4✓/LLO/V ,LtlAf 'OM
S`OV n44f At,V //9,1/
SEPTIC J CESSPOOL Y
DESCRIPTION// OF PROPOSED CONSTRUCTION OR ALTERATION
/lEW ilet'sE
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: c5C L"/✓ 6066.".
OWNER MAILING ADDRESS: `i//L-L-L!W AVV[ /?D4b
SO1/7/tom; AO/ //17/
OWNER PROPERTY ADDRESS: Li6,44TNaiSi /rj o4L
TELEPHONE NUMBER OF CONTACT PERSON: 765-/Obil/
TAX MAP NO. : Section CO Block . Lot 8
CROSS STREET: L/6,-j /!MUSE 4b40
BUILDING PERMIT NUMBER CROSS REFERENCE:
0
Signaturi!•fIN pPlicant
RECEIVED BY:� �WZc-t « 0-6, —
Town Ierk's fice
DATE: J1',____2.2 /i 2
ti
• SUFFOLK CO. HEALTH DEPT. APPROVAL
" H S. NO. -._..__,_._.
_ STATEMENT OF Iii II 14 T
THE WATER SUPPLY AND SEW (',E DISPOSAL
-- "-" -r ; ) SYSTEMS FOR THIS RPAW-NCE WILL
_« CONFORM TO THE STANDA I<US Of THE
-- SUFFOLK CO DEPT OF HEALTH SERVICES.
_.;. (S)
APPLICANT ..
SUFFOLK COUN f Y DEPT. OF HEALTH
SERV ICES - FOR APPROVAL OF
CONSTRUCTION ONLY
/\ t
S DATE: gyp- 5--30-&-
All
k H. S. REF. NO.: D 5 ' ._• ••■.r•••"_
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APPROVED:
////\ \''; / S1NGLE FAMILY DWEI I JN. 0 7
i 0f SUFFOLK CO. TAX MAP DESIGNATION:_
/
c.v r DIST. SECT. BLOCK PCL.
U" 10 50 5 _. S .
�V i
v OWNERS ADDRESS:
WILO`t,T POINT2:.).
,/
//
s sourHOLD N.Y. H971
/ / 7651084
// DEED: L.7063 P.24..{1.C►.Z F:F
/ T STAMP
I EXCAVATION INSPECTIN1RFD n
U atnharized alteration or additbn
`�'`T..."'1/4.1— c-.._ ;�.. +
'______ to this survey is a violation of
i\ c_=ii\ ."". + —' Section 720°of the New York State
_,.._ _:. __ _ •_ - -,-.per i--,..."
.. Education Law.
i; ` • I' Cot'ies of this survey map not bearing
the land surveyor's Inked seat or
embossed seal shall not be considered
SAN G'Y, to be a valid true copy.
LOAM t Guarantees indicated hereon sh ft run
•
( A`/ only to the person for whom the survey
is prepared.and on his behalf to the
�„ title company,governmental agency end
/2 lending institution listed hereon and
to the assignees of the lending inti- •
tution.Guarantees are not transferable
aAt4l ' 4 to additions'institutions or subsequent
.n j`/ i,-ors .
CIZA�Y EL
• SEAL
UA,2ANT L SEC I Ty T 1"�"L,e:vi • ,.
. UAc ANir'' CO,V TRE IaOr 'rw MeV._ r
SANDY � r ,<
..�N. Tr uST Co.. -':._AS st.J ey eye 0` APQ 9 1
RODERICK VAN Alit_ P.C.`___ _ HVY.G2AVEL �'
LICENSED LAND SURVE ORS i
GREENPORT ' NEW YORK I
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TELEDYNE POST N41636
I, SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
CASH RECEIPT
RECE.'VED / 7�7
FOR AMOUNT Ca 6 - 3 DATE , / y 19 Y✓
NAME U"i�, ��i CI c_. CENTER PROVIDING SERVICE rr
REFERENCE NO. S U Co Y
❑ =PAYMENT FOR PREVIOUS SERVICE ���� t��-- G�
FRO r Z «, / /` I� j
,' NAME •
❑ HEALTH CENTER 0 HHS 0 MH CENTER
.rrENVIRONMENTAL 0 DA 0 TB
A,,.RESS
/' . IN R r ^PHCP 0 FP ❑ OPR I.P.H.
STAT ZIP CODE
FORM OF PAYMENT OTHER
❑ CERTIFIED CHECK ❑ CASH
CHECK RECD.
X
COPY 1 PAYER COPY 2 ADMINISTRATION COPY 3 PAYEE ai--r ,C
BY
Sources of Lead Concentrations in Drinking Water Systems
. Use of lead solder in new plumbing or in plumbing modifications to existing water supply piping.
. Lead is not a naturally occurring element in Long Island groundwater.
Occurrences
. Lead is present in drinking water as a product of corrosion. The natural corrosiveness of Long Island
groundwaters contributes to this process. Most public water supplies in Suffolk provide chemical
treatment to increase the water's natural pH, and minimize corrosion products, but no amount of
treatment can produce a totally non-corrosive water.
. Studies indicate that after prolonged periods of water non-use, lead concentrations can be found in
excess of Drinking Water Standards. This problem appears to be limited to newly installed internal
water piping systems, or recently modified systems, in which lead-based solder is used.
. Lead is rarely detected in routine water supply surveillance. This fact is seen as indicating that, at a
particular location plumbed with lead solder,this problem will diminish with time.The New York State
Health Department concurs with this evaluation.
Health Considerations
. Lead is a compound which is accumulated in the body. Human intake can be expected to occur
through many environmental sources, including water.
Recommended Action
In order to minimize lead occurences, the following steps are recommended:
. Particularly in new or recently modified plumbing systems, users should be encouraged to flush the
water line for a period of at least two minutes prior to consumptive water use. This is particularly
necessary after prolonged water non-use, such as the overnight period.
COUNTY CENTER
RIVERHEAD,N.Y.11901 18-1115:6/83