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HomeMy WebLinkAboutBoucher, Real • s `� �,1 Town Hall, 53095 Main Road �O �- �� P.O. Box 1179 _' O �, ���e�� Southold, New York 11971 JUDITH T.TERRY —1..T i'o�i TELEPHONEF (516)765-1823 765-1801 TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 449 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : BOUCHER, REAL AND DOROTHY Address 1 : 35 HARP LANE City St Zip SAYVILLE NY 11782 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES' 1/13/88. NOTE: STRICTLY ADHERE TO THE 24" ABOVE GROUNDWATER Name Of Owner BOUCHER, REAL AND DOROTHY Mailing Address 1 35 HARP LANE City St Zip SAYVILLE NY 11782 Property Address 1 SECOND AVENUE City St Zip PECONIC NY 11958 Tax Map No. section 67.00 block 2 lot 16.000 Cross Street MILL LANE Building Permit Number Cross Reference: Issue Date: 1/05/89 Judith T. Terry Southold Town Clerk (TOWN SEAL) v' • co)qvQ 41. Ceee 2: t to' t ., F. ' ; Town Hall, 53095 Main Road 0� !�- ���� P.O. Box 1179 °��1 4. `O,," Southold, New York 11971 II JUDITH T.TERRY � �,i�a TELEPHONE TOWN CLERK (516) 765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Victor Lessard, Southold Town Building Department From: Linda Cooper, Southold Town Clerk's Office Dated: December 29, 1988 Transmitted herewith is a copy of application No. 456 for a Cesspool/ Septic Tank Construction Permit submitted by: Real F. Dorothy Boucher _ • 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 J� DISAPPROVE Comments: w ��ss,�,�� LN, C_ -y7 V L\`4 ck f f a., w, � l'AI) • S1 0x. �'t o 0 �,,� . 411 \r:cf et& Signature -301c1.1 Dated . t t oo OFFICE OF THE TOWN CLERK 4C fFili. '� Judith T. Terry,Town of thold Town Clerk ��>� © ' Application No. `j 6 Town Hall, 53095 Main Road ( ', Construction k P. O. Box 1179 Alteration Southold, New York 11971 �- Telephone Residential v" (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ 1Q OGD DATE 2 7 /a' ' APPLICANT NAME: 42A'el <747acdiA".f /9o40424/9/ 160 chi.h-if APPLICANT ADDRESS: ic 61,,5,x, ,2. �'•Qi1 �ey. - ?2 !/.78 9 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ,vj;w 1E" LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: 467,,e4944-A2 ' 4' - 600U.v.pt7 OWNER MAILING ADDRESS: .3f fy,e,er, A //7FF OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: c54;7_ie2-y TAX MAP NO. : Section 1 !, Block 2. Lot /,‘ CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE:. Signature of Applicant RECEIVED BY: j� Q , // ow C 'r s •ffice DATE: /09/cIf eff `A 1 i_..L. , • tT r, - C'r'`C:::i(ti'N;.:} 1I TZE>ipF 4 1 1 1 frA r ii s 1- I) �- C)" ' �Alt ` ,`` / ( ! t '. , / , 1 I t, CJr x.,t I ! i C L. :1�cap'S. .1' 1. r I k. .= . \NAL... 1 i $ _ • t i is c ` ' r .,� ,, --^' L'r7-5 '_ ,U4-( 1 <3.7-5,-,-to3 1 tt i d. • Lf t { r �►-,► I / lx % i / to 1.` PCt F o P'�^Q c 1 , ! SLLAWS 1 ; .----is SIT SIT �t z $ Ilii I.E . y_.. _1 .... r.f_ _ ___. �_ — t I 'F !I! -rLit"1t•t A n c' t WUut.-4= 1 f • 7._____,,' t SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. j F P r2oPP 12 T Y • _ . !, ,fEYEG 'POI,: . - -rm A r--;T I\ 1 r-- r—-. .f---- ii ' t - \1 iw....- (...�. ,,,' — STATEMENT OF INTENT _ THE WATER SUPPLY AND SEWAGE DISPOSAL +' .:f'..IC. SYSTEMS FOR THIS RESIDENCE WILL `. t ,- CONFORM TO THE STANDARDS OF THE .i L i Y, _'-' "' -• -- SUFFOLK CO. DEPT. OF HEALTH SERVICES (5) A APPLICANT -1 \ / SUFFOLK COUNTY DEPT OF Hil ALT,- .;EF- `✓ ICE ` ;, ' ` j CONSTRUCTION Oi':LJAN 1 31988 / v t1 f,, DATE: ! H. S. REF. NO.: „I - ' i„ APPROVED: �trA.. A // 4 %/ , a SUFFOLK CO. TAX MAP DE IGNAT,ION: // SAL_ 'f DIST. SECT. BLOCK PCL. ,,,,,,, ,'i -7-AC:E A.=Z a.:-,h..5:Y_ FO 7. rev C) PJP .. OWNERS ADDRESS` r i� CE55P00 . rc QE. ►LT`tfir .. GI2EENFQI2TrNY11 . f="V1NTiQMS ZEFElz„T ::H I. S'eA LEve..( 5G.V.0) DEED: L..KVA.. _ Pi., .: . ;,PE,,MISES IN7F7COop. E$-7(ELI r)PEZ:955 F.I.Q.f{, TEST HOLE"! ,,r.e•-:frri i... 'o:1,:s airway is a violation of . :, smn 77.00 of tho New York Stittte ":?taction Lew. 'i1 f 20' '_____ --—I t.OAMtir' raaia�c:Mk-swv^y rata n^t hleri;,-; 'T i ;35;''-i 7 h 1:47.6 surveyor's intrad soot or r=,.', --_ --._— o-,tx.r:ae.seal shell rnr is considers,: _ y __ 1:-.--::::::1__ I____:_. Ti:c f si:ic,; tsuarsnum in,t:catort.herNtn t�fir l rue: 4r E G 4 % M.2-' i tj :%r'4Y to the Immo f, wham the turvr. 1 6•:: 4 4.2 6 . I r Crlr WATET2 i t,..', +r D lersd. •_n s behalf to the E C?'v - .G ISi-1 l d , 'W'A?F::. ,-` tri e r ur„nnv.go r►mm I chancy v _1 i- _ - _ _ _ i _ 1 _ r•• Ca}AFc . ,nvti?�i�„lirksid.-her..‘er.lend f L) ' , c Sas+y'lao of tt� dm irwti- :f 1-1E.-AN C \'L,L O.0 _ .s '1�ant pynaterun, VJATEL'e 11.4 ,, t'n^ s uhsrquen _. WALL a C1AYEY ' ,::s!.`'„')'..., ,V G) t. ; � �' CeA)Cfaca 1 :3 t � .. ; �• ti rz,,. Of NEW I I - _- •Ci' 6K Vp ,„d, (� % rpt 4tif.t'4t G� * RODERIfCK VAN TU.XL, P.C. ''' 40' .E _ ��_„(A„ ON- ° C S 256ry�1�'r LICENSED LAND SURVEYORS SFbLAN05J GREENPORT NEW YORK 1. I