HomeMy WebLinkAboutBlum, Reynold r 1 G `'D
JUDITH T. TERRY F► V Town Hall, 53095 Main Road
P.O. Box 1179
TOWN CLERK O T
REGISTRAR OF VITAL STATISTICS s Southold, New York 11971 Fax (516) 765-1823
MARRIAGE OFFICER � 0 Fax Telephone (516) 765-1801
7
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 32 N Residential Non-Residential X
Fee $ 25.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC BAY VINEYARDS, INC.
Address 1 : BOX 709
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
INSTALL A LARGER CESSPOOL SYSTEM TO REPLACE, IN A NEW LOCATION, EXIST-
ING SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 10/22/91 .
Name Of Owner BLUM, REYNOLD
Mailing Address 1 BOX 709
City St Zip CUTCHOGUE NY 11935
Property Address 1 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 103.00 block 1 lot 19.011
Cross Street STILLWATER AVENUE
Building Permit Number Cross Reference:
Issue Date: 3/19/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
/I, -►-
. 0.0c0FOLA-e; , Aiii °
JUDITH T. TERRY 1-"' Town Hall, 53095 Main Road
TOWN CLERK p mil P.O. BOX 1179
REGISTRAR OF VITAL STATISTICS .is � Southold, New York 11971
V� �� Fax (516) 765-1823
MARRIAGE OFFICER Q� %)0.-
`�'
j� (�(� _ _ 1�0 •,Nc, � Fax
(516) 765-1801
_ 01
D .„...„,v,,,,,
MAR 17 1992 OFFICE OF THE TOWN CLERK
L 7 ,
TOWN OF SOUTHOLD
TOWN OF 6'(::u"1 HO March 17, 1992
To: Southold Town Code Enforcement Officer
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A834 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Bay Vineyards Inc. .
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 this office.
Thank you.
iT ,c�Ge c�
Linda`i7J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - X iiketto
DISAPPROVE - Ijg1l Q
C
,COMMENTS: p,a I. . Cc-Cita cry! ato4Cotdti4J1„ Ilifit
,
Ci.vrOteAA, � � Ata nnel * .fa
a I o\ Z.z.\c‘N
\((t.AA. C:Der.4.4-41.
Signature
Arl\t‘ a—
Date
.
OFFICE OF THE TOWN CLERK ,,,'"',
Town of Southold �F��
`."%CLK i -- Application No. e3cy
Judith T. Terry, Town Clerk �0
Town Hall, 53095 Main Road Z <; ConstructionLy
P. 0. Box 1179 le '
Southold, New York 11971 stets •3/47Alteration
Telephone Y.0 .Qri�, $10.00 - Residential
(516) 765-1801 _ �! l �' •
$25.00 - Non-Residential `---��
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ eR5s-"
DATE SIR.tCI' 1 7, /7 2--
APPLICANT
q -APPLICANT NAME: be ,d/c 14•f- ✓/�Cf2 =,,c
APPLICANT ADDRESS: Qin 7 , r,(,)/ Aa i.e
C �c,A ,--,c Su ' % I/�3S
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/J s%4 Cc L 4 2 6 4:74 SYS 7-0' r i 9(--
0-Ctate.--)._0- (40 ,e-0,_zi,.7 id,,,c27_,....„
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ,eryr- 1-2 $L c./1
OWNER MAILING ADDRESS: lax 7.7 ',i.'ir-) /a,4.3
OWNER PROPERTY ADDRESS: ( ,e,,,.
TELEPHONE NUMBER OF CONTACT PERSON: . /6 73 7J "
TAX MAP NO. : Section /D 3 Block / Lot / ` , //
CROSS STREET: -x_te,Wa ( _
BUILDING PERMIT NUMBER CROSS REFERENCE:
-..-‘ 4°-'---/---t---
7 ignature of Applicant
RECEIVED BY: 4, / � �,Q,r,,�
Town ffiice •
DATE: __
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li i SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
APPROVED FOR CONSTRUCTION ONLY r, r.
H.S.REF.NO. c''°--90 -oi?c FLOW - "2/ "
TYPE --4-7A •
This approval is g ,
ra•'e4 for ti!. coastruction.of the sanitary %
disr l.el and wat:•r • •-;4 s ••rsuant to Articles VB and
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\ APPROVED FOR CONSTRUCTION ONLY
// H.S.REF.NO. c/o-90 -0/7G FLOW ,4 a/
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• disre.e!and x•.iter ;;v',c;,•, i,i suanttoArticlesVBand
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DATE ) SIGNATURE cr r53-1
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_lazy Code Articles 7 and 12,i_Z• Reynold Blt]t9, , 0/ 'N r./ Protect No
:ot be any industrial wastes or other Ts. : • O
-rom the building and there w 11 be no
:red at the site unless specif is permits or ) v\•::......
,;'•'" \ Drawn By. `I j
to those Articles. ! \ \
!s'� Da _ °• SITE — Checked By: t�S
„� ask to // F0
EAST
• °+yp CUTCHOGUE Date: I I /21 /90
tI V
n.nMI
4..4, ••, ; Scale:
�, AS SI-lOI..I n.l
er - pRi694 � '.'� I
'eenah Foundry or \ •
cu c• E �f �] •• Sheet Title:
painted black. p
c.ts to be as per Carlso7 Precast P �� p'
h the following materia' specs: / 104- 0. a" •• `-tcx� .�•" i. SITE
4000 Sip28 days Lf., .. = w� � PLAN
ASTM - 150 4... -- - -- ;. • iz DATA
tes ASTM : - 33 /� 111 N c•�
Pure �\=
notable r(tr. �' `
o•.,., a .•-•,,,,....
�.
ASTM A -615 Grade 40 «•• got Cc.
1 `"^ .
Wire Fabrics ASTM A -185 ` Sheet NO:
!rill-,, '4'4 CUTCHOGUE
thing pools, catch basins, and fresh _y, HARBOR
onform with Suffolk County Dept. of i4wC«.
b •a'
_andards. • '• f'�! 8Qa i
•
SP- 1
rerenced to N.G.V. Gatun NEW.SUFFOLK
existing wells and cesspools shown LOCATION MAP
field observations anc or from data
irs.