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HomeMy WebLinkAboutDumblis, John JUDITH T. TERRY �� yL Town Hall, 53095 Main Road TOWN CLERK = i P.O. Box 1179 REGISTRAR OF VITAL STATISTICS T Southold, New York 11971 MARRIAGE OFFICER ' 4�, Fax (516) 765-1823 ��'��. Telephone (516) 765-1801 lit 1";0'., '. OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 705 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : LYNCH HOMES, INC. Address 1 : 1725 ROUTE 58 City St Zip RIVERHEAD NY 11901 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 ON 4/1/91 . Name Of Owner DUMBLIS, JOHN P. Mailing Address 1 238-10 115 TERRACE City St Zip ELMONT NY 11003 Property Address 1 HOME PIKE City St Zip MATTITUCK NY 11952 Tax Map No. section 114.00 block 1 lot 5.002 Cross Street SILKWORTH ROAD Building Permit Number Cross Reference: Issue Date: 5/08/91 Judith T. Terry Southold Town Clerk (TOWN SEAL) • / r a �`7 Town Hall, 53095 Main Road '_ .. '-`'� Ayr P.O. Box 1179 ; ^'% ry Southold, New York 11971 -- i , J•_ JUDITH T.TERRY ,.=,f..;.= TELEPHONE TOWN CLERK (516) 765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Southold Town Code Enforcement Officer From: Linda Cooper, Southold Town Clerk's Office Dated: May 1, 1991 Transmitted herewith is a copy of application No. 724 for a Cesspool/ Septic Tank Construction Permit submitted by: Lynch Homes. Inc. for John P. Dumblis . 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 x DISAPPROVE Comments: . c3-.. .rcgckte.51, '4 ‘111,A.A.,INLA_ Li 1, •iA.. sit• o-,1 `-‘\1\ 1 \CA:a..., c.- ....,,AL._ Raw Signature MAY 0 8 loc I Dated 449' 100 OFFICE OF THE TOWN CLERK ©C3aF ,e�,:" Town of Southold Judith T. Terry, Town Clerk = .� Application No. 7 SSC Town Hall, 53095 Main Road iAIR Construction col P. O. Box 1179 k f Southold, New York 11971 Alteration • Telephone41:0-13g ' ► ° Residential (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for MAY 1 CONSTRUCTION or ALTERATION PERMIT INN I SEPTIC TANK or CESSPOOL Permit No. -7 :- Fee .$ Ca — DATE a' .11 /C:95; /Cj Cj APPLICANT NAME: /--dy/Ue.,h ilOrneZTX.)C____ APPLICANT ADDRESS: /70-3-- 1 5X v-e(he' d ,u y . logo' t SEPTIC / CESSPOOL / DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 6,ve poo/ 5 r nhole re u-r Ddu-e , lime LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTIO OR ALTERATION: OWNER OF PROPERTY: • at2 -nib/1'S OWNER MAILING ADDRESS: 45. ' -/ ` I --7r/'/ c ' Ivo nf , /UY / took OWNER PROPERTY ADDRESS: / 0tilere pILa_41-lii dJ IO IL , // ?/o Z. Cpri VaieDc.,.cPj TELEPHONE NUMBER OF CONTACT PERSON: g • -37ae 7Z 74155--qCa 1000 TAX MAP NO. : Section 1/ Y Block 0 / Lot 57 CROSS STREET: I , ,r _ 16. A lin /, 4... 11. 4 a BUILDING PERMIT NUMBER CROSS REFERENCE: • Signature of Applicant RECEIVED BY: 1 Town Clerk's Office DATE: g7//9/____ _ g--) 1 , / . ' . 1....4, ) I . .5•\ . . .. . . liK DODM"DEPARTMENT(3c PEALTh selvicEsS I NGLE FAMILY DWELLING bNitlet . ••, . .. . . plata&'Bundy and**wane ... , . . , . 4-,\ ..1p; • !•• .-9_. 44...ki.., I APPROV AL Or CONS CDDDNDN(EMPIRES TWO YEARS FROM DATE 06y 'feilkasidoncro sainft=4 . .• ' . ill A. h.:zn . ,...(' tO the R 1 standards of The Suffolk County 7.; Gi A ‘14 . 43 4tty Pil q0 so iig. HS EF. Department of Width Sorrioos. 441 , . .././ ...., • Ag°. '- —\ 0 1! ,.. 0, .." 4::'''''' .•ti• ' ' • •s•••,,...";,' •14 II' .--•"' • \ N '\ 0 ' . ' . .... TEST HOLE 10 401e,'" 'Zs. • --- . ,..\ c'1, ..t.:,... el SU .0 -- I - , . 0' a'•..---'- P--- ) 4 014 \ . 1 qe V , J0/7•Cfy '' n9 , ,.....---- ,•• oi s 2 05 -. tqacod ‘, 0 \).>------io 0- ' \\, '71 ...)511I •- G P• T \\ , v•J'i al 0 \ ,\. , t'l ___,..- \.-. • Itk„.„ It . • . . .. s , • \s 7' 2 5 .ts°onmde ,.--------------'-- - 4:-- \ / \\ 7 9,0.el \•Ii_ 6t. \\ e GP • 0\' S •n6 _, '` • \ CP ' ..T P•.*lik, \ (et •,. 01 A sand %Ai ,i. V2. -• „ 1 . 0° .,.,1Z - P ,f,.` • Fop • 0 nfofi• .*. \. iP,, ,-••••"*. .4sr-ipe#fr ter I ?I° 4 . (5161 727-0227 -- ,.,..„,..0 cr- is- • 1' • 4&" ,.. ,(0'M." ' ,:-- 1 . • ' I ' r e# \ L(f e ue.sti 64 2, ,0 ktf' • • AT El\. \' ...log' . • 0 r \ 5 4 ...C:3 ---D • L YNCY H - IN •A, \ _ ...____ . okEs, INC. , ‘ / 1725 Roui„. 0 -Jo e j 2 7.2 ,' N\ .. "7------- RIVERHEAD - 58 6‘O le o 414 C.k • _-- „ ' v , e . NY 17901 N ;-- A ''. , ici.9 . . . _-___„:;,-, 41 1:7:g _L, e ,. ' : • AREA E I. 2 71 ACRES -fr•d. eg- .:.:zz,, -- .2 (to tie line) _...... ___.-- ..... ( o05. '--- i Q. _...2L3 . tOr . •P‘,..-- ., , . • 2,.. _,-- 0- ...„----\ ' / , _ st , 0 0 .../ \\.. _„,-----0 p• ''• ..:6 _._._zffoz__________--- S 1 4 -.ERTIFIED TO .. cog, Pr.P 11 •4 / f COMMONWEALTH LAND TITLE INS. Co. L._ I--- . 1.4/0 Hip-)) Z N ct of V) O.3 C9 s. • *ie JOHN P. DUMBLIS ...- ",5-4.7......./..el,e2) cr--) •. ••,- e "Ir. . CI 0'0° ''c NOTE CLIANU 04-1..fr — ,,e„ /ez:fi,er- . x - , 2..7_3 ..,,,, , s 740, SURVEY OF ELEVATIONS ARE REFERENCED _I...,•.e 0 e 0 i'd TO. AN N G V. DATUM 2 7 2 , foe:, bse. .... 43,4 . / so PROPERT Y 74;;7 b ,/.,ofi#4, AT MATTITUCK . . PI 2 e elel 27e7 ... .i.,' . . .. .f Cows•-• .1 g•• ' e4. 7-,"."..,ME ;,... ,..,,.....41191 ?'-t ii e•co,--'"'" ./.: TOWN OF SOUTHOLD . . • 1E 31- ___ 24-5 r E ot.. SUFFOLK COUNTY, N. Y. . t... LOT NUMBERS REFER TO /7'' 1000 - 114 - 01 - 5.2 "MAP OF POINT PLEASANT " 157. : EMS FOR THIS RESIDENCE MIL 261,4AFLG.,14 4. ,•: :11,7 , 2 SCaie i" = 40' FILED MAY •17, 1916 IN THE OFFICE OF THE SUFFOLK COUNTY CL E RIC WATER SUPPLY AND SEltAGE D SP." 1,7ce July 25, 1989 AS IN A! NO. 720 r '41.Y.S. LIC. NO. 49618 77,017 0 THE STANDARDS OF THE SUFFOLK --- - --- , Sept. 12, 1990(revise hse.) . COUNTY DEPARTMENT OF HEALTti SERVICES. 7' '-../7:4'. / LOT 15 t7/-----60e-------_, PEcidNia-74Oti etoRs, P.C. Prepared in accordance with the minimum 6575) 765— 50201•-1 1 . standards for title surveys as established . , by the LIA.L.S.and approved and adopted fr-ev/l/o,-)y - /43// i The locations of wells and oesappols shown hereon we from field P. a BOX los . e for such use by The New York State Land k, 1i. ......$ e/i ,z i,3/So observations and or from data obtained from others. MAIN ROAD „!_/11971• Title An.ssociatioe,:mr we// loc.o.tg/i-1 /2//0/S o SOUTHOLD ...-..--. ,-