HomeMy WebLinkAboutDwyer, Regina 1
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t. 3 ,` -. lt° Town Hall, 53095 Main Road
,. P.O. Box 1 179
r4 Southold, New York 11971
JUDITH T.TERRY �`'-'•:-,2z-7-7'''' TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR 01 VII'NT S'(ATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
February 10, 1988
Michael and Regina Dwyer
1240 West Road
Cutchogue, New York 11935
Re: Bridle Lane
Cutchogue, New York
Dear Mr. and Mrs. Dwyer:
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.
egoledeefs7" .
Judith T. Terry
Southold Town Clerk
Enclosures (3)
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OFFICE OF HE TOWN CLERK c,IFIRA'C'
Town of Southold 0� �G
Judith T. T;rry, Town Clerk • .1' ;5:44
Town Hall, 53095 Main Road z
P. O. Box 1179 •
Southold, ew York 11971 O' i 'O�o'�,
Te ephone "Ol J[
(516) 765-1801 '
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit o. 287 Residential x
Non-Residential
Fee $ 10 .00
Septic Cesspool x
PERMIT ISSUED TO:
NAME: Regina Dwyer
ADDRESS: 1240 West Road
Cutchogue, New York 11935
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling with Cesspool System
APPROVED as per Suffolk County Health Department approval.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Michael and Regina Dwyer
OWNER MAILING ADDRESS: 1240 West Road
Cutchogue, New York 11935
OWNER PROPERTY ADDRESS : Bridle Lane
Cutchogue, New York
TAX MAP NO. : Section 102 Block 8 Lot 16
CROSS STREET: Highland Road
B ILDING PERMIT NUMBER CROSS REFERENCE:
drormaeomonoo. aolow0000Lo_
Southold Town Clerk
DATE: February 10, 1988
(TOWN SEAL) ,
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Town Hall, 53095 Main Road
s M ..,• P.O. Box 728
Southold, New York 11971
J1 DITH T.TI-.RRI' ti TELEPHONE
IOWV(L1 R1:
(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD E C `g2 I‘\-2.1-11n,
1S • 4:8 ►
To: Victor Lessard, Southold Town Building Department
BLDG. DEFP�
From: Judith T. Terry, Southold Town Clerk TOWN OF SOUTH
Transmitted herewith is a copy of application No. 291 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Regina Dwyer
Please review the application and location map and advise if the
project has received Suffolk County Health Department approval
and if we may issue the permit.
Please complete the form below and return it to my office.
Thank you.
er •
ede0014
Judith T. Terry
Southold Town Clerk
* * * * * * * * *
I have reviewed the application and location map of the project
cited above and make the following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Q v,y q 'q CA t& \
4vAA..\La U.\ . . 1:12.ELUSLift•
Signature`
°Ai
Date
•,
OFFICE OF THE TOWN CLERK �cOFDL'C
Town of Southold Application No.02
Judith T. Terry, Town Clerk pp
Town Hall, 53095 Main Road Construction
P. O. Box 1179 *.$ Alteration
Southold, New York 11971 O 0�
alt �� �� Residential IV
Telephone
(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 $
DATE �.c.�-. &, /f '
APPLICANT NAME: Qe ek,
APPLICANT ADDRESS: j .Ito (,l as4 /i d .
6,0it o . j am.y. 1 ,q3 —
SEPTIC ✓ CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Si nae -Condy
du.)e,11
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LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: /)ie4a.e l v- 49/Nat, �[.t y r
OWNER MAILING ADDRESS: Sd.rne as .4,6011-.e
OWNER PROPERTY ADDRESS: far idlyLa.nt
C_Cu‘i- o)UQ , /11.1 •
TELEPHONE NUMBER OF CONTACT PERSON: 734/- 74
TAX MAP NO. : Section /O Block 00 f Lot 14
CROSS STREET: g,qh /a,na
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of A licant
RECEIVED BY:
To n Clerk's Office
DATE: 02.
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SURVEY FOR ''
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SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE' MICHAEL DWYER a REGINA DWYER
LOT NO. /9, "HIGHLAND ESTATES,
FOR APPROVAL OF CONSTRUCTION ONLY AT CUTCHOGE DATE: OCT. 28, /987
'
/, ,: TOWN OF SOUTHOLD SCALE: /" = 50'
'' ` ' .l';f� 1S0 __ � u SUFFOLK COUNTY NEW YORK NO. 87 - //70
GATE `; �/ REF. N.
. �"`' *UNAUTHORIZED ALTERATION OR ADDITION TO THIS
1` ... � _ SURVEY IS A VIOLATION OF SECTION 7209 OF THE
APPROVED / NEW YORK STATE EDUCATION LAW SSE OF NLr�
K COPIES OF THIS SURVEY NOT SEARING THE LAND 1,
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL -G
NOT BE CONSIDERED TO BE A VALID TRUE COPY *Pa' W• J..-GO
O'P,�
M GUARANTEES INDICATED HEREON SHALL RUN ONLY TO
HEALTH DEPARTMENT DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED a C.
AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN-
* NEAREST WATER GAIN_..MI. *SOURCE OF WATER: PRIVATE `'.PUBLICMENTAL AGENCY AND LENDING INSTITUTION LISTED 4�r7" O
K SUFE CO. TAX MAP DIST/000-SECTION.[0? SLACK OOB LOT 16 HEREON,AND TO THE ASSIGNEES OF THE LENDING ■i., � '
*THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE ''iso:,
OTHER THAN THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT `
M THE WATER SUPPLY ANO SEWAGE DISPMIAL SYSTEM FOR THIS RESIDENCE OWNERS
*DISTANCES SHOWN HEREON FROM PROPERTY LIKES
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC 0., /'
OF HEALTH SERVICES. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH 'Sf0V �'
APPLICI►NT.�,,e_Iae/ - /1e�O��� ����� PROPERTY LINES OR FOR THE ERECTION OF FENCES ZAND sus'4
ADDRESS /a 40 Wes f/`/�_d. U .�
(1-& tch02ae, ti/ )113s-TEL. 1 _7'/75- -7 M YOUNG a YOUNG 400 R RNEAQNE
NEW YORK
NOTE. A1= MONUMENT O= STAKE ALDEN W.YOUNG,PROFESSIONAL ENGINEER ,
SUBDIVISION MAP FILED /N THE OFFICE OF THE CLERK AND LAND SURVEYOR N.Y.S.LICENSE ENGINEER
45
OF SUFFOLK COUNTY ON APR.26, /977 AS FILE NO. 6.537
HOWARD W.YOUNG, LAND SURVEYOR
W THE LOCATION OF WELL(w),SEPTIC TANK(37)9 CESSPOOLS(CP)SHOWN HEPEON N.Y.S.LICENSE NO.45893
ARE FROM FIELD OISSERMTION$ANO OR DATA OBTAINED FROM OTHERS
GRANOIS & SONS INC. 1046