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Home My WebLink AboutEberhardt, John 11 1 1 Town Hall, 53095 Main RoadO..%O ��` P.O. Box 1179 •t�00• s� Southold, New York 11971 JUDITH T.TERRY :1�, •••,- FAX(516)765-1823 TOWN CLERK TELEPHONE(516)765-1801 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. 465 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : EBERHARDT, JOHN Address 1 : P. O. BOX 642 City St Zip GREENPORT NY 11944 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 2/289. Name Of Owner EBERHARDT, JOHN Mailing Address 1 P. O. BOX 642 City St Zip GREENPORT NY 11944 Property Address 1 1325 PARK VIEW LANE City St Zip ORIENT NY 11957 Tax Map No. section 15.00 block 5 lot 24.025 Cross Street RYDER FARM LANE Building Permit Number Cross Reference: ---erw44;e1%..:,-....r.:.- --- Issue Date: 2/16/89 Judith T. Terry Southold Town Clerk (TOWN SEAL) . k r©.:,., ��Ff QLk�:- 7. FEB 141989 ,' ...1).i .. ,,i.-;f 4;o` BLDG. DEPT. -:A4% '� TOWN OF SOUTHOLD sty Town Hall, 53095 Main Road �_`�' �' �4'� P.O. Box 1179 O ®��. _ 01, 4 ,.�� Southold, New York 11971 JUDITH T.TERRY „0„Ill'i 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: February 14, 1989 Transmitted herewith is a copy of application No. 474 for a Cesspool/ Septic Tank Construction Permit submitted by: John Eberhardt 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: •3... A.,.„SL,teazi9. Q.4.1 eir lir r„ga r_LLp%,,,,,,LuksLi O.---1 (�1 i,� .3, -,1-1 h..ker 3Nn .\1°\ \C:360.4,., RiYp Signature z...vc--\ 21 '\ Dated OFFICE OF THE TOWN CLERKFaj(`,- Town of Southold `%" �4.% Application Nog/7L/ Judith T. Terry, Town Clerk Ar` .G Town Hall, 53095 Main Road 1• ;:..`.'' j Construction_ z/ P. O. Box 1179 �, t •1• Southold, New York 11971 Alteration Telephone Ol * Ntt Residential 47 (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 $ 7 DATE //6// /f f APPLICANT NAME: 4 6-4 /rA.' 7- APPLICANT APPLICANT ADDRESS: f-' 0 /370 ,i //79/5/ SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: .�- r%'c 4/.9?.t OWNER MAILING ADDRESS: / ° .Z �ir F'c.,r�, v.� �' /l! 15 , . ,i--r.7,0t). POOL 7-- , . — . . • , 'I wce) / tor"+44fo-5-.IZEFEIZ TO°11/4W OF 4.,.. ..v.::•,... ----------s.,„-----7.----....—.—;--__...,_.:_______. I v: caett4T) A _ '''''iit,ti.,.::,•,...,„,;:: . . WELL. ' •-,.:., i 1.•.. ;„,y-i---..• ., -,-....., - ..,,,.. .,; _ -----............____ -...,, •,... ,. .... -..* •.!' ar'•-AT Zr:1E1'.E. i-Ak)f-1 :.A.:',4 E •-.. 6.9 01 .i0 E. J9'00 -4,---, n P2DP, WELL--- ', •.' , II). P ? --- --'-------_. • •.., * • t 4•: ..,,. •.:f 'f-c! , fi 7.0 0 , 65 (V k) U.A , • `. TEST 1-401. t P• . • p Of It) (32. PLEASE NOTE ---- '--'d I i 1 1 't. • Requires septic tank , P201", ',AO %II', •,., • cover to grade. --r-- - -- • . ...t, .. --- . - , n, .._.0..,. _ -7E 7C .. ,•_. .• . :•,VACA 4-• IV A*4' I 7.0 „.......- . PrZ.c."0 ".71::,,-Tr• „---, • tAj • . -S, 4... t") . • t"t ,.. „ :,. _CO .. 'n , 0 ft/ ,.... \-..,.--- II I 41 .q.1 . -...-- , i' 0 (r) .cv 0 ..,'4;7' () •.-)' .....Oa • 1..., i .--.... C.1 / A- • it . .1'i---2.71' FFCEIVEtli13 -A i 1,101-- -_ I, ::\ / . . ,•.- ; JAN 25 *89 ,, , -), i nvonrr) '7'1?illirfilt'l !leDiI:EPCill .,;‘ Oa i • -.•=14.4xiii te " S.C. DEPT–OF i . NFALTH SERviCES L....4 I 0 i_i , 1 i 7 ;2'.--_,'_--, .. „,:r; ... , ..6,..- .._ .1_,...— .1 .1144..... .....• ' .—I\•• a. ..... 'ow _ •. 1.:':-, ;., 'N;'. t) ...7*.; -'.'.1•1'Z.:\-ti 1:...:-.'`22 – : L7 Lj -":•4 i-'(.)'<: ;- N'I'. ______ __ :.1....., . 4 • t.iFFOLK CO. HEALTRPEPI APPR. e '' -' e.:50k.. SECr 3‘ F"!LED !`•1 ---- , -_-. --..- .,-:,--- 7. T: ' ' " -`' • -.. . Z,'",R i R F.-:"...', -r,,i.,;,.---, Y,..'t i':,;-:','" ri ',..-tl..)i''.i 1.....:$',.' •.... \ i: , ‘7 i ::'V A I — -----_____ r', 1 • STATEMEN- IT Or INTENT fl __ N. ! TI-IE WATER SUPPLY ANQ SEWAGE otsposp_ ' :.a.i.) i, SYSTE P41'5 FOR Tii IS RE stueNcE wIL „ / \ ,/ - i ' CONFORM TO THE ..5TANDARPS. OF- T I-. I ".'"*.i.....____,..........,..„... \\/ I 511PFOLIC CO _Pj,,OF H SECIV1 C.E _ LIC.ANT t*-- 1-6-7-.1--- : HOLE.:c'E; 1 SU7___ FFOL • COUNTY _ DEPT. .OF HEAL1 i 32.VATC-1Z) i;,f . f 7-...,E IZ.VIC ES - F 0 R. APPZOVAL C / . JAN 25 1989 I CO N.ST2.0 C_TA ON ONLY. fi I I DATE: i/ i /, i ,, SC. DEPT. OF 1 ! H.5.2.EF, NO, /I/ L. HEM.111 SERVICES- 1 I APPIZOVED: ri-i'&-,-.------- /: :781 : 1 : ; y i ! r1.-3UFF.0 Lk CO. TAX MAP CIES(G NATION% I: -!::-r-- , . _ ...,.r"--,'",'-"Y i ,..,:?‘,AL...E :.:L/ 1 ciLs:c. . SECT: BLOCk . . PCL. -- / Ai2EA‘:41.005 ..-7-2..1--. I 1000. _ : 015 .- -. - 5 . 24.2 1 1 1 C'WhIEC.S3 Apo ReSs i •9 : .. ' li 1 ! .. • ; EAY SHORc. SALY.,1170(7 . 1 / • , 66F.t-58 B5 , _. . / I. DEED: L. A. P, i--....-- / 1 TEST HOLE _- __ l'ItTA MP / . .__ _______ 7 • ., • , .....- I. r, CC1 NTou a i E.L.C:‘,/ATICt4 C:-.EFET447.8.1.0. MEAN . • •-•-• 7. 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