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HomeMy WebLinkAboutEich, John • p • cn .' i $ Town Hall, 53095 Main Road Q� *,-4.,7 P.O. Box 1 179 / Southold, New York 11971 JUDITH T. TERRY =� '� TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD May 11 , 1987 John F. Eich 307 Latham Road Mineola, New York 11501 Re: Carrington Road Cutchogue, New York 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 ?fours, Olgledfae,07.1.# Judith T. Terry Southold Town Clerk Enclosures (3) JTT /Ijc _ter OFFICE OF THE TOWN CLERK ' . CA FO(.K4, Town of Southold �lj Judith T. Terry, Town Clerk Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Off-0�� Telephone 0! [ ��, (516) 765-1801 ' TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCT ION OR ALTERAT ION PERMIT SEPTIC TANK or CESSPOOL Permit No. 161 Residential X Fee Non-Residential 10.00 Septic Cesspool X PERMIT ISSUED TO: NAME: John F. Eich ADDRESS: 307 Latham Road Mineola, New York 11501 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling with Sanitary System APPROVED as indicated by Suffolk County Health Dept. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: John Eich OWNER MAILING ADDRESS: 307 Latham Road Mineola, New York 11501 OWNER PROPERTY ADDRESS: Carrington Road Cutchogue, New York 11935 TAX MAP NO. : Section 111 Block 11 Lot 1 .2 CROSS STREET: Vanston Road BUILDING PERMIT NUMBER CROSS REFERENCE: eoreedavai Judith T. Terr Southold Town Clerk DATE: May 11 , 1987 r (TOWN SEAL) • tiLril D �p \\ci, v: - 3 , 1 44V Imp Town Hall, 53095 Main Road ��r•• P.O. Box 728 ,rrr Southold, New York 1 1971 '1 JUDITH T.TERRY TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD / May 5, 1987 / To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 166 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by John F. Eich 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. or • deoreo 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: Qc �w�t� •'}.�.dj, 0,d-tw 4ee404` N\1(1:110.A., Signature Date OFFICE OF THE TOWN CLERK Town of Southold Application No. ! �b Judith T. Terry, Town Clerk a/ Town Hall, 53095 Main Road Construction P. O. Box 1179 Alteration Southold, New York 11971 Telephone Residential (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. A ..-- Fee .$ / DATE riy.57) J `jf'7 APPLICANT NAME:__ 0 14 it) F c. APPLICANT ADDRESS: 3o 7 LTh141.-7 12a 41,D /17 O I-I4 t1)-/ J J SEPTIC CESSPOOL ( / DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Weil 6vtit FAw . L y w�LL !N ( . LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: . 0 H ry R Fj c_H OWNER MAILING ADDRESS: 30 7 .L- 4TH A-r)-1 {Lo 4 ID M t ►vt=v� H 11)1 //S0 I OWNER PROPERTY ADDRESS: ECC. ,4 /).-- /8d TELEPHONE NUMBER OF CONTACT PERSON: S:4 - 7,'2 - 77.5 TAX MAP NO. : Section /1 / Block /1 Lot I• Z CROSS STREET: CTo/tJ °1 1/A -577,v BUILDING PERMIT NUMBER CROSS REFERENCE: re-- F. A A Signature of Applicant RECEIVED BY: AtalTowClerk Office DATE: • . . . • ssw----- • - . SUFFOLK Cdi. HEALTH DEPT. APPROVAL H. S. NO. . 1 . • ' • • , . I, 2E 5 i r : :,:k,.‘„ - • . ... i , . . . .. ) ') Or PROPE171- \-( • .,.__ _„ - -- :-..LitZVE'VEI: FOQ... . STATEMENT OF INTENT I . , I 1.--, .." i ....-- ,... I-- 1 THE WATER SUPPLY AND SEWAGE DISPOSAL ..... CA122INGroN1 - 20AD SYSTEMS FOR THIS RESIDENCE WILL VA Al CONFORM TO THE STANDARDS OF THE N c''Fr)'' •-• -'''I 1-.)OA r.) A :Al...) POI kir' SUFFOLK C D T. OF •ttEALTH SERVICES. ''• • 'N•1.76°533,0q- —.:- -- - - -- i°0.47 AP ANT . , ' : (..;17 -7..,0(../1-HOL.12 N.Y. . • ____ _ , . _ . SUFFOLK COUNTY DEPT. OF HEALTH ... . - SERVICES — FOR APPROVAL OF ;rs CONSTRUCTION - . /2>'y -17q" ONLY • , , • "----------- 76,"%, ,4- P ., ,) Qt° .. BARN .,.., *.\\N • . \-/ HAPSPRROEE:.°'. (° - A c/ E i ., -pc„, ... N \ l'C-N i IS i . "••••• t I .$' • - ' 11 . ... , 411111„, 1-..., 11106, .,....„ rrid;iii,11111 SUFFOLK CO. TAX MAP DESIGNATION: ..,- LI 11j4,..P 1: DIST. SECT BLOCK PCL. , .- ,.. . Z ' , i C.XDO 1 1 I I I 1.2 -7 id 0 4: te k. , ,,..., ./.... -5 : , , , OWNERS ADDRESS: ,.., ...... / - 2 , ,..1 r.l.. :. r% AS . : il: ' ,,..., _ 111111•111111."11141Glia=.. _ :,;LA 1111".11.1.11.11.L"11".".......r...mommomem, . (,) .,-, .....i , I . , '-').:A LI-.. -4(2) : . . • _........_........_._._ Af2.13At20J.Y.) *: r• ...., ,. . . 1 - 1 ko . ., , I DEED: L. P. y..sai/1/ . LA- triCit-11..)hii..: :'4-'- I. -::'....A. -,, , TEST HOLE STAMP . ._ ... .. 'C) " 1511 .„. , . 1 , / )11.1 ' E CY 50 AN 1.•'--f' tint tPtnt York Stine; tt,;,5;;;;t;Jr;Law. t- 6%.) • ... . ,. . .„ .. . . . , , . ...... • .:P'fj;0 I t... c,,• . ,,,,I.f.- -;.;r-y rntto rtot lanIrtn51 ,,, ;; i t-t t',/,:;ir.t•Pet sett or ,- t ; ;5;' 1j1 t.11 lli/OM OM nurvoy __ ---- i .' PLEASE NOTE C; ,.,:., ...,, 1 ;,r q.,t h.m Cont.'fkr."'S jt) .. .. . , , . , 53.30w -------/- :•___..._,.______i____ . .. ,,,„,, ,, ,..,.•.1 hornon rthott rein / 1°Q.47 i —---7c'— It is the applicant's responsibility to ....Ad•,;L, , 1 ./ / 4/ . maintain adequate sanitary distance .; , 11 VI i / / between all water supply and sewage 4 ,,,,,i..-4r 5iT-H 0.36.d'tile 144ding insti- 1 ,/ ( / , t'' ( f.. 'd I sposal facilities. ,,!.,,,„. G,..„.-...,-,,,t...,.., not transferable o / / . / I to.;.o.l.f oon,1 atttitutiont or subsoquent EL 5/ ,i . at c---)11::-.G ' . — i - 15.: SEAL .• . - •• - --- , r ' ': f".1-5(0E-t.sic.,(L) 7 ,/, 1, i I / PCIEll I' F- NOTE - - . 76 ic5uQV _ _YEI.2 l'fk3.a1 .1986 ; -it' ( ciaNTOLAZ.)c;p la.:Ft. ,A, E::.'4. -Tr...- MEAN '..., ..• LEVEL. FEB le 1988 RODEF2I5K VAN TUYL, P.C. . , (Z 1/ LICENSED LAND SURVEYORS ,Attlin OF GREENPORT NEW YORK _ . %., , . ,.. tfiksitvis in= . 11.1•1214 - ---