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HomeMy WebLinkAboutHartge OFFICE OF THE TOWN CLERKFU Town of Southold N. OC��F COG Judith T. Terry, Town Clerk � Town Hall, 53095 Main Road 8 P. O. Box 1179 cT, ' n Southold, New York 11971 - �`�' • ff o . V 19 Telephone (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC•TANK or CESSPOOL Operation Permit No. 292 Residential X Fee $ 10.00 Non-Residential Septic Cesspool X NAME OF OWNER: G. Keith and Nancy M. Hartge OWNER MAILING ADDRESS: Willow Pond Lane Southold, New Y6rk• 1t971 OWNER PROPERTY ADDRESS: Willow Pond Lane - Southold, New York OWNER TELEPHONE NUMBER: 516-765-1612 TAX MAP NO. : Section 70 Block g Lot 66 CROSS STREET: Clearview Avenue TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New Existing X Residential .X Non-Residential DATE OF PREVIOUS PUMP-OUT: Unknown avree4e4;"4„:7„,060...„....0 Judith T. Te Southold Town Clerk DATE: May 4, 1987 (TOWN SEAL) - 4 se OFFICE OF THE TOWN CLERK CORI/A' Town of Southold �� CQG� Application No. X92 Judith T. Terry, Town Clerk m'1" , Town Hall, 53095 Main Road Is :s V S L ) Residential P. O. Box 11793:gt Wi ;' Non-Residential Southold, New York 11971sa Telephone : .( (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ JO DATE - �7 OWNER NAME: Ari-j71/4 `7/ A4-/er. r OWNER MAILING ADDRESS: Q // . / L 'A .. UT/�� A ' //� 7/ OWNER PROPERTY ADDRESS: OWNER TELEPHONE NUMBER: 576-7e3---/1,4)- , 76-7e —/if)- TAX MAP NO. : Section 70 . Block . 9 Lot 6‘ CROSS STREET: TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New Existing X Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: LOCATION MAP: Must be attached hereto before permit may be issued. (Locate building and system; give north arrow and feet of distance, approximately, to building and closest road.) // VW rtiffilMICAftdr Signature of Applicant RECEIVED BY: 4ct_ RECEIVED-own Clerk's ffice DATE: t'"�{'' Q- 1•R7 Town Clerk Southold , r r ' + SUFFOLK COUNTY DEPARTMENT OF HEALTH �� ,�� ' t' . EASTERN DISTRICT,RIVERHEAD,N.Y. H. D. Reference No. 1 a z Iy61 APPLICATION FOR APPROVAL TO CONSTRUCT PRIVATE SEWAGE DISPOSAL SYSTEMS Date Approval to co struct said systems is requested,pertinent data herewith: • .¢,to n s L .. G t �°� eir 3 Y. 7 6-Sub div 1-Applicant , Address Q`'� P°'" k"�v`�'' V 7-Section 2-Detai d %- •ty lapatipn - ' •` 8-Lot No. t"es ,� c pro Y o �+ x 9—Private well? ,�,,;Qs ` • 3-Public. water slimly namJ°ril" Distance to nearest main E 4—Lot size: Lengt ft. idth2`)0 ft. (Also enter on center plot plan below:) 5—Dwelling: Single family? /Two family?/ /Cellar?/ flab?(__(Crawl Space?/" I 10-Proposed system:Septic tank((Precast/ Cesspools( /Shallow•:Pools/ /other/ tank inside dimensions:Volume Gals.Length Ft.Width_ t.Liqu depth, f t. € 12-Precast sections:/ /Number./ /Square- ft.Cesspools:Block size ins .D__.ins.H ins. t PLC's' PLAN , Fit i Tank 0 . v. , Capacity Gals a) .‘P k 500 Pj r L: � Pump G�.P_.M. ,� fit., I ouH - J m +) a is c Fri cd U • = Grade��+ �,-, c-) n cd o Ci '? T -—f p Fri ( / U . U] G�,.r.�,� i X., t 1 0 cd 4�; �g Test Hole �" .1 t . 4,-a 2 ?-) n Hca - ^ c� LA e (r '. -r.,.:: Feet Streeter 1 LLv -P0 ,v, a) rd 2 V., ` � .�� _ 1 • -' , ,In 1-08 �• 0a . 12 �.m- ter , • 14 o ° °� w -j- - Indi ate 16 • cn -4r No th 18 • The Undersigned CERTIFIES: "Construction ,of ,authorized installations will.be,in `" ;accordance with'the Suffolk ,Count{ Health Vepartmentst,vcurrent.Standards,Bulletins9 - < ; Viand amendmen th eto,covering ,Private,'Sle:-Dispbsal Sys'.MSP-19��, ®-_ , ,jr� y:• ,,4„.,,, __ �a�` �' '_ E �f '4•� ra - ' , A 11w.�,';;;:: ?11: ,'r•_S-A°:1 +,.^f-'"i' ot" •t'„;' _ 5 j1 _ •` ..-c r'_i_::: - :,c"-t =� 'r_ •�, , .:r.r,, .,.r. fit” - _ t ' -4,- 1 .-.t x-„ r',„- `,^ .Si ned';'i.:.-• '-: "';•r',;;-' - , " ,:'s„'. r�:.;,��`;fi� ''.:'u'�i:-,;..e,+4',t': ,,tat. 7,t. ter; -t5c'.`t11 ' :,+.. - '°date_ .� '.,�i;.��r ' g = '.•.• >: - .'u,:.,,«.` ; ti" :,,.,;, : ' '<' . - r. r-, ',','-:'::.,','-'-b`... e •-':- :Builder'.. .4 _ „ . . ;',:':"P;'..,.....-L,..;::; .,. . ., - - "Own r' Or »'Y':yr,Jt:?, -2•. `r,!�` -r_;`->„ ,i ,S 4 d '` sed'`on ormation;�•"resented-.he"r,e ith,it:is the z ;,,y ;f,, : �! _FOR,[HEALTH DEF�>17TMENT .USE ONLY_.= Ba p„, ,4 ,,, ,o- inion 'of.=the--Health ^3Department,that:=ancadequate'y:and•`;satis_factory;Sewage':-Disposalt:<Syst et ' pip. -"'e4gp. ,.y ,4- xH. •v:, +,+4'c`r _ ,r, _ .:N{Y` `. 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