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HomeMy WebLinkAboutLademann, William • OFFICE OF THE TOWN CLERK c..VFFOCK�+ Town of Southold OHO 44 Judith T. Terry, Town Clerk Town Hall, 53095 Main Road a ; P. O. Box 1179 , •WS Southold, New York 11971 O O�-�; Telephone l Jr 1 0 (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 83 Residential x Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: NAME: William T. Lademann ADDRESS: P.O. Box 1939 Cutchoque, New York 11935 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: William T. Lademann OWNER MAILING ADDRESS: P.O. Box 1030 Cutchoque, New York 11935 OWNER PROPERTY ADDRESS: 1025 Gold Spur, 85 Old Saddle Lane Cutchogue, New YOrk TAX MAP NO. : Section 95- Block LI Lot 18.32 CROSS STREET: Corner lot on Gold Spur and Old Saddle Lane BUILDING PERMIT NUMBER CROSS REFERENCE: Pending • Judith T. Terry Southold Town Clerk DATE : December 15, 1986 (TOWN SEAL) "CO • FOCI- " T 0 531 ' a Town Hall, 53095 Main Road 0 .�� P.O. Box 11719 z " •�l �0� Southold, New Yorl: 11971 JUDITH T.TERRY -"..iii TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD December 15, 1986 William T. Lademann P.O. Box 1939 • Cutchogue, New York 11935 Re: 1025 Gold Spur or 85 Old Saddle Lane 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 yours, 101414401. 1.0044 Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc � II OEFICE' OF THE TOWN CLERK Town of Southold p Judith T. Terry, Town Clerk Application No. O Town Hail, 53095 Main Road Construction P. O. Box 1179 - Southold, New York 11971 Alteration 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. Fee $ DATE j' c - / APPLICANT NAME: 4✓/G6_/q ,L-4 27z(-11,,.) APPLICANT ADDRESS: 'p. Marx (6 3 a SEPTIC tESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ritea) 7-7 rs l` LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: -4 _ OWNER MAILING ADDRESS: 1,-1,,,rA� �e� OWNER PROPERTY ADDRESS: (G z 5— la'�� o �� � —©4p TELEPHONE NUMBER OF CONTACT PERSON: S—.egi,/f _ 5-¢53— TAX MAP NO. : Section © cf Block p' Lot /Y-- 37-- CROSS - - 37_CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: Signature . pplicant RECEIVED BY: RECEIVED Town ierk's Mice DATE: DEC 121986 Town Clerk Southold J I I I I I I es, . ,.4 t ,.. • . OLK CO. HEALTH DEPT. APPROVAL * / `' ''{"' ' t - �=I<` ,) P : 1 _.°rr H.S. NO' 4 ' \ 4 _' 5Li k."\i E. fir'E f '_..FO k"._ / .)..- 0 re ,.. / A) .. 11) \Al L i L....,./ -1kt..../ L.,,,, i I/ \ i `s,1 t ..2 -, a, . .� fid :�} I e te;\' / .... `�g ( �-- \ ' t.. (0-i- � `�{' ; -. .f = STATEMEN'C`:OF),PITENT �� j ,.G' / ` �, t Fai±;.'E lC'E,� *} ``.3 C� -�+` : lY"I`..-). [� f t`�j.` THE WATER SUPPLY A D,SEWAGIL DISPOSAL �. r , Gk'.. �`£` QV SYSTEMS FOR THIS RESIDENCE WILL • �� .> > ,. CONFORM TO THE STANDARDS OF THE 4 CNT"' s' ,'^7 t ``A J 0Q�' SUFFOLK/ co., PT. OF T SERVICES. L fix, (S) (Z.-/Z(1'L41-4' '-' `�; .,� _.� ' I l ` 0 i,N APPLICANT • `V ,,, �..._ , ,,� SUFFOLK COUNTY DEPT. OF HEALTH . '�J"/� ♦�1` �4� 1 �``,�� ,► SERVICES — FOR APPROV L OF 0 / // ee '� O�c ` G(J e. + 1 ��+ J CONSTRUCTION ONLY /� �� �. ,QI ��� /i1 �v. 'Left,O �` C,f ` DATE: t aZ � � /D O f......�._- I 1`�' H. S. REF. No. 3(� 4 \ ,Cj APPROVED://' 441Nr. 5..o (,V4 A11 ,) 4/ e AC�C� -- �Q , ,;t . A";1 \,i_.;-, � SUFFOLK CO. TAX MAP DESIGNATION:+ ( ,t.' � � � �c ! C`� \ DIST. SECT. BLOCK PCL. , �� �t ,Q, �J �\ :,° \ r t.4€ E -1 k I 1,000 095 4 is F-2 OWNERS ADDRESS: Ll, ,� `�'( /?. -O fid' ,r y , ts,v E__A' -i �i.F, P 80X 1030 J7 4 E ", 6 ,/ , '1.' ' 4' _.K'Y ,L 1' d tt�� 1200. 1-4X2 13012.. LANE a /�`' ,j j: ,` ____ -- CUR HOCUE.:,N.Y. t 195 5 51xa/ . .., \ 1 6 `"' r, » ." \f `1 73476126 /�, f x' 94 �.� �' �.a/ 4 . _ �/ `�� % r1, t..,- _e) i, Vc DEED: L.N/A P,- C�C . /h�a D/ ± YE ' HOLE gt _,. t �" ��(_ `r 4 �`a �t� i ` Unauthorized eltreetlee V Wdltloe �4, 4. c' 1 to this survey b e ndeltlllwt M P + Section 7209 d the 11191YiER stet Q w j v1 \ i Education Low YTJ i coPtid.oft ll"Ini w `ii9 e.�irtn. 0 ) +7‘Z ,may em Iboeoed milli W soltJ ,49 11i # r f 0 1 i +4✓''" . 0118d : to beaviedMO {, t ,a +h...?71 I GuaralllMiti t#111MM�M '=Y' , A �pSltw� M tti M1M� I is pr. 9 1988 k tothl� oitlta - Cp S r Irk to "Nthut1 . OF own , • t1;7TE A �SERVICES AL .L T .I R':3,�(' vetz.:To"NIRP OFPQEGQN VIEW �`' �' r. UFS. j lU ` _ f. . . Q,CI.Ef2I '. OFFICE �-" �V.bJ� f, JAs• N FEED I ,..)Li "NC L2 ` AVING t 2. ELEVATIONS 2E t . T MEAN SCALEVEL . A�' t.l �/E`Y C a ' ;, a e {.12.1 5 r �:. RODERICK VAN TUYL. P.C. p` LICENSED LAND SU EYORS - "< I GREENPORT NEW YORK . , ;IL/DYNE MST Nero,