HomeMy WebLinkAboutMcKiernan, Denis to
:
Town Hall, 53095 Main Road
Lin
�+0 /� P.O. Box 1179
'_' ►O .`411 '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. 533 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MCKIERNAN, DENIS
Address 1 : 1100 BEACHWOOD LANE
City St Zip SOUTHOLD NY 11952
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 8/11/89.
Name Of Owner MCKIERNAN, DENIS
Mailing Address 1 1100 BEACHWOOD LANE
City St Zip SOUTHOLD NY 11971
Property Address 1 MAIN BAYVIEW ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 78.00 block 4 lot 36.000
Cross Street CEDAR DRIVE
Building Permit Number Cross Reference:
Issue Date: 8/23/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
E Il ,,, 5
33
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AUG151969 r o
TbINB OF. DEPT •�
Y Town Hall, 53095 Main Road
SOUTHOLD �� ! Nr •�� P.O. Box 1179
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- �1i�� Southold, New York 11971
JUDITH T.TERRY i i
%ms's A' 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: August 15, 1989
Transmitted herewith is a copy of application No. 546 for 'a Cesspool/
Septic Tank Construction Permit submitted by:
DENIS McKIERNAN
•
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
DISAPPROVE
Comments: c �. c.c L,c) a.. C_or_ cOt.e� ,-• - . w -
Qmi.A..›.,›.4, %.C..)•\, . tiNe 811)kt\
\i/Str).•,(-
Signature
Dated
OIFICE OF THE TOWN CLERK Oc0FOLxCyTown of
thold
Application T. Terry, Town Clerk
Town Hall 53095 Main Road c r,� ,:. z Construction V
P. O. Box 1179,.
•4 Alteration
Southold, New York 11971 ��
it/1N% Residential (,
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 - /S--
APPLICANT NAME: _D`,V/5 nGk ,4/t//94
APPLICANT ADDRESS: //DO gCN`✓OU D LA'VE
Sau-0N°Z') 4' ' // f1 2 /
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION
Ac l/o'L
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION /OR ALTERATION:
OWNER OF PROPERTY: DE/v/5 /4 c //C-,ei9i)
OWNER MAILING ADDRESS: //UD Q1-'4cy141vtA / iv
Socil'/')19, a/r li97/
OWNER PROPERTY ADDRESS: 4/4/4/ ,4y i/'/611/ K,O4v
v ?-/0/A, /V. y, l /'17I
TELEPHONE NUMBER OF CONTACT PERSON: 7,6C-" ,ZSR
TAX MAP NO. : Section o 7p Block y Lot 34
CROSS STREET: (le--6/11z. b''i'-'�
BUILDING PERMIT NUMBER CROSS REFERENCE:.
IdA
Signature of Applicant
RECEIVED BY :AI"
Tow I( k's Office
DATE: 0-5/n
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3*S.
62 { Pi O9.
' r' r---, - I GAR. 1 .
ct-5990,0 t o $ tip , t �. Q ZO
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tiDE\ IS , Mc V \I,.7.;:;„- ' .',,.,, , . .. -, -, , ..,' , ' .
, ., .__-._. Requires .septic
--- - cover oto gra(
y� �y t y�y p?. t1/4 34
wµ
PLEASE NOTE
.* FAQ'Ali ltit"3�•� ` �f5 1 ,
res onsibilit • to --+. ..9 '
It is the applicant's n Y ;�'9
•
maintain adequate sni?::"y distance
L ,;'v ar,d sewage:`' . . ,between all' water sup.:', 9
i disposal facilities.
'i$yrt: .6'ie• ,-: "ci s s '/ L4t , : r.q.j. . PLEASE NOTE
f � •
: '" 1 i uiA pl;l i; Sanitary system is n to be
�' F .4 - ".— placed under drivewayare
a.
"t 's ---•. -. -rte»
' �
•
SUFFOLK CO. HEALTH DEPT. APPROVAL
. . • H. S. NO.
i pl.EASE OTE
rla >~u • Minimum distancbetween
pain. t 0 CI r08
j .Q and cesspool is to be 150 feet.
- 0
l - STATEMENT OF IN T,N3V-V. •
ill la
+;y THE WATER SUPPLY AND SF�1141 ?6I 5 AL
U SYSIEMS FOR THIS RESIDENCE WILL
Itu
1`lU0:::E_ > • i CONFORM TO THE STANDARDS OF THE
t)
�,,�,y•a •}- SUFFOLK O. DEP ,7 • ALTH SERVICES.
.—._.•— ,Ug . 3 - (5) i, �
-_y __aF APPLICANT
t -fP" igg
''•'` c.s, i 'N Z } SUFFOLK COUNTY . DEPT. OF HEALTH
ir
.�,..._._.._ 7 •
- ------ -...�. 1=4 ' 0) -}`�, : SERVICES FOR, APP
R
OVAL'- . OF
� ,
CONSTRWj ION ONLY , .st
A� •
DATE: AUU �8 � .
G� _ — SR
TH. S. REF. NO.: T
WAY- — — — — �] -- —— •� �n o 1 ' APPROVED: _ALA Ak/� _
_ •
4
1:/tritEGrZr t 2— SUFFOLK CO. TAX MAP D - ATION'.ar..
'`dam '414.1...t.. _ DIST. SECT. BLOCK PC ,�
1,,.._... h6� •f . 'T.. .-07$ . y. 4....... .0/0-:,c.-X,
• OWNERS ADDRESS:;
. - 1 IO0.•BEACHWOO LA,
— ereCTIZCOF
-�Ft.rtx ' ' 2' wugtAN' DEED:".L ✓7:13. P. .)
ds+W{L .s t 5.5 K.' -- -_. _..1`.".:_, ',NA-L.t,.
I` r STAMP
2' TEST HOLE t
-- — --O.O tfnacthtYtzea attention or addition
•
�} toihis survey is a viotcr.ion of
. Ike U {• 'Section I o'the New 1'or State
��- Education Eaw:
'-��A�Qlf: '
* - "iQA>l''1;: + - Copies of this survey map not t+a,ring
zptic tank ;} N SCALE • : � tt;eland sUnB/arEinKeriseaia,
. �. embossed 5e31 shalt nut t e considers,:
r9 .: �C �►�/� 1 to be aiveGd truo cagy t
jg1 G�e.j ~�iC.4.�''' :7G�� .1= `.. D':, ; t « ''Guaren:eestndicated eceonshaltrt
.1 ,i eye
N� ‘!• :....1:�: E 1E,.�4..l• ' ,- to-its-v) only to t is OPrr 'tcr svirtn-' aacr
,
— ,,,•-'
� t5orepared E a.on hioitte'p,,t0 the
R l *tttiJ coinainy 8overnrna at aGerry
L x . a X • • —..• !IindanQinstitution fisted
h8roo.n and
✓ t0 the Eas,ntta8s of'the tgpding:insti-
'.• S9Pc.�t_IP2OP G f�+0ot •-
' tutrori.Guarantees Are rioi.transfernr
•, A PA .POOLL. — „f to additions!'institutions-or subseau8
! 1fl'. NO.6“O724 9'; - • , • - SEtiA
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r RO ER CK 1/A�,�.TUYL.P.G.".,.^ *- '�� ,-02•,;'- ^' --tiz�,,
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to be ••1�.�.►...e. i . . ���
'area.- ,• •• LICENSED LAND SURVEYORS ` H4' SAND .
GRrENtORt; •, NEW YORK _ '. . - • -