HomeMy WebLinkAboutMohring, Richard ��-
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ELIZABETH A. NEVILLE �'_ ti Town Hall, 53095 Main Road
TOWN CLERK ; y Z ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS VO
$ Southold, New York 11971
MARRIAGE OFFICER #4, l�,1� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER N_ OI .��?���' Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER '00��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2442 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : RICHARD MOHRING
Address 1 : 44 SEACLIFF AVENUE
City St Zip GELN COVE NY 00000
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-00-0220
Name Of Owner MOHRING, RICHARD
Mailing Address 1 44 SEACLIFF AVENUE
City St Zip GLEN COVE NY 11547
Property Address 1 OAKLAWN AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 2 lot 25.001
Cross Street JERNICK ROAD
Building Permit Number Cross Reference:
Issue Date: 10/30/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELILABTH A. NEVILLE ���'_ y<: Town Hall, 53095 Main Road
TOWN CLERK % co Z ; P.O. Box 1179
R �JII .STATISTICS % `�' Southold, New York 11971
IAIMAUF OFFICER 45 0 �1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �__�Ol # 1°. Telephone Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ~,,. .00'0
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 23, 2000
Transmitted herewith is a copy of application No. 2530 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Richard Mohring
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells, buildings, property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
i ature�
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Dated
OFFICE OF THE TOWN CLERK ��' UL/r%=
''TOWN OF SOUTHOLD ' �J • Application No. 53a
ELIZABETH A.NEVILLE,TOWN CLERK •
P.O.BOX 1179 : rO Construction
SOUTHOLD,NEW YORK 11971
rte" ; Alteration
Telephone 000,, ire' • $10.00 -Residential
p 0
(631) 765-1800 =y'1 *�;,o' $25.00 -Non-Residential
•
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. •
Fee .$
DATE /doe/d
APPLICANT NAME: ,6e/4/,,,Pd
APPLICANT ADDRESS: '7/1 S L,T-f tiryL"
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SEPTIC CESSPOOL 1/
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/7/C40 14,)2Z--
LOCATION. MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ,k,'//,2/e9 a,/4Piti4 /Dw.r/L;e 6‘,/,2,4)&-/e
OWNER MAILING ADDRESS: �q S'c,� C/�P/ /(},y //,�-�✓7
OWNER PROPERTY ADDRESS: Ao% S/ /,. 9d,gw ) I V•C
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TELEPHONE NUMBER OF CONTACT PERSON: �/�-67/- e ye/
TAX MAP NO. : Section 70 Block OO Lot .5 /
CROSS STREET: .i�,2ivia' �Pb,
BUILDING PERMIT NUMBER CROSS REFERENCE:
Z/6 - d.-'s/P/
�I_ Signature of Applicant
RECEIVED BY:
✓`i iL1C'V�-"'
• n Clerk's Office
DATE: /4b , /°6
'. SURVEY OF PROPERTY
o� ��, ,` TEST HOLE DATA SITUATED AT
'o�N ' 1s 16682 (TEST HOLE ouc BY ON SEPIEA/6ER 13. 1999) SOUTHOLD E
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^�` OCTOBER 2, 1999 UPDATE SURVEY & ADDED PROPOSED HOUSE
A ..1� SEPTEMBER 7, 2000 UPDATE SURVEY, PLOT PLAN & B.O.H.
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