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HomeMy WebLinkAboutMoeck, Stephen '�yp,0\,cj f FOI'I tt$ ELIZABETH A. NEVILLE t= ; Town Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 Prr Southold, New York 11971 REGISTRAR OF MARRIAGE OAL FFICERISTICS `4 1 .,�� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER '/Ql ''1� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ,s• OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 23311. R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : STEPHEN MOECK Address 1 : 1525 AQUAVIEW AVENUE City St Zip EAST MARION NY 11939 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 #R10-98-0021 Name Of Owner MOECK, STEPHEN Mailing Address 1 1525 AQUAVIEW AVENUE City St Zip EAST MARION NY 11939 Property Address 1 1460 HILLCREST DRIVE City St Zip ORIENT NY 11957 Tax Map No. section 13.00 block 2 lot 8.024 Cross Street HILLCREST DRIVE NORTH Building Permit Number Cross Reference: Issue Date: 6/02/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) a3 Volk ELIZABETH A.NEVILLE � , Town Hall �� ' 53095 Main Road _ � _ TOWN CLERK ; y - P.O. Box 1179 REGISTRAR OF VITAL STATISTICS ? 2000 Southold, New York 11971 MARRIAGE OFFICER `V . `` ����11 Fax (631) 765 6145 RECORDS MANAGEMENT OFFICER ,, 1101 �. O Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ,,,,,�� , OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: June 1 , 2000 Transmitted herewith is a copy of application No. 2422 for a Cesspool/ Septic Tank Construction Permit submitted by: Stephen Moeck • 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. M1 Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following reco endations: APPROVE DISAPPROVE Comments: ignature Dated a I ( a OFFICE OF THE TOWN CLERK , TOWN OF SOUTHOLD ���CJ�FfOlK`+QG' Application No.� V .\ ELIZABETH A.NEVI LE,TOWN CLERK ✓ P.O.BOX 1179 a° Construction SOUTHOLD,NEW YORK 11971 p rn ; Alteration Telephone 'O* ire' • $10.00 -Residential l (631) 765-1800 = al. * io'I $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee .$ DATE 6� 00, APPLICANT NAME: ,5TH"0//E4!/ J1110 t K APPLICANT ADDRESS: /.razs- 140/4-Vit.(i -U,F. ��t'ia•U �t/`/ /f'39 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /./ 60 / ALV/>/ r°T Sr°7-1 G. S x/57 y kfrt LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: STEp',M ,v ntp,�cLi OWNER MAILING ADDRESS: /4a r/r OWNER PROPERTY ADDRESS: /4/6. c' ,h//Lt_C ,rJ,'f vE, TELEPHONE NUMBER OF CONTACT PERSON: If7 7^ ga 754 TAX MAP NO. : Section / 3 Block 6 2- Lot 8• .29 CROSS STREET: /,1/L-GGiPWST ,O/P, /(/D P 717 BUILDING PERMIT NUMBER CROSS REFERENCE: II , , ''gnature of Applicant RECEIVED BY: ma Town Y: Town erk's Office DATE: 6—/_ QC) DRIVE Nun " ' \ .41, I,`o CRESTand or from data obtained from others. �«L " i l q'� 252 99 �'�,, sus '. `�` o. l am familiar with the STANDARDS FOR APPROVAL '` F` AND CONSTRUCTION OF SUBSURFACE SEWAGE �� �oQ�, DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES .420 '� P w and will abide by the conditions set forth therein and on the �'O ,IWb. o/� N. (9 ip� perm// to conslrucl. © 0-3 03 Li s N :,,o SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 1tk6 , PERMIT FOR APPROVAL OF CONSTRUCTION FOR A 1 SINGLE FAMILY RES WEN ONLY �'0 , \ O- NLY`,� F1 DATE '' EF,NO. tO� •v O'� Hz)A. ,�0 APPROVED lr..i V AL GFOR MAXIMUM OF �., e•MS i ,*1 7 I EXPIRES THREE YEARS FROM DATE OF APPROVAL r# LA D` "L P(op , c 3� en/aec, 1EXGINPTNREQUED 120 o i{��n o FOR SANITARY SYSTEM ��, r �. ® <c WELL BY HEALTH 'ARTM / �0 ` • 0 0 v. ti' . 4. 13 SURVEY OF PROPERTY NT ? tr;� '1.22\0 ,v AT ORIENT VA`" �;��, ekn�+ y. TOWN OF SOUTHOLD 10 -A- 0 %.." SUFFOLK COUNTY, N Y. 'A� 1000 13 1"02 8.24 F SCALE: - 40 - 7;�,r Q FEB. 5, 1998 'il _ n„ i f 3101993 .ANY ALTERATION OR ADDITION TO THIS SURVEY ISA VIOLATION s+ • ''? 'T7 ;: 209 OF THE NEW YORK STATE EDUCATION LAW `4;l"iA�S SECTION 7209—SUBDIVISION 2 ALL CERTFICA'TIONS HERE• ' VALID FOR THIS MAP AM COPIES THEREOF ONLY A< NOTE, LOT NUMBERS REFER TO 'SUBDIVISION ei . „..,,,,of :Eiffro, .S. LIC. NO. 496/8 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR "MAP OF HILL CREST ESTITES, SECTION l' o WHOSE SIGNATURE APPEARS HEREON. • • FILED AUG. 15, 1983 FILE Na 7218 ADD!TIC4VALL Y TO COMPLY WITH SAID LAW THE TERM 'ALTERED Br "; C 0 K. .l _YI R , . C. MUST BE USED BY ANY AM ALL SURVEYORS UTILIZING A COPY AREA = 40,000 3(�! ft. ( 765F"° =N' •'* OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS 'IWSPECTED AND 1{;!.-0`5111 • P O. BO �. "RO IT-TO DATE•ARE NOT INC CE WITH THE LAK S• T� t�D� NELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM / . !R,. 4q .1:.. ET J • - .J — 119