HomeMy WebLinkAboutMohring, John ,, s11f FO�,r0OG
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ELIZABETH A. NEVILLE to h yTown Hall, 53095 Main Road
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TOWN CLERK ti 2 ; P.O. Box 1179
�r. n� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (631) 765-6145
MARRIAGE OFFICER `O, ,s
RECORDS MANAGEMENT OFFICER ;41119 $b'
".,1' Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER � "
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2379 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOHN MOHRING
Address 1 : 380 KIMBERLY LANE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
(1) 900 GALLON SEPTIC TANK £ (1) 4 X 8 DRAINAGE RING.
APPLICATION APPROVED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner MOHRING, JOHN
Mailing Address 1 PO BOX 1721
City St Zip SOUTHOLD NY 11971
Property Address 1 380 KIMBERLY LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 13 lot 20.018
Cross Street PINE NECK ROAD
Building Permit Number Cross Reference:
Issue Date: 8/08/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
.9-379
,„octFFO(,_
4rrI N, C0
ELIZABETH A. NEVILLE �,4 '' Gtk• Town Hall, 53095 Main Road
TOWN CLERK % y 1'4 P.O. Box 1179
%
REGISTRAR OF VITAL STATISTICS v' �� Southold, New York .11971
MARRIAGE OFFICER G �, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER `..•-_:Q! *1:0•0r,, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ �
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 31, 2000
Transmitted herewith is a copy of application No. 2468 for a Cesspool/Septic Tank Construction
Permit submitted by:
John 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 1
Comments: t c,J4-b-e. `d2
)Sign)i
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at it '.1 ---------
t?A( by
Dated
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OFFICE OF THE TOWN CLERK '1�'cO0Ur - '/ ��
TOWN OF SOUTHOLD ,� �l 4Q Application No.
ELIZABETH A.NEVIL E,TOWN CLERK
P.O.BOX 1179 . 1� . Construction
SOUTHOLD,NEW YORK 11971 Z
• Alteration
Telephone � O * �,►Q�./ $10.00 - Residential
(631) 765-1800 -_�1 , '' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION ' E C E I V E D
for JUL 3 1 2u
CONSTRUCTION or ALTERATION PERMIT
lourhoa Town Clerk
SEPTIC TANK or CESSPOOL
Permit No. •
Fee .$
DATE 7/3(100
APPLICANT NAME: Joky\ 1 VIA hr i Nc,
APPLICANT ADDRESS: 3 8-0 I4.:k4N J(.e(i, -'
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Sc3J lr/k N -I
SEPTIC CESSPOOL 1\
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION (1.) 9OO 5CAj
sty-,c k ccJ (k) L x pcc4i 1e 1
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: cAaVp,, i\kc\,‘6Nci
OWNER MAILING ADDRESS: P o ' t--7.2 ‘
so `a N,1 «cu
OWNER PROPERTY ADDRESS: �Ecc Pp...1 (s4r..Q-
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 7c Block 13 Lot (2.0, M
CROSS STREET: pit,x_ Nye
BUILDING PERMIT NUMBER CROSS REFERENCE:
? . .
Y:6
M
Sign tura of licant
RECEIVED BY:
To n Clerk's Office
DATE: Cl 3 i nv
f , a.
8 0 B. No. 89 -SO -75 •
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NOTE,LOT AMBERS REFER To•MAP OF PARADISE BY THE BAY' O A D 'I/%. .Y.S. L/C. NO. 496/8
FLED NOV.4,1976 FILE NO.6463 AT THE OFF)LE OF THE - /'� Pryenl 4 eeor`a°•Will!••mNGnom •P" •f ,V-ir
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AREA= 45,182sp:11. MAIN ROAD
-- - — v SOUTHOLD, N.Y. 11971
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