HomeMy WebLinkAboutRiverhead Bldg Supply 01 OFF
S§,, , 'fix' ®�
JUDITH T.TERRY � � t y `: Town Hall, 53095 Main Road
TOWN CLERK ; `, P.O.Box 1179
e� Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICERO' -k,, ; •
� 1 Fax(516)765-1823
RECORDS MANAGEMENT OFFICER O. *0.1 Fax
(516) 765-1800
FREEDOM OF INFORMATION OFFICER ��,,,•• �
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3558-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner RIVERHEAD BUILDING SUPPLY
Mailing Address 1 MILL ROAD
Mailing Address 2
City St Zip RIVERHEAD NY 11901-0000
Property Address 1 FLEET NECK ROAD
Property Address 2
City St Zip CUTCHOGUE NY 11935-0000
Owner Telephone No. 516-727-1400
Tax Map No. section 103.00 block 12 lot 7.000
Cross Street MAIN ROAD
Issue Date: 12/05/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
w
I. III.OFFICE OF THE TOWN CLERK cl\FFO(,r�'-
Town of Southold �% , CQG•,, Application Noc 3 '
Judith T. Terry, Town Clerk �� _....-----
Town Hall, 53095 Main Road = 1 $10.00 - Residential
P. O. Box 1179 ul h�i ;' $25.00 - Non-Residential
Southold, New York 11971 O '. ./
Telephone,( ���• e'�•
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATE o,- l5q t,
OWNER NAME:RVric (4 V I f-r)10 E1 4:L10911-1(
OWNER MAILING ADDRESS: rill 11-k- tQc1
IM V itti fN 1Ji 1/ 910 /
OWNER PROPERTY ADDRESS:
OWNER TELEPHONE NUMBER: '1 ) 1 - 11400
TAX MAP NO. : Section I 0 3 Block ` .- Lot 01
CROSS STREET: 6
TYPE OF SYSTEM: Septic Tank New ' Existing
Cesspool New y Existing
Residential y Non-Residential
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to building and closest road.)
67a
_.0%?'. --e-- ,0 ie 4 e / ;A- 6/E,
Signature of Applicant
,� 111 J ,L�e /2J o��ci4 p 59„, /,;',/ C59_
RECEIVED BY: /31..
bOXMA------
own Clerk's Office
Z
DATE: ( 37 C
I am familiar with /he STANDARDS FOR APPROVAL ; SCDHS Ref.# RIO-95-0043
AND CONSTRUCTION OF SUBSURFACE SEWAGE area. oit '
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES ire01 4.-
and will abide by Ike conditions set forth /herein and on /he
. permit /o construct.
W Q1111116.
•1
The locations of we/is and cesspools • TRACK Q �7 UR V E Y OF
shown hereon are from field observations -
and or from data obtained from others.
71.64'
f'- LOT' 3
oN44:'42'40'W . MAP OF '
(DWELL/NG) PEQ UA SH ACRES
0
ELEVATIONS, ;W FILED 1rIAR. 80,1872 FILE NO. 6884
�AAIA �TLu 6 N °z AT CUTCHOGUE
TOWN OF SOUTHOLD
av�a,.;cca)�mr���� F NEAMISER s ,u� .4z•4°� lazl4'fi 4. z 30.3 SUFFOLK COUNTY, N. Y.
SINGLE FAMILY DINELDyG Owty 5=' — 1000 - 703 - .12 - 07
Pi
'qPM of Orx»- ;.�- P°
Dat �1fE ®2 i�.s.oaf. /0- _oy t' / 4 / Scale 1" = 40`
}�+, • 3 Feb 14, 1995
is '�:ra. 4 ' ,,t, rdFdtr•�srg{,�•*,�:-�•A- / --v:• , t4aj 7 /995 /act[:r`- we//JeCP.)
s....Theme trasz
; ,b,-�,; or �� s I i n Dec 8, 1995(foundation& underconst.)
_t to �/ i� Nov. 6, 1996 (fines)
° M (PROP. DWELLING)A. '' c P.
Q?ikn o!�'v'&4ar CcrfA'P.�„Chief aT /a-s'+—
aste+vaterM � \`s ��,• y •
2 .b� °..,,ll CERTIFIED TOR-
AREA = 41,324sq.ft. set \t�d•`xI \ '� RIVERHEAD BUILDING SUPPLY ,
/ 2 / : sta..<e 48.$• :�
3
(DWELLING; /Jiy 74;-- 8 ., ?• ser t
8G •
/!3e r gar,^" '�0'lI s/a,eo `
H ` , ANY AL MERA1KW OR AOCVVXN TO 7715 SLRVEY.SA1 A7fCV
• / H 2/.7 y uf.l. Or SEc7KW 7209 OF TIE Ell YONG 3TA7E EDUCATION LAI, 1
1053 Zo g..1:71.2.1±.,._ G�o E it PT AS FE?SEC770N 7209-SLED SPP 2.ALL CER FICA TIONS
—__ _�q/e:' E
- \ I —-- -"�-- AEIiFLW all VACD FOR THS INP AAD C00A'ES T7ER£tF'n1LY F --
.l I •= INOSE SGVATLIEAPPEARS 7E7I<G1L SF�1LQ�77ESiFVEIta4 I
I :t
. I ALCYT7ONALLY TO COMPLY 17771 SIO LAI 71E 7Elitl 101.7E7W BY'
UA v I :\ MST BE USED BY ANY AAD ALL SURVEYORS NUDE A COPY •
...
I ' ` OF AADI7f?SIRVEY'ORS YAP. ME S OI AS 7YSTEC7Er AAD I
Oo s 0•Ze 9 16N - 99DUg1T-TO11E'ARENOTNCOIiI11A0SEIITH77ELAIC
2 / 1;,,,
i m ,\c OF NEI,/ .
zhalIn d I • I O c'�,� T.MF 2 !7
0 crow) . m I h ,o r r F�P�f
It
2 well I t., :~
w a
ti •
384.52' 16' ao" W ;�, _ .,-%� / f '�y
N 50po/e 4
.0 �`` lA• N�b,y,� IC. NO. 49618
PHD 189.02' n ECONIC ► ►►496 • P.C.
ROADmON1y z
�;��'i+'i'�.'`• ./ ,3� NECK
y ..r 5161 765 - a
, :_ .� . 4�6 FLEET :,E r
--i o. aox 909
�{weal �aca�f IDWELLIIvG) MANN ROAD
1 le 7 C.P;T _ O we, SOUTHOLD, N.Y. !1971
`5 - - - 88 - 448
H .4t,;