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HomeMy WebLinkAboutStocki, Mitchrll r " FFOL,�c ELIZABETH A. NEVILLE ey • Town Hall, 53095 Main Road TOWN CLERK ; H P.O. Box 1179 REGISTRAR OF VITAL STATISTICS :%44 �,1,�� Southold, New York 11971 MARRIAGE OFFICER : ,L Fax(631) 765 6145 RECORDS MANAGEMENT OFFICER "'/Q , ',,0 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER - - ii" OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2225 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : RAY DICKOFF Address 1 : NORTH FORK MANAGEMENT City St Zip AQUEBOGUE NY 11931 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 #R10-99-0096 Name Of Owner STOCK!, MITCHELL & BETH Mailing Address 1 City St Zip 0000 Property Address 1 1570 INDIAN NECK LANE City St Zip PECONIC NY 11958 Tax Map No. section 86.00 block 4 lot 6.007 Cross Street INDIAN NECK LANE Building Permit Number Cross Reference: Issue Date: 1/25/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) as • yg�FFO� a ELIZABETH 0t� TOWN CLERK a 's 444, ; Town Hall,53095 Main Road ow - , P.O. Box 1179 •REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER , O� O��`'� Fax(516) 765-6145 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER l '',••' Telephone (516) 765-1800 ,,,, OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: January 6, 2000 Transmitted herewith is a copy of application No. 2313 for a Cesspool/ Septic Tank Construction Permit submitted by: Ray Dickhoff (North Fork Management) for Mitchel & Betty Stockl 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 recomm dations: APPROVE DISAPPROVE Comments: gnature / OC) Dated ` OFFICE OF THE TOWN CLERK ���c �1 gf(U TOWN OF SOUTHOLD � `Q = Application No.,?- ) ELIZABETH A.NEVILLE,TOWN CLERK i P.O.BOX 1179 Constructions SOUTHOLD,NEW YORK 11971 Alteration Telephone to'. $10.00 -Residential(516) 765-1801 ' l $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 APPLICANT NAME: / i9'/ ,D/C'/-//O�/C - /00/21/$1 APPLICANT ADDRESS: A & y 6C gQaf,dre N,,l //F�/ SEPTIC CESSPOOL [� DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION o2 3AA7 .ciAUQ1f AW/I// elvezzov .2/2_ /3/#f LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: / //C,yfZ 51 /3j/# 5- cA/ OWNER MAILING ADDRESS: OWNER PROPERTY ADDRESS: 570 /.vc4410 14f41201c TELEPHONE NUMBER OF CONTACT/ PERSON: 7,2.Z-.S-&'�v TAX MAP NO. : Section q6 Block 6 4/ Lot C, 7 CROSS STREET: /jOe1 1Z' )Ute/"..- BUILDING PERMIT NUMBER CROSS REFERENCE: / gnature o pplicant RECEIVED BY: Town Clerk's Office DATE: / M C Young & Young, Land Surveyors 400 Ostrander Avenue, Riverhead, New York 11901 516-727-2303 eAlden W. Young, P.E. & L.S. (1908-1994) ,1,\e,-, Howard W. Young, Land Surveyor ), Thomas C. Wolpert, Professional Engineer i�e,<\'1,,\eJohn Schnurr, Land Surveyor O o< c�elet r° 9 Ao\fie 3 �Q , i / �- SUFFOLK COUNTY DVARTMENT OF HEALTH SEP,::ICES PERMIT FOR APPROVAL OF COf IST'AUCTION FOR A Su3+:.LE FAMILY=SID `4c1 ONLY �, /- DATE 6-2�HSREF.too. b a - .- , �R V,..1, CIF' a C ZNCE welt IA APPROVED �eA a g r • °; '-k a WkY U+X FOR MAX 'M Cr it BE 4 •• 61 0 EXPIRES THREE YEARS FROM iRC:iOFAPPRCVai. �\O J�Ob Oy a"y� y pt pG GO o -- —� —--... o Q.,o Cit sP• J s� �� s Qe ore 9 F pe\ Q �f� • �, 1 ��s�P (-4 NOTE s ,;ii, \ -' v' -- i^ AREA = 76.519 SQ. FT. OR 1.7566 ACRES / \\ of 0 a360;k \i4Y�10 S \ vat!) • SUBDIVISION MAP FILED IN THE OFFICE OFTHE CLERK OF ,o \ c / � • � SUFFOLK COUNTY ON MAR. 9, 1993 AS FILE NO. 9331 psi,ku� O. \•��i i �•• ss� O 001 • VERTICAL DATUM = N.G.V. DATUM (M.S.L. 1929) 40.0 jte 4^ rt 1� �,�•10 �a'M SPE ) • ELEVATIONS SHOWN HEREON MAY BE FROM MAPS OR SURVEYS E 0� / i s PREPARED BY OTHERS AND ARE SUBJECT TO FIELD VERIFICATION. a5; p`1 SANITARY © SYSTEM - - •�� o i��/ i��4 0N 5" • THE WATER SUPPLY AND SEWAGE DISPOSAL FACIIJTIES SHOWN ffr ig \� �/ j/ '!�'' HEREON COMPLY WITH THE STANDARDS AND REQUIREMENTS OF / / pt9 THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. kt C. / • _ \ `'14'1„ N / ' .; of + ' �w. soq\ E VD'S rn HOWARD W. YOUNG, N.Y.S. L.S. NO. 4 `" \ 'CP _.A. THOMAS C. WOLPERT, N.Y.S. P.E. Na 61K ,r-_2 T f:.s. %,,,!,•� ,:/ a \ \ \ CERTIFICATION