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HomeMy WebLinkAboutSheppard, Michael 00,iii 1o. g�f FOL4-BOG. ELIZABETH A.NEVILLE 1 1 yam►�` Town Hall, 53095 Main Road TOWN CLERK t o •4 P.O. Box 1179 y 2 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS 41 MARRIAGE OFFICER VO 1 Fax (516) 765-6145 RECORDS MANAGEMENT OFFICER .`41* 0, 111 1Telephone (516) 765-1800 6.FREEDOM OF INFORMATION OFFICER =�'�' '�,i�1 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2239 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : MICHAEL & STACY SHEPPARD Address 1 : 875 TUCKERS LANE City St Zip SOUTHOLD NY 11971 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 #R10-99-0257 Name Of Owner SHEPPARD, MICHAEL & STACY Mailing Address 1 875 TUCKERS LANE City St Zip SOUTHOLD NY 11971 Property Address 1 3420 NEW SUFFOLK AVENUE City St Zip MATTITUCK NY 11952 Tax Map No. section 115.00 block 9 lot 5.001 Cross Street AIRWAY DRIVE Building Permit Number Cross Reference: Issue Date: 2/08/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) r..I- ♦ #"/III�i �� FOlit c •OO (• 0'O ELIZABET A.NEI�Ii )� \!J Town Hall, 53095 Main Road TOWN CLE11.1e- — " +' �� 0 1 P.O. Box 1179 %REGISTRAR OF vITAL STATISTIC I Southold, New York 11971 MARRIAGE OFFI �! A Fax(516) 765-6145 RECORDS MANAGEMENT OFFICER �Ql �� 0I,, Telephone (516) 765-1800 FREEDOM OF INFORMATIO OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM : Linda J. Ccoper, Southold Town Clerk's Office DATED: January 31 , 2000 ` Transmitted herewith is a copy of application No. 2327 for a Cesspool/ Septic Tank Construction Permit submitted by: Michael and Stacy Sheppard 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. ---- -C{'G`• Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recomm ndations: APPROVE DISAPPROVE Comments: gnatur a/ i. j © U Dated L 1r- ,,,,, • „ ,,,, ,,,,, ' OFFICE OF THE TOWN CLERK ,,' CORK TOWN OF SOUTHOLD �'� C� Application No.c ELIZABETH A.NEVIL / I.F,TOWN CLERK P.O.BOX 1179 iO Construction SOUTHOLD,NEW YORK 11971 0 Alteration Telephone y0,�� �Q $10.00 - Residential (516) 765-1801 _ 14 4t $25.00 -Non-Residential • ~.00 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION RECEIVED for 1JAN 3 1 2000 CONSTRUCTION or ALTERATION PERMIT Southold Town Clot SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE APPLICANT NAME: i eha J ( o.f "1 S� p rd APPLICANT ADDRESS: j it , cd, nc,j i ici -/ • SEPTIC X CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION We_ t()OGLtc l�� ,-b cb-n story , � ,, ala sif ,Ee - (it�' 1gn w Nth a - .& �J ormar-ems -nPrt LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: ,,, OWNER OF PROPERTY:” ) Chid and dt.ol��1 r (�rd -Tl,�C'_,I OWNER MAILING ADDRESS: , rS I C.�-- I` • d , rlI1LQcI OWNER PROPERTY ADDRESS: 342_0 n.,0 SLt 4 2 Ik Ave ► 1 l Film ) �Q �n -Q5TATELEPHONE NUMBER OF CONTACT PERSON: —444,5:— TAX X MAP NO. : Section t ($ Block c1 Lot I CROSS STREET: A, (( o&..,,,, vE ) C4; BUILDING PERMIT NUMBER CROSS REFERENCE: S2Zit— Si at o Apar/fent RECEIVED BY : n Clerk's Office DATE: I // ,,,,.OF ,., saws( N SURVEY OF PROPERTY Rhin PORAPPROV CONSTRUCTION FOR A5ITUATE: ONSPAOC IONPORASITUATE: MATI-ITUGK Y RESIDENCE ONLY W r \ E TOWN OF SOUTHOLD DATE e. R10-9a-Oz,7 -- SUFFOLK COUNTY, NY I _I-OP/LOVED , 'I,e---- SURVEYED 12-10-98 PDR DROP—u-BOOMS s AMENDED 12-10-99 iDOMESUTHREEYEARSPROMDATEOPAPPROVALNevenueSUFFOLK NTY TAX a , SUFO-us-FOLK COU-5.1 q6-1.80'ion 58-1°56'30"E 143.76' CERTIFIED TO: 1 4c1.30' R- STAGY SHEPPARD A:1. MICHAEL SHEPPARD V 111 - NOTES: a 5 ■ MONUMENT FOUND •rP;�„ O� � if) S MONITOR NELL A ``I AREA=52,415 5F OR I 20 ACRES N > •I''' U •�y IDARK LOAM A., V` H /1 BROWN LOAMY . O o n .� SILT ML 3' �e 1� PALE BROWN F.".. oy, bSILT ML PALE BROWN FI1E '�p "0 - ( ('� TO COARSE SAND 9W % __ `/ 14b' WATHZ ;I r1'I b � 17 f V- ' s 00 MCDDANALD- • -,• ;'t O F .4:‘(,,,,,,OC EH I� i - m 0 h �r ::;N8p 41 �'ti °3 120 011w A °FtiS " P.x ,' \ 252.82 £u:Ld sI 330 66. Land now or forrnerl JOHN C.EHLERS LAND SURVEYOR J'Parker,?. y of. N.Y.S.LIC.NO 50202 1��F I-F' I:_il`RL• al- 1., 7 k 6 EAST MAIN STREET a U 1d30 am RIVERHEAD.N.Y.11901 369-8288 Pu 369-8287 REF.:TIGER/PROS/98-26: