HomeMy WebLinkAboutSchneider, George �oN:5)0 O��-I'OG_
ELIZABETH A. NEVILLE ���• y�; Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
err
REGISTRAR OF VITAL STATISTICS
Z Southold, New York 11971
MARRIAGE OFFICER \44/0
y `�� Fax(631) 765 6145
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RECORDS MANAGEMENT OFFICER ;�Ql jig 1D-as
a� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ��'�
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2254 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GEORGE T SCHNEIDER
Address 1 : PO BOX 1261
City St Zip CUTCHOGUE NY 11935
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 #R10-99-0260
Name Of Owner SCHNEIDER, GEORGE T
Mailing Address 1 PO BOX 1261
City St Zip CUTCHOGUE NY 11935
Property Address 1 1020 MONSELL LANE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 138.00 block 1 lot 4.000
Cross Street SKUNK LANE
Building Permit Number Cross Reference:
Issue Date: 3/01/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE t/ y ; Town Hall, 53095 Main Road
TOWN CLERK % v, - P.O. Box 1179
REGISTRAR.OF VITAL STATISTICS v' ►� Southold, New York 11971
MARRIAGE OFFICER 44.‘ ' � ���, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �__"'/Ql �a�,iI Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 's��
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 28, 2000
Transmitted herewith is a copy of application No. 2347 for a Cesspool/
Septic Tank Construction Permit submitted by:
George T Schnieder
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 recommendations:
APPROVE ✓
DISAPPROVE
Comments:
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gnatur
Dated
OFFICE OF THE TOWN CLERK ,,,' �•••••••,,,,,'
TOWN OF SOUTHOLD �'. Q�FF�II��DO=� Application No 72 (
ELIZABETH A.NEVILLE,TOWN CLERK : N,.% �/"
P.O.BOX 1179 Z iG ; Construction L/
SOUTHOLD,NEW YORK 11971 o am
Alteration
Telephone Oo. ��Q�� $10.00 - Residential
(5 6) 765-1801 . 1 �� $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION �' fE E V E p
for FEB 2 8 2000
CONSTRUCTION or ALTERATION PERMIT 1040thOd fawnOw*
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE I'"&51/ AR✓ 28 Zoo O
•
APPLICANT NAME: CleoRC-. E � Scr-tidEt DER
APPLICANT ADDRESS: Po Box 1261
Cul-C /4o6.LlE N ) 1935
SEPTIC / CESSPOOL /
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
SI14L Le �Arn l L� ES-1- /,10E
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY: cJRC -f SC H h.1E/1 R
OWNER MAILING ADDRESS: PO ,oK )2 J
Cu T-CN p 11935
OWNER PROPERTY ADDRESS: 1020 &kb&ISELL L.At.
eurCHO E A1Y 11435"
TELEPHONE NUMBER OF CONTACT PERSON: 4' 77- jziO e
TAX MAP NO. : Section / 3 D Block 0 / Lot 4
CROSS STREET: K tA/4 LAME
BUILDING PERMIT NUMBER CROSS REFERENCE:
ature of Applicant
RECEIVED BY:
�/
own Clerk's Office
DATE: a-'t D�
- LOT NUMBERS REFER TO"MAP OF NORWOLD"FILED IN THE'
SUFFOLK COUNTY CLERK'S.'OFFICE ON MARCH t3,1939 AS •
SURVEY OF PROPERTY
,.<<<t. .4T CUTCHOGUE .
.<.<<1J �
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TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
Lam„
«�r> 1000-138-01-04••
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"'� s>3bD�M SCALE 1'=40'
8 DEC. 15, 1999
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m LOT 14 .. .kr ' (e.Mrng1 _
�' a SUFFOLK COUNTY DID[ARThffitI'OF IffiALTH SBRVICHS
af _ i' PERMIT FOR APPROVAL OFCONSTRUC ION FORA
\ a 1:Yz
SINGLE FAMILY RESIDENCE ONLY
.M
s A d' DATE t'rEfoa bio 75ax6o
B LOT 13 4 APPROVED
• aRowM sums uuM as4 FOR MAXIMUM OFBEpR00aL4
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E !!4 40' �1
'J .l 7 (Jr EXPMES THREE YEARS FROM DATE OF APPROVAL •
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RALE MO,M rM[TO COARSE SAxO 5W 12 ' 1\ O
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MfM
N 84"5130 Nr t/ _
10.84 , - o _
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I
.[R.x PALE ROOM rix[TO coAR:<V. zx LOT 11 1•
'TEST HOLE DATA - -
(w Rnl) N
ARRA - 19,074 sq. ft.
I am familiar with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES s OF NEWP04
and will abide by the conditions set forth therein and
on the permit to construct. Sri ,J=�� .yS . LIC. Na 49618
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION CO,: x,..
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW �' P'C'
The location of wells and cesspools shown hereon are EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS '16)ii :.t 51 0
thorn.field observations and or data obtained from others. HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF ' 0. : - '09 j0
} SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR n•MIR' ' REET D
EkOVgtlOn9 are referBasced t0 On ass med datum. WHOSE SIGNATURE APPEARS HEREON. V.,-',. ,�-�Y' . 11971 99�38