HomeMy WebLinkAboutTurner, William 4SUFFO4�;,
ELIZABETH A.NEVILLE y0� �l/y Town Hall, 53095 Main Road
TOWN CLERK 1 P.O. Box 1179
ti Southold, New York 11971
REGISTRAR OF VITAL STATISTICS 7 Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER
MARRIAGE OFFICER Z y Telephone (516) 765-1800
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FREEDOM OF INFORMATION OFFICER O! jig
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1966 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : EDWARD FAIVRE
Address 1 : P. O. BOX 229
City St Zip MILLER PLACE NY 11764
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 #R10-98-0094
Name Of Owner TURNER, WILLIMA AND OLGA
Mailing Address 1 21 ESTATES DRIVE
City St Zip SHOREHAM NY 11764
Property Address 1 MILL ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 106.00 block 9 lot 8.002
Cross Street LUTHERS ROAD
Building Permit Number Cross Reference:
Issue Date: 11/05/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
Ie�� �FFO(4-Coo • _
ELIZABETH A.NEVILLE .ZOO = Town Hall, 53095 Main Road
TOWN CLERK ' 1 P.O. Box 1179
2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER `. � � • Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER �( ��8111
, �
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 29, 1998
Transmitted herewith is a copy of application No. 2043 for a Cesspool/
Septic Tank Construction Permit submitted by:
Edward Faivre_for William and Olga Turner
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
* * * * * * * * * * * *
a have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE ,/re
DISAPPROVE
Comments:
ignatu
It)/ 30igt
Dated
‘"1
OFFICE OF THE TOWN CLERK '''COUL(A .
TOWN OF SOUTHOLD %`V �1 QG Application No. cht-{3
FI.I7ABETH A.NEVE T.F,TOWN CLERK '
P.O.BOX 1179 Construction ✓
SOUTHOLD,NEW YORK 11971
Alteration
Telephone _ 0,� �Q�i� $10.00 -Residential
(516) 765-1801 '-Ol *',," $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 QCTO1Seg 9111 1918
APPLICANT NAME: kbc,<119.a F19- v12--E
APPLICANT ADDRESS: Po god
LL PLAc-E AR/ r17b
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
WEA) WujN-
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: pN„ .r OL61 7'u�iv
OWNER MAILING ADDRESS: r i- -s biZ.
OWNER PROPERTY ADDRESS: yjgp1/'�
TELEPHONE NUMBER OF CONTACT PERSON: 3 ,, -' SS
TAX MAP NO. : Section /00 Block O9 Lot $"i
CROSS STREET: ►2®a‘
BUILDING PERMIT NUMBER CROSS REFERENCE:
4Arr/V-c(
ave
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE: 10 lacq9V
• .'
---�-.- :r..m. .i Q DOSING CESSPOOL
f .
' 1 EXISTING/L
,,.1itV • 4
, , . ...?
, ..\ _
f HAROLD J. CLARK/DONNA CLARK. .`§ I
1„0... .
,- .- ka f GEORGE W. KLINE et ALICE D. KLINE
i
I (DEED UBER'10327 PACE 90) t ..
DWELLINGi -4” 4
I •
S 72'24 00 E 653.82' � z EX15TM1G WELL , '
FTxxto OCOtIC.O.5 E .�L�_
$''NN.. E�f '+iOUMD�
77"i: CONC. MON. L"
PROPOSED W is
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-J:-2"1
1 175' i r ,
r 1 8 i I I 0 Id
1 I L aC r`'a. sem�s ..rr�� (� �.
I M t.$r.n a,: / TEST F501* ; C4 r
91 iii i
Ii
FIELD a. h N 1 4 . . Arl
r501 I • nZ '
'•12. Lij i
• FOUND 33.7' C
WOOD STAKE j 0
512
---------+M 54-Q N 72'24'00 W 65 . i.3 ap! s
p. DWELLING o
1 EXISTING WELL Z
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES x/o/F o
k h 8 1 WILLIAM A. VILLANO et EILEEN VILLAI'0 L.
0
g4 f ''' PERMTT FOR APPROVAL OF CONSTRUCTION FORA GEORGE W. KLINE d ALICE D. KLINL' ;
T
SINGLE FAMILY RESIDENCE ONLY (DEED L18ER 11786 PACE 37)
C)M DATE 41/2E w) -7-I-7 c.g HS REF. 0.e 4,---8--Goa i
'k :! I r APPROVED � ' SURVEY OF PROPERTY QEXISTING CESSPOOL
"
7.
FOR MAXIMUM OF�BE 6 ' • 0 MS SITUATED AT PTtPAIIED IN ACCORDANCE TME
MATTITUCI �" '
EXPIRES THREE YEARS FROM DATE OF APPROVAL ,,,,, ADOPTER
Y TOWN OF SOUTHOLD E otAN.
VeA.)L- ,---A_ ic/22)/(20 SUFFOLK COUNTY, NEW YORK ..?? 00 Ez. • 4, N ,, -
TEST HOLE DATA S.C. TAX No. 1000-106-09-8.2 rn c,, �5 -,!, o C ,°
(TEST HOLE DUG BY AT�TXt uu n SC1EIKE ON APRIL 2, 1998)• SCALE 1"—60' �r; .�,F"�• 70
MAY 30, 199 `T� c\I �I.iit I .
±:: :
APRit419PNWHSCD.HS. DATA li17TjS: AREA 114,089.11 sq. 1t. isLi��J O 'J 4'►�' • N,Yg. LiG. No, 49¢6{
!• s I. MY ARE REFt11t110ED TO N.G.V.D. ITIS DATUM 2.619 AC. j U J `
. E) 6 usvA60,01 ARE SHOWN flh/S•mg L uNAnpRTED ALTERATION OR
or
I. 72W TO TRW WNW X11W IEW YORI(5TA1E _ ..
T. IF CLAY OR ERt THE LEACHING POOL AREA IS FOUND. R MUST RE EDLKxTIOM MW. Jose �' Ar � � '
EXCAVATED MID REPLACED WITH CIEAN SAND.
�q�N 3. M IINU E SEPTIC TANK CAPACITIES F03 A I TO 4 CEDR00M HOUSE IS 1,000 GALLONS. cosPCOF TWO SURVEY we NOT woo
m=swe " 1 tANIC r LAND. 1-r 'mu, r-r D[EP THE LAND AAMYOR'S MEDD SEAL OR /��
• 4. WORM LEACHING SYSTEM Mit A 1 TO 4 KNOW HOUSE IS 300 sq ft SIDOVALL AREA. Torlar D L DI Land Surveyor
1 PO014 12' OTE►, r dto. CERTIFIED TO. 1D EEA TRLa
• ••iCHICAGO TITLE INSURANCE COMPANY >b 1HE PEIL Fa suRI& r
FRarostRANSIeN Pool
SUFFOLK COUNTY NATIONAL BANK AND off eE1wr To THE 1-
r -��� 0 PloPono main ►at► MIX OOMM►R. ' Otto sly, — sTraeA�wa1P — +',— ORMa1M/OT►.I+O 1 `.
,r OLGA WILLIAM TURNER .LN�iFs- 4
PRDPOSEe*MG TANK OLGA TURNER Tmit ARE TRFHCFT veu. PHONE (510727-.4090 FAX E 16)'722,400 '%
S. THE IAGTT1q0))11 OF AIR) CTM OokS SHOWN HEREON All FROM FIELD
. O lVAroms AND/OR DATA OWN=ROM dllKRt T1R �RIONT of WAYS OFFICES LOCOED AT HAW A
AAIMpY E K R IUD. dr UnICa Squor. P O Bptt TSS
AquiDogus, Nor Yolk 1.1931 M'AFRIod,Nom:York IA •
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