HomeMy WebLinkAboutSchuck, Michael � ,co�OoFFO(,rcoG,
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOWN CLERK c -4 P.O. Box 1179
N 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER .y� �� Fax
(516) 765-1800
FREEDOM OF INFORMATION OFFICER ' �l I* i 0.0
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1939 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ROBERT STROMSKI
Address 1 : P. O. BOX 93
City St Zip MATTITUCK NY 11952
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 #R10-98-0107
Name Of Owner SCHUCK, MICHAEL & ANN MARIE
Mailing Address 1 P. O. BOX 2490
City St Zip AQUEBOGUE NY 11931
Property Address 1 PASTURE LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 115.00 block 17 lot 17.004
Cross Street MEADOW BEACH LANE
Building Permit Number Cross Reference:
Issue Date: 10/06/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
- ,,,,00410.4... /73?
ELIZABETH A.NEVILLE t•4`1`.\ o,t; Town Hall, 53095 Main Road
TOWN CLERK p -4 % P.O. Box 1179
C/3 Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS % �'�t Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER --11gl +.11.1,, Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER " •016 ���
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 28, 1998
Transmitted herewith is a copy of application No. 2016 for a Cesspool/
Septic Tank Construction Permit submitted by:
Robert Stromski for Michael and Ann Marie Schuch .
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:
)igna—tur
41 il—i if 2
Dated
„I''
OFFICE OF THE TOWN CLERK O.CJ�FFU(xl'O
JudithTT. Terry, Town Clerk '''. G
own of Southold
Application No.aQ I L
Town Hall, 53095 Main Road 'cr) z Construction ✓
P. O. Box 1179 1. -
Southold, New York 11971 Off` Alteration
Telephone 01 ' �� Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 5 C 5-1
APPLICANT NAME: j ►0-t' cc - rnY
APPLICANT ADDRESS: T. 0. -box 9'3
1-14 4vr E& ,, rf 1' I l4S2-.
SEPTIC )< CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
(PCO1 G0Sr
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: A. Sc_kuc_1,. t Avw . riQciG kc...-1
OWNER MAILING ADDRESS: P o. tom. on vier)
/ i va✓bol uc., , di/ 11131
OWNER PROPERTY ADDRESS: Fqk - v rL LVI r_M L r-V nets-2_
TELEPHONE NUMBER OF CONTACT PERSON: 71,10er' 5brovn5k1 2q$.- i
TAX MAP NO-. :, Section WOO Block 1 15- Lot t 7 /7, L
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REF : ,
/1111W mow
Sigri.t e o Ap:‘icant
RECEIVED BY:
own Clerk's Office
DATE: l— )..r-9
,rm
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f
istENT s�n�otx.
DEPAR
o�> saRvtcis SURVEY OF
,� RAMROVALOFCOIrent WFORA • TYPICAL SEWAGE DISPOSAL SYSTEM LOT 4
' •O GLZ FAMILY RILSII Tia.ONLY ,w 9$0 > MAP OF
� ����•/�/. �� `""� HARBOR VIEW AT MATTITUCK
1)A
T� ? itsREF. '` moor,1.liar sL „•„S,,,,,,, rt I f FILE No. 8377 fILEO AUGUST 21, 1987
. L„��. //teal.
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�p�Ro c .�../e1�Roorlis '�,,� J�� a, � i, I�i,. r MATTITUCK• I
OR `�o°p � .. va : TOWN OF SOUTHOLD ..
�A `4 ` ' ! '� SUFFOLK COUNTY, NEW YORK
ut S.C. TAX No. 1000-115-,17-17.4
.; SEPTIC TANK ( ---{4 �Au sou SCALE 1"=40'
�. `�, ,..rwr a►xc TM,K "1Eo,To.m•Mr wa 1.000 6610113. - = JANUARY 14, 1998
I aM.c r UMF.•-
,•. y. _dada q, ;.wools*Pa/gwc,.�w♦lr arase.c a s.om r+AT m Dos.
• - •r•• 1 M..11115/IItOY MM s:ro 10Tol. A" ,D.most N. Miss or ,it.` V '
w 4 4.„{,,,,,�,,,,,��,�,�,,,,,,,,�SLIE„M,s JULY 2. 1998 ADDED PLOT PLAN WITH S,C.D.H.S. DATA •
tD O S.TtE WPM UM*Wu. At .w MN A Wt TaawcE a:,/r>
V/.1;I#>."‘ • 1 sPia °�'"es must be inspe by A t y s, ��, ,�jrir. 'POOLS.. iZ� ,
•.A •met OI,-, MOW SOW INK Mb LIML R MAItM ED. t.r,rul, M,B/PUR A t m 1 Y071100Y'tOl�6 300 N A aFlM4L MEA
.r' - i a.=vaoss r• m a ,osoxvn mlraE,E tax oo.tu AREA = 43,296.60 sq. f t. ,
- oik County Dept. of Health Selir, J_— (a ,,,
0.994 ac.
all 852-2100, 24 hours in advance; COMMET1,10,� r•P MD OM
E �"`"""'"�"
..A r M.1.CETMM InIIFDI AIL IbO Po POOLS .E S RAL
..M1 r•ln.OLSOMCE Immo,ALL IfMRo POOL•OM ISM TAM rwu e[Mwrmm.
- ; Ii to schedule ins. -ction(s). A ...
C RDIFIED TO:
44,,,,, 7'i
MICHAEL SCHUCK . •
i
4EEE ` 0
ti:'•. t' .. .® `� Noris;
' bv110...:::..,;..- .,�y 1. ELEVATIONS
ARE EXISTINELEVATIONSCRC CEOAR£ SHOWNtom THUS:ASSUMED DATUM
1 . ,..
��/� 21/12
.:. Oj PROPOSED ELEVATIONS Aim SHOWN THUS:
1 I I L� 1.C.- lar ar aur
R B.C.- tea.K apE
��j..�l` z. PROPOSED SEPTIC SYSTEM STRUCTURES SHOWN THUS:
1r � 1 I�/f •
to ::171 , (:,•/ ; le PROPOSED ExPANSMIL POOL
'�,ik:::::::i:-,:.;..':‘:': .-: :::::.:.*:::::::.‘1 .
```� d - ., _ •.• / PROPOSED LUCKING POOL
1te; s '`` C 8 yT is
\t.1
t. t v. i•.I 7,.., EAPROPOSED SEPTIC TANK
iii• ell' V:::[;-ii::.i.111 '‘...:::!..-.,541.:.../..4.:;:.-
i l ` 3. THE LOCATION Of WELLS AND CESSPOOLS SHOWN HEREON ARE IRON FIELD
_ /
L r` pap __ OYSERVATKNAS AND/OI) DATA OBTAINED FROM OTHERS. .
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cx. .. DC. .z,, 1 •i — 3 ' ,j J ' . .' 4 '3' OA RXN sac 'Z4do• LaSO}S• 1
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'V). E�l PREPARED M ACCORDANCE 111TH
C • .� .. _ r "g,YYY st SGNMROSFOR A9�sr
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•4'• ~ • S ^S N►TER�Ny,L�u er'TNE NEW YORK STME ONO
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$ :• ,l/4.) SS PHA. % Received
i I ' - J �° I f� I uffolk County
,��t • 'CAN sox• TEST HOLE DATA * jo
i98
PLS
Of JUL 17 19
1t i •
I 16 { ELEV. R9.♦ o' \,\c �r' t I itrl SeNICBS'
`�. s ,.TEST HOLE
Il \ \,\(,�,.... �' pf Wastewater M°m
( w't") LOAN
: ,^,C 9669
�[ _ - i W (USES rm \ di UNATNORRED ALTERATION OR AMMON
C"� . ' co.o .1.0 ! , * To THIS SURVEY IS A NOTATION OF
r - , „'.f ? d �' EDUCATIO09OF THE NEN YORK STATE
�, � , ca[s OF THIS s�soEY y�NOT�vuNc S 1 . l"�•
y i _ -�.,_. SAND THE tA1D MEED SEA.OR Land
>, 1 , �� Dims= BE,CONSIDERED Surveyor
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