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JUDITH T. TERRY r ; �� Town Hall, 53095 Main Road
TOWN CLERK ® q P.O. Box 1179
'« z J Southold, New York 11971
REGISTRAR OF VITAL STATISTICS -:�' ` CS "+fig !` Fax (516) 765-1823
MARRIAGE OFFICER
Wry' W �•4' Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER = � aro 1,1
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1226 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : CHRISTINA HESSLER
Address 1 : 900 ROGERS ROAD
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
FILL IN EXISTING POOL AND REPLACE WITH A SEPTIC TANK AND THREE POOLS.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION
INSPECTION REQUIRED.
Name Of Owner HESSLER, CHRISTINA
Mailing Address 1 900 ROGERS ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 900 ROGERS ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 66.00 block 2 lot 38.000
Cross Street HIPPODROME DRIVE
Building Permit Number Cross Reference:
Issue Date: 10/13/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
/ aZ .a2 �
JUDITH T. TERRY 44•7:: ,s .
Town Hall, 53095 Main Road
TOWN CLERK ® . ,:,:71.:.17:A.4;
� M � P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �`� Southold, New York 11971
MARRIAGE OFFICER , a" ���'' Fax (516) 765-1823
ret .. Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER =- ��1.1
FREEDOM OF INFORMATION OFFICER �'�.riii/�� '
OFFICE OF THE TOWN CLERK -�� -
TOWN OF SOUTHOLD "'`�1 L�if
f
TO: Southold Town Building Department ~
FROM: Linda Cooper, Southold Town Clerk's Office OCT 6 /994 /! fP
DATED: October 6, 1994 Towpf
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Transmitted herewith is a copy of application No. A1271 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
- Christina Hessler (work by Artie Foster)
Please review the application and location map and advise if this office may
issue the permit.
Please complete the form below and return it to this office.
Thank you.
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells, buildings,
property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
IP
p /
Signa ur: Aollr
7.Pe y
Date
OFF4 OF THE TOWN CLERK „ '""""'
4-----town of Southold .101041f 01.1(e+- -_
Judith. T. Terry, Town Clerk ' �l/ Application No. / 7/
Town Hall, 53095 Main Road Construction
P. O. Box 1179 : c rn ; Alteration
Southold, New York 11971 if' -
Telephone O4ro ��'', $10.00 - Residential
(516) 765-1801 .1 4 ,, '� $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 Cie .f er" �r / P
APPLICANT NAME:
APPLICANT ADDRESS: , l,c, - a �� A �!
Wit. ,e% /1 7, 7/
SEPTIC f CESSPOOL .3
DESCRIPTION OF PROPOSED CONSTRUCTIO OR ALTERATION
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.i .i, Lli�-Cc�IL -��.� ca_ / a .... � '. J �'L. L
LOCATION MAP: Must be attached hereto before •ermit may be issued.
LOCATION OF PROPOSED CONSTRUCTIONR ALT,RATION:,
OWNER OF PROPERTY: c:"A yv /12,7 fiess4
OWNER MAILING ADDRESS: ,POC) aRe72Z›/c/ �1,.5 �”
,S0X.OWNER PROPERTY ADDRESS: e_
TELEPHONE NUMBER ov/0 TACT PERSON: 5'_ 6/.7
7' /i6'„--02118 jt
TAX MAP NO. : ectTonlros® lock Lot 5--
CROSS
CROSS STREET: werO
BUILDING PERMIT NUMBER CROSS REFERENCE: 2.2..s 77,
f t r- -'L P
Si iatu e of Appli -nt
ECIIVED
RECEIVED BY:
®CTiown69 k's Office
DATE:
Town Clete l,uthait
} T e 1 /(Pr (�
F/L E MAP9;6/47.2 •- -A-
FILED MARCH /6, 1946 SURVEY OF *1,
TM#/DOO-Oss-02-3B
LOT-5 in BLOCK 6 .
MAP OF BEIXEDON ESTATES . . -
f TOWN OF SOUTHOLD, SUFFOLK COUNTY, N.Y
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I HIPPODROME DR.
END OF BEGIN LOT 4 TIE=35/.0' GO
BULKHEA' BLOCK WALL 5' 600 20' 40"W - 1/1.0 FM. . "'ALL B
' PLANTER
/ CONCRETE BL CK WALL ENO STONE PLANTER S LT'
CORNER`\ ?a BLOCK WALL i
NO.3 p .01O
j,V ASPHALT tri
2DRIVEWAY-----,,
NCE
0
41\-
*� BULK EAD1
0Ju t 24.2' �_ jo O
s 526' ,
r%1 et
Qi '�1CHAI R ?cc sr!NG cr Sc
QD n / L/NK I GA-• 'E a O W Al
n ` FENCE I �'? 2 STORY K)0D FRAME N N
�O / n, RES/DENCE _ `- N -
NL� . a M, O
L__J ,. ..7-7!277.7---.------..4-------. 30" il.
0 a \\ 53.4' 'l BULKHEAO O CORNER Si.
SHED - --- w
-- - - - -/
L6' • - TDP WHALER _OF BULKHEAD N_�RTH OF O.5 (AVE I _ __
�/ - N 60020 407E P TFORMJ I - STEPS TO BEACH - /35.7/' . j
i - - 'OVER 2.2' 2.3'
FRONT & 7D REAR BULKHEAD ,�
CORNER -
BE/XEDON . - BEACH (PLOT A ) 7/.1.