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HomeMy WebLinkAboutHough " j i Wire; t44 Ced% JUDITH T. TERRY : $ Town Hall, 53095 Main Road TOWN CLERK v rrri P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS = iY ® .°1- Fax (516) 765-1823 MARRIAGE OFFICER =_'` •® •" Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER - 7®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. 1117 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : TIMOTHY AND NANCY P. HOUGH Address 1 : 270 BAY AVENUE City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. SCHD REF. #R10-94-0017 Name Of Owner HOUGH, TIMOTHY AND NANCY P. Mailing Address 1 270 BAY AVENUE City St Zip MATTITUCK NY 11952 Property Address 1 555 BED FOX ROAD (PRIVATE) 215 ALDRICH LANE City St Zip LAUREL NY 11948 Tax Map No. section 125.00 block 2 lot 1 .003 Cross Street FRANKLINVILLE Building Permit Number Cross Reference: Issue Date: 5/02/94 Judith T. Terry Southold Town Clerk (TOWN SEAL/ , _ _.. , „,,,,, ., / / / 7 . ., 0 r .,.. JUDITH T. TERRY : a W Town Hall, 53095 Main Road TOWN CLERK v F ,�, P.O. Box 1179 REGISTRAR OF VITAL STATISTICS :$A • Southold, New York 11971 ® q .- , Fax Fax (516) 765-1823 MARRIAGE OFFICER =�_�� f z, • Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER ®1 �A $ �I FREEDOM OF INFORMATION OFFICER �",�0,00/,��1 ,- OFFICE OF THE TOWN CLERK a7111TITSI 11 TOWN OF SOUTHOLD R E--d a 6 m 1 55al iPi'-1- TO TO: Southold Town Building Department BLDG.DEPT. FROM: Linda J. Cooper, Southold Town Clerk's Office A--- �TOVVIVOFSOUTH®L® DATED: Apri �9 ', _ y/,2 /I Transmitted herewith is a copy of application No. 1155 for a Cesspool/ Septic Tank Construction Permit submitted by: Timothy and Nancy Hough 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 * * * * * * * * * * * * have reviewed the application and location map of the project cited above - and make the following recommendations: APPROVE DISAPPROVE Comments: '6-6',/,3 ar 4/ ,,,P,0 - TV- Do 77 - - .. , e77,—r),,,, )4/16---0 742' • Sign.tore - Dated / r- OFFICE OF THE TOWN CLERK c0FUL Town of Southold "'.-.0" ,, �- Application No. //6-3—, Judith T. Terry, Town ClerkS. Town Hall, 53095 Main Road ` c ". . Construction 1"--- P. P. O. Box 1179 �� - 1" 7- , J ® .-.. v Alteration Southold, New York 11971496:/;;It'' , ,; 0!-° '0 'b ! Residential /"-------- Telephone - 1 ° (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 4\ )3`9`( APPLICANTNAME: tM,o 1- Mc,,,,,c1 P t loin 1 APPLICANT ADDRESS: D--10 Gt.,„ A--te,.A-u-e tt iut H „0,5-1_ SEPTIC CESSPOOL�P DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LA,...,--) S1L)G-i.E �,�,,? a. S-C.t.'? I;.�S►d c6 -{SPO-Qv alio 0 LOCATION MAP: Must be attached hereto before permit may be issued. • LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: I OWNER OF PROPERTY: v,,� f 10ce /L4CR, 1) 404.0_1, OWNER MAILING ADDRESS: '�� ( c 'eve VA*' nark. Al L k.el SI- OWNER I- OWNER PROPERTY ADDRESS: ',` p �� 5 � �,�, �ss ,�d� TELEPHONE NUMBER OF CONTACT PERSON: 5t c al o tool TAX MAP NO. : Section ,aS Block O '- Lot CROSS STREET: cg-,,,,L.1..-u, lk_ BUILDING PERMIT NUMBER CROSS REFERENCE: 2 Sign to of Applicant RECEIVED BY: / , A1 e Town Clerk's Office DATE: 4/— / V- 2/ u N I I , 1 ` Ln LP A LP m- ' p A - \ fOt06 O- • `''" \ Ot GTr K \ ow No\•- le, .1 — ` • LOw£ Ida` eY \ IOTm 0 e \ 5gh-Z.% I i . Ct c,hY Do* viol"e B*LOW,,.\MO\p0,'1 // 0,,,,,v-W:' \\9 q9 - ,'46NS . I '- - - • \ o plE• E.,--e- "al �c , _ \ o.. / 2 N70 252 Ag R\�) o l� 22 , , • o 1.Dr \' Z 0 - '14SlO°4�` Z�j2 4 rG ' O N p uk41-9 O\ o • - -4 1.44" it O -O 1 O _ • Pcoao � tt° - O o . 5,,,,,,-,;,4--1�^ Y w - � 0 AY,, 'x•T Z EM\ y5 \- �- - Dt fn y 3 (r.So .Dup �LtezeJ� \ p 3W / \ - fD °? N y1aEte,, i (� \r( , co.. et, ATyFq, - _ \ ,, X + /, , ` . °k , OS t\Y- 62 <R2 t ot ir \°? SO . p^DoP Op�e/• - \ nOW oO�ttO\ee - • i - _ , F 4i •� R\ctictd •, 3 Dts 'i ' - • . C4Df . P� o (r)--\ a TEST HOLE / 2 �/ �rQ - - ' TOPSOIL • D 4 7.0,7.' ' .. Q� .e ••\ „'\ - . COARSE �� O • - - 0\/\ \L I � COARSE -- , \O - • -- GRAVEL - • O`` -I - - • - ISO GROUND WATER - . • 'AS INDICATED ON APPROVED MINOR - - � SUBDIVISION PLAN PREPARED FOR ' ' - - - "RICHARD 8 DONNALEE RELY E4 - - - • ' , SURVEY FOR - _ - TIMOTHY HOUGH ocT 25,1993 _ - - - - - , _ -, JULY,28,1988 ' SUFFOLK COUNTY DEPARTMENT OF HEALTH 1f6RWICd - • -JULY 29,1985 +, - AT LAUREL. • DATE.JUNE 27,195 FOR APPROVAL'OF CONSTRUCTION ONLY TOWN SOUTHOLD SCALE 1° = 100' • - - SUFFOLK COUNTY, NEW YORK L- • No 85-593 _ • Hu REP. D30 • NUNAGTHORI ION OR ADDITION 10 THIS CERTIFIED TO - - ' - - 1 DATE. SURVEY R A VIOLATION OF SECTION 7205 OF THE - • L NEW YORK STATE EDUCATION LAW EQUITY ABSTRACT CO. - , - - - *COPIES OF THIS SURVEY NOT SEARMG THE LAND NO 850• •'-'=C`- . i•- _ AFP4OVED SURVEYOR'S CON INKED SEAL OR EMBOSSED SEAL!MALL TIMOT 1;a6T'ck1/j' ' NOT BE CONSIDERED TO HEREON ID TRUE COPY ``GG__ -, MGU ARANTEES INDICATED HEREON!HALL RUN ONLY TD HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT TME PERSON,FOR WHOM THE SURVEY IS PREPARED Q- _qS W, k, O AND 01 HIS BEHALF TO THE TITLE COMPANY,GOVERN- Y" /•'y- N AYES RAIN—MI±*SOURCE OF WATER.FEE' TE 10P'IC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED 0 O' ' ' * _ 0 S0FF CO TAX MAP DIST IGOQSf CTION J2,5_BLOCK_SEL LOT!&L HEREON,AND TO THE ASSIGNEES Of THE LENDING * = r-�--,/ ' NTN[*[ ARE NO ONELLINSS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE T F • ' OTH[11 THAN THOSE!MOWN N[REON TO ADOITIONAL INSTITUTIONS OR SUBSEQUENT II•%//��" • - ' N THE WATER 5UP..YAJINSENSSE DISPOSAL SYSTEM NON THIS RUIDEIEZ OWNERS hlll-�•!r''•IP.r *DISTANCES SHOWN HEREON FROM PROPERTY UNLS �i=;• r WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT � 1 Qom_ OF HEALTH SERVICES. TO EXITTINB STRUCTURES ARE FOR A!P[CIFIC - ' APPLICANT. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH ' - ` I I,�V 01.1,1 L1/1 N T11]GN PROPERTY LINES OR FOR THE ERECTION OF FENCES I� s\� AOOREES J�Q `111(1 A.J(' rn(-r I l Tu c(_., . - -- (oLAI`lO / ' - ' Nv• )i�S� TEL ) 10 SroJg YOUNG YOUNG RIVERHEAONNEW YORKDERE NOTE 0 = •MONUMENT FOUND AREA=2 310 ACRES B - I _ RE• LOT 3 "MINOR SUBDIVISION OF ALDEN W YOUNG,PROFESSIONAL ENGINEER AND LAND SURVEYOR N Y.S UCENSE NO 12845 ,, r • RICHARD 8 DONNALEE RELYEA" - ' Q =STAKE FOUND - HOWARO W YOUNG, LAND SURVEYOR _ ' • ' N OE LOCATOI CF WELL(WI,SEPTIC TAEK(STIS CESSPOOLsICPI SHOWN WREN - NYS LICENSE NO 45893 _ - ' ME PROM,PIELD OBSERVATIONS AND OR DATA OBTAINED IRON OTHERS - , - , BRANDIS A SONS INC.IOAG - - - - _ -_ - - . — cy, 01.1(;- JUDITH T. TERRY Town Hall, 53095 Main Road �� TOWN CLERK , r-rtiP.O. Box 1179 , w,,� Southold, New York 11971 REGISTRAR OF VITAL STATISTICS t f � Fax (516) 765-1823 MARRIAGE OFFICER e�° " , .4' Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER .dr®1 oto FREEDOM FREEDOM OF INFORMATION OFFICER .�ii,,6 �'I OFFICE OF THE TOWN CLERK _-__ TOWN OF SOUTHOLDl 1 LI W !t li s; 4 t, 1 4 .\4I j'I TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office 111.00.OM ` TOWN OF- + i L® DATED: April 14, 1994 Transmitted herewith is a copy of application No. 1155 for a Cesspool/ Septic Tank Construction Permit submitted by: Timothy and Nancy Hough . 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 �/ s Comments: .0.72,,,,,„_, c...5-a,/D "7").6/./r/(e- ,-40.- i�df RECEIVED 3:ceS _ APR 1 8 1994 Signature Air lawn Clerk ou#to1 Dated