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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/
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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
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OFFICE OF THE TOWN CLERK a7111TITSI 11
TOWN OF SOUTHOLD
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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/
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• '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