HomeMy WebLinkAboutKehl •
OFFICE OF THE TOWN CLERK �FFUL'
Town of Southold
Judith T. Terry, Town Clerk ." G �
Town Hall, 53095 Main Road
P. 0. Box 1179 :cn ` =vn
Southold, New. York 11971 c :Al'
Telephone _ Q( atr
t •
(516) 765-1801 '
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK, or CESSPOOL
Permit No. 218 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Shelley F. Kehl
ADDRESS: P.O. Box 230
Southold, New York 11971
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling with Sanitary System
APPROVED as per Suffolk County Health Dept. approval. •
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Robert and Shelley Kehl
OWNER MAILING ADDRESS: P.O. Box 230
Southold, New York 11971
OWNER PROPERTY ADDRESS : Main Road
Orient, New York
TAX MAP NO. : Section ' 18 Block 6 'Lot p/o 24
CROSS STREET: Browns Hill Road (Private Road)
BUILDING PERMIT NUMBER CROSS REFERENCE:
Juaith T. Terr
Southold Town Clerk
DATE :' September 2, 11987
(TOWN SEAL)
or.,s.,' •45,
4,4
''k Town Hall, 53095 Main Road
P.O. Box 1179
- .t 4 1 'O Southold, New York 11971
JUDITH T. TERRY "�������r TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD -
September 2, 1987
Robert and Shelley Kehl •
P.O. Box 230
Southold, New York 11971
Re: Main Road
Orient, New York
Enclosed herewith is the Construction, Alteration or Modification
Permit for -a Septic Tank or Cesspool System for which you applied.
Please be advised that each owner of real property operating an
on-site sewage disposal system, such as a septic tank or cesspool must,
prior to such operation, possess in the name of the owner an Operation
Permit for the system. The Operation Permit is issued by the Town
Clerk's Office.
The fee for an Operation 'Permit is ten dollars ($10. 00) for
residentialuse and twenty-five dollars ($25. 00) for, non-residential.
Please have the owner complete the enclosed Application for an Operation
Permit and return it to this office along with the proper fee.
For your general information I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by the Southold
Town Board. Should you have any questions pertaining to either permits
,or the Scavenger Waste Laws, please do not hesitate to contact this
office. We will be glad to assist you in any way possible.
Very truly yours,
Judith T. Terry
Southold Town Clerk
Enclosures (3)
-JTT/Ijc -
'de
104 `• r Town Hall, 53095 Main Road
06, -'0*,G,0-#;er �1 P.O. Box 728
••• ✓ Southold, New York 1 1971
��00.cro
IIIUITIl T 11 RRV TELEPHONE
Town('I I RF. (516)765-1801
RLGISI RAR OF VU AL SI ATISrlcs OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLI)
August 28, 1987
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 221 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Shelley F. Kehl for Robert and Shelley Kehl •
Please review the application and location map and advise if the
project has received Suffolk County Health Department approval
and if we may issue the permit.
Please complete the form below and return it to my office.
Thank you.
a
80,g70
.,!, 6,01drog="4.. .
Judith T. Terry
Southold Town Clerk
* * * * * * * *
I have reviewed the application and location map of the project
cited above and make the following recommendation:
APPROVE -
DISAPPROVE - nn n (/
COMMENTS: (14, d1�
•
AC Met 11.
Signature
431 L4jS �
Date
OFFICE OF THE TOWN CLERK
Town of Southold Application No (
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Construction'
P. O. Box 1179 Alteration
Southold, New York 11971
Telephone Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
' APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT'
SEPTIC TANK or CESSPOOL
•
Permit No.
- Fee $ /Q
DATE B -/
APPLICANT NAME: ihit en
APPLICANT ADDRESS: PO t'5 )( >O
- SO LC (r2 /1' AI 1 197/
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: •
OWNER OF PROPERTY: (.)bet 7 SPG LLMC1 /j E/4 L- '
OWNER MAILING ADDRESS: PO /XO� 2z
•
, A( cj lq /
OWNER PROPERTY ADDRESS:__5' "i" 7 , ,cr
_n. fag;
fa g;
- TELEPHONE'NUMBER OF CONTACT PERSON: • l(9zj " a 7 LI
TAX MAP NO. : Section / Block ( Lot -
CROSS STREET: , 'i epi ` t D Ogl /tet /6/47A)12-5 mkAva
1/
5 BUILDING PERMIT NUMBER CROSS REFERENCE:
- Sig tore of Applicant
RECEIVED BY:f' _
TO-vim CI- k s Off e -
DATE: • - _ •
5 I SUFFOLK CO HEALTH DEPT. APPROVAL
I I
H. S NO.
3U/ C C. 1 L �, _`` "--)J\.1_\''
�
1 / ,
STATEMENT OF INTENT
,>^=i 7' THE WATER SUPPLY AND SEWAGE DISPOSAL
�/ SYSTEMS FOR THIS RESIDENCE WILL
d N_ 7 V V. I . CONFORM TO THE STANDARDS OF THE
. SUFFOL CO, DEPT. HEALTH SERVICES
5Gr"lM' '6-- ,/ APPLICANT
____.r.__.€15.1:_;___ 7` • 0 SZ 45 . t. SUFFOLK COUNTY DEPT, OF HEALTH
sSOCIQ?hv�5 SERVICES — FOR APPROVAL OF
CONSTRUCTION ONLY _ / -,
r�
DATE: C� I v f Li f `'
0 64onunierrf• H. S. REF. NO.. ' c711 17
�► APPROVED: `/_`? . _(--vi
PP'ernl.ses aee tirc43e $/JLW21 SUFFOLK CO. TAX MAP DESIGNATION:
on aft1bT'oVeS minor �,rtll3'OIiiriolor? DIST. SECT. BLOCK PCL.
mdr 16re1 irgd. orn the 1144414r' 1000 016 6 24(iatt
, L• /en.Jrx7 peoAier i'y "tar 1Vor/-11 OWNERS ADDRESS:
goa d A 0 S[J cl'ai'es v to n..-7,, 19,5u. z3d Narffr Rd. 030. Sox 5)
Q 6reetr art, N_ Y. 11,944
_CO r»inUYS from Courr t ' 71101240 #1015.
477- 1226
N DEED: L. P. -
TEST HOLE STAMP
I' Z c{i.•Pt1*yea-P.fr;
! `�.k _ th• ri!rwri IG.Yin'rilo o C St
7i1
7� .�xr rsy fn a44/ h
e5;-<7.0:-,1".'7(:�r;ch^C2't°. e1
i•� .'' '4 t� I r/ rpr - loam {If�C:e9 Leto.
' - „vier- 1 ti s ; 4F{^i'l:rYC?1 OSE.' lilt;$?w7�;bj
'NA
L r Ti Cant•-••••c+
\7 A r _beod.Un 'fi.•t•.ne con n':i arG vf%1 e:l'r
s% emb..eets._cs.t r -3;rte.bo ca al_.5$
t' lye//o Ill to L.;r vt;4rt`.s7so c-*',•
18s A7 Q nQ F-fcrYr.�r9,h'.E4CY!^ t von
p 9�� �uTNer� { :trr�w^^the sursay
\\ Crey to tt:A Creon i7 .. t: o a�S
Jay f'f, it Er¢octse^,exl t��hiW k t7
1 tiVe coomreny.fcw:rrnerite s ny
al
t IAC - 7 ' Ic.-c'r,iR�-Vittv,aro Vied hOrC.aO 0.301
. ; r ikIii � ,v 64 I Ql'I4 !U�>� to the sere os the 15;leiP,[nstd-Vilion.Gu:_zn SAWS ere not o
v�n /hie. And �': if to xcccn a Kions o-Eu +�^v
r•rn.r
-- '-------- - 1O' SEAL
" :�. • ,OF NEI,1,
KV A. 1"
M4 1bed Auy. 19, 1'86 ra�rl��'g +' �° .' j . •
ROD RICVAN TU_ Y�, P.C. 5 ^ '1. o
PILL' �' "�" e,� 2c ' ..?,*,_-ti3O w
�,_ 'f
S <5256 J
LICENSED LAND SURVEYORS 13' ��(AND`J�
�'_ —`- GREENPORT NEW YORK gr'a1 teai'e!t° '
t\
kr
1
i
/
r E b.
// .
lA/0/1 HT i2 o aal deisoOCI‘
II �� e/eV. 13 1
N. 7 e6 34 '.40" .='. 371. 56 ' ---
\ .
1D N
AA
N
., clv r r-.Z5.=:-"--, $3.76
1t- :, (It
)-2.--\ I
t
i
tl C
!
•
De
1' el3® ' !
® J�7 I 4
\
-- 56.06'
5. 79 " z 8' 4 0"w. -- Z Z7. 8l .S. 78"34 '40"W.
to X1A /N ?et, 04 C). M' rpt. Y: -
2
------- ---- --
-- -- - - - -------
N512'