HomeMy WebLinkAboutSchneider (2) 0,1�®clef 1 p.
ems, �i,-e; �+s'r'.;�--7%,, C�
h! '- = '44. ` l ;�' Town Hall, 53095 Main Road
=`%® nz :
. Lirl ; _ �I P.O. Box 1179
®� �j�®��� Southold, New York 11971
JUDITH T.TERRY "���I FAx(516)765-1823
"����� TELEPHONE(516)765-1801
TOWN CLERK
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 554 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : SCHNEIDER, GEORGE T.
Address 1 : P. O. BOX 1185
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 9/27/89.
Name Of Owner SCHNEIDER, GEORGE T.
Mailing Address 1 P. O. BOX 1185
City St Zip CUTCHOGUE NY 11935
Property Address 1 800 STERLING ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 104.00 block 1 lot 29.000
Cross Street BAY AVENUE OR PINE TREE ROAD
Building Permit Number Cross Reference:
Issue Date: 10/11/89 Judith T. Terry,
Southold Town Clerk
(TOWN SEAL)
�, ,..,,:, �. C_ E IIMC
. 1p-t,i �,- _ I) it i 4
�� :� 1 ,,
- t , :
-3,1; , s '
a ai
n Road d� yk ,
. .NN- St TOWNOF SO ( DBx 119
- ® b
' Southold, k 11971®1 - ' il
JUDITH T.TERRY L � .
'1%4..�oo
TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office
Dated: October 4, 1989
Transmitted herewith is a copy of application No. 568 for •a Cesspool/
Septic Tank Construction Permit submitted by:
George T. Schneider
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.
c4(..„---y_ci.ce.--
Linda J. Cooper
* * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE X
DISAPPROVE
Comments: ov, .I.,.. ,r,,A W. cDor a c4.,_.s_ v 1 (1 jA,V,t `i-.
1 ci. A . 0N- cA .-\\v°\
1989 \C a,.).„. .cz...d... cia.._
Signature
OCT1 IO\ lb\ 1 \
T®wu Clerk Southold Dated
v a e r V.. i
OFFICE OF THE TOWN CLERK ,c� FULA
Town of Southold 0\. -':,-4.?":. •:C'lj
Judith T. Terry, Town Clerk f p;�.: ".� Application No. ,c74
Town Hall, 53095 Main Road o 1-�'`. ��,•:"
,d-:�, `=' � Construction
P. 0. Box 1179 -,. t:;g1';‘,1'Southold, New York 11971 ` __ Alteration
Telephone -4 1+ 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. SS/
Fee $ /o
DATE vci 8e-g 4 /9g?
APPLICANT NAME: l�COieC %•• �C/fil.E/ /-
APPLICANT ADDRESS: PO 3G>C llSS
Cgr'/7- C6UE /V1' //935—
SEPT I C CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/1/EGro I L L i1 ce— — 6/NCC C .7 -,s G Y
p -ieLziA./ .
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: -a2GC / . 5c./-bwC/ E--
OWNER MAILING ADDRESS: /7,5 13ex //g-S
C0 TCM ' 6'0E ,t)-¢! //, 3
OWNER PROPERTY ADDRESS: S-46 5 7E-eez.,/ el)
C ed-Fc li0 co C lv Y
TELEPHONE NUMBER OF CONTACT PERSON: 734.. - 7z 6 q
TAX MAP NO. : Section /0 V Block 0 7 Lot 27 •
CROSS STREET: ,34 _, 4s/ O i /tie 7-�Pe e ,6,t7)
BUILDING PERMIT NUMBER CROSS REFERENCE:_
``gnature of Applicant
RECEIVED BY: _ 1.1(//LL/k/
,p).
own Clerk's Office
DATE: e _17 r e-7
OCT 0 4 p..- d
Town Clerk Southold
,• • SUFFOLK CO.HEALTH DEY7.AYrKUVAL
PLEASE NOTin k. f H.s NO.
SBNC Lti FAMILY DWELLING$G ONLY ._ = ._ . . .
It Is the applicant's responsibility to1 EXPITIES IWO YEARS FROM DATE OF ANT OVAL
h
maintain adequate sanitary distance 1 / t • ont� f
between all water supply NOT-Ii.
�etnage Q
It s SEP 7"3 2 2? I' +
c
disposal facilities. ` + y
-�+ 1 ! STATEMENT OF INTENT
I I • i �,,�� 0eroga T SCKN&'ipeA, _ // THE WATER SUPPLY AND SEWAGE DISPOSAL
eV. tY ,4GYu• d i p0 �oK 1 1 Vs �f SYSTEMS FOR THIS RESIDENCE WILL
C ✓// CONFORM To THE STAND RDS OF THE-
_.., ul. -p i Gu-rC[{D(.11t� N. V.' / SUFFOL�.'• D - LTH RVICES.
` ; fast Itq35 ( ..1. r
i / I ha w ? p _�> I ANT
• •
I —h/4 -"�-S•4S0 Y • 13"x' J SUFFOLK COUNTY DEPT. OF HEALTH
\ 13v�,33 / SERVICES — FOR APPROVAL OFx(14 D I CONSTR.CTION ONLY
DATE:
4O IN �2 ld h.:. // H S.REF NO. ._O /0 / .
� ' APPROVED ��L7r�� L A
+gyp -- -- - Jxtr'- i .
I
• — MA (...).4.-*:
Al SUFFOLK CO.TAX MAP D GNATION: `
DIST. SECT BLOCK PCL.
• p `r dsc Ot 1 ,
`i t Q aSU.(�1r"HYD ,� ��oo ro¢ i 29
" rk ! \ ,,I ;q OWNERS ADDRESS:' I rg -off,<'�' / J 'i---_. _ tz' t'' GL�l✓!7X GE �rJX 11 .1
•
Q \ [ J f ' ,' _ ..Ct.r.r,<iops,e, N.Y. 11935 -
•
' -I. leo- 7 S- ! J l _Cilli Cf-T67N.Y. Tel. 734-7249
tt/} ^ ` J 1 \1--�--- �. l�_ -_� ---- DEED. L. �3=r�i P. /?! t�F:e;f.j
CI
�j .t V - - -L-4, _ .1 I til �•. SCAt 6: 4O �•� TEST HOLE STAMP
_"�'_ • ' Una.thonzed otterehon or ed ition '
Q' M U ffi.s v m.v is o v etahon of
h t-,
i ; H _a E26._ ZlT,_ "�_.5_4,2_ _T to th.s uns or the Iehonow York Stets
top-$OJ� ducahnn Enw
v / �� ! i __-, _— — 1' Coo os of the s4w9v m
4 { the toad surveyor s,naoceet
vr.Ao;:ad sss�st'alt not ha mnsde"
\•, r { << to bo a vehd truo cagy
v /B9• S2 - I i3 - 1 �, = Monument' : '
♦�j yyyfff ,f Qua,entess Ina¢c'yR honeys!,•h^"
.5.6 -.48 ..h �. 3',64.67 7"o 0 1/'�Q J'1 F'2.1'1 oMy to the sensor,ter vrh-;_:ro:u,-
\ is Prepared rro�n h.;`. +o f'a;
- p�
i . �A!^f'O!'1 12a 1.• _ ;-, �. POO` {/ •� title corn;an't.4oi.V-rnN,td c.ryd
D , . 1^,nd.ry'n;u•rLcn IiC.,,L^-•m raJ•
- l� J 7 1� L.I fJ I Cr Q/R�. O g well��('J�7.� sand : to the z,"vlrat•.S the �r_,n,m:
town Cuc orfs>;ore no:so; rnrah
•
�,50 �.- _ �\ cart 7scruP lrJrB 90 aCd'nonai insatvuans or s:_rr,�:.
wre s
—_—� '' ---� �_� — — ` : PrLA E NOTE SEAL
: i Requires septic tank ` • i'
L +, = '%� '4 " •
cover to grade. ,F Nr�.. ;
RODERICK VAN TUYL,P.C. .0, (r `-.-:'4;,(--;..\° 1
x., �. � i ... -�'-t_-_—_t.--: 3�.• x+•- .r '�.. V.!---...1----._-..;p4.
�' -� if ` :.N rII S i
�� LICENSED LAND SURVEYORS •
<g?y +
;' a� {, ' GREENPORT NEW YORK �F� T,iriD " 'x
ttitoyw toot twtm" 1 r r1 -...-.7''
E f11. _--0
, . .