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HomeMy WebLinkAboutSepenoski .gf, 6 Town Hall, 53095 Main Road �`' P.O. Box 1179 O Southold, New York 11971 JUDITH T.TERRY 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. 573 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : SEPENOSKI, A. P. JR. Address 1 : MAIN ROAD City St Zip ORIENT NY 11957 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 12/8/89. Name Of Owner SEPENOSKI, A. P. JR. Mailing Address 1 MAIN ROAD City St Zip ORIENT NY 11957 Property Address 1 ROCKY POINT ROAD City St Zip EAST MARION NY 11939 Tax Map No. section 31 .00 block 1 lot 3.002 Cross Street MAIN ROAD Building Permit Number Cross Reference: Issue Date: 1/10/90 Judith T. Terry Southold Town Clerk (TOWN SEAL) i fig @ s ' `� _ I DEC 1'4---—---'"7 M�} /;47g� :"11 '�. 4' 1 f �yY S'i'- c ;f TL.,...2LDG. r"'' ;;F ' `-z' ' Town Hall 53095 Main Road DEFT �'',^� x�s� � �' TC OF SOUTHOLD `' P.O.*`'® ^�tl ��t. PBox 1179 __ �� E i\`',01° ,�1°� Southold, New York 11971 JUDITH T.TERRY �..�.vi�,, 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: December 14, 1989 Transmitted herewith is a copy of application No. 586 for a Cesspool/ Septic Tank Construction Permit submitted by: A. P. Sepenoski, Jr 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 X DISAPPROVE Comments: R., �,,., e oftz d-. mn C.1.1-\il mac Q. uSL %.e...0\- a".....& cotr-0.9.4 .A.-A ..k..,1)10.9_,V.._ Q_A., t•-R•0119,._ am, 1 )--1% \�( 1 c ta' 1 ' %A \C3)--Lt. j).4......-00....9..41 Signature EC 26 1969 1 z-\ ...12,\ ,o\ Dated irt624 Oak So m /OFFICE OF THE TOWN CLERK /cjvFFOUI' Town of ,Southold 0-0 - D - �( Application No. .5 Judith T. Terry, Town Clerk '-,, x. 1 Town Hall, 53095 Main Road ` y`` • j Construction P. 0. Box 1179 �•,*n® • *.$ Alteration Southold, New York 11971 •0;"' Telephone *1 �•; Residential (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION c' r, fi , for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL (1 Permit No. ' Fee $ DATE DS2X, t ) OF, APPLICANT NAME: /i. P Sip.enosIse ci. APPLICANT ADDRESS: //9/ PO fpfis t_�= `r , AA-I, //0 s 7 i SEPTIC CESSPOOL • DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ` LOCATION MAP: - Must be attached hereto before permit may be ,issued. H" • LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: r' OWNER OF PROPERTY: fi". r/ ` ras4 ' Tr OWNER MAILING ADDRESS: ,4t / 0r-, (f 4`/ V- /ifs-7 OWNER PROPERTY ADDRESS: Wo.,,4_, 1 ' " 0 CA-5-4 AfrisOf `/ I' TELEPHONE NUMBER OF CONTACT PERSON:-/-7/275'q 3— 3�3'3G3U TAX MAP NO. : Section ©Z J Block / Lot `J- 2.- - CROSS STREET: ie-/-7`. d-r: - • BUILDING PERMIT NUMBER CROSS REFERENCE: yr Sig ature of Applica t RECEIVED BY: Iffeli / v . Town Clerk's Office DATE: / 4./i0 I i i SUFFOLK CO. H OPEN SPACE I LOT 24 LOT 26 I (VACA!JT) VACANT 1N,76 54 I0 E. 602.69 . ' PROP. — CO / SEPTIC 110 �'// I �l C n STATEN Cil r; ! `trU MAP OF P(2GPEI�TY THE WATER SUPPI W. rH' pL _�._ �� d I ^— SYSTEMS - FOR . �u I �- Ii SUVEYED 1-02- L! CONFORM TO TI __?S' Q: �- J + ' /� ` , 3E ? ENOSVI JR, SUFFOLC Ef ( O ' ( 1 - L _J AP LI A - _;,-- SUFFOLK COUN' L- --_ - -- — - ' ~, - I EA5 r_J'_'IA R,IQ N SERVICES — F E� ` PROP. WELL , ; ' ' 1 'TQWN OF SOUTHOLD, N.Y. CONSTRUCTION 0 I • ' DATE: } 1 I-- i � / H. S. REF. N . Q 91 ‘ IuiZ I �i .APPROVED: - C. i_cJ 0 I Ir r , _�= I I ccs SUFFOLK CO TI 0 6 r`� • DIST. SECT n' � / - iOQO 031 0 ��wELL I ((I OWNERS ADDRESS 7 ° 1 ! ki---- MAIN 120 SCALE 100_{ SF_VT C ARLA ' l BOX 34 AKA. 10.0 AC.. QRIENT.I `-'� , 0. PIPE %) SUFFOLK COUNTY DEPARTME1 T OF HEALTH SERVICES N 323- 3630 ,��, DEED L.74(2 CON / "0 FAPJ4 BUILDI;�GS RIR APPROVAL OF COI'1STRUCTir OF wSingle Family Reside"=e C•�ty `- I TEST HOLE I o ELL Y I L '0 rr--�� HS REF. PCO. ` �� NOTE - -- rn-- �1 _ _, DATE �'� r =0CONTOUR. REFERS' TO SUFE CO. D.R W, —^ 1 = _ jjJ, ; :AERIAL SURVEY. DATUM =MEAN SEA TOPSOIL fit , Z APPROVED N,r in : -LEVEL. / 2' • i ��L EXPIRES TWO YEARS "OMD1.203.F...uAl:PROVAL Ici 6' 7-2 N i —.,r—' — SANDY f — ; r� / , LOAM . , i 5:16 54 10 W, — 2e .9 : ' ;'< ' - , - 1 Q-C1N moi- ! ' ,�' r' I SANDY CLAY I 30 R.o.w -R I Lp' - 20�.� ,),0 - • ,h°. r"� %�o►, ,1 SAND