HomeMy WebLinkAboutMacomber (3) OFFICE OF THE TOWN CLERK " S.FF(Axe
Town of Southold ` ,,
Judith T. Terry, Town Clerk s � -
Town Hall, 53095 Main Road o "�
P. 0. Box 1179 .u' 1,4$k. ��•
Southold, New York 11971 O .���- �•'
Telephone 1 ,�.
(516) 765-1801
TOWN OF SOUTHOLD _.
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK o`r CESSPOOL
Permit No. 124 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool X
PERMIT ISSUED TO:
NAME: A. Reilly 8 •Sons Inc.
ADDRESS: Box 434
Mattituck, New York 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Wallace Macomber
OWNER MAILING ADDRESS: 209-20 18th Avenue, Apt. 5F
Bay Terrace, New York 11360
OWNER PROPERTY ADDRESS : Jacksons Landing (1225)
Mattituck, New York 11952 •
TAX MAP NO. : Section 113 Block 5 Lot 8
CROSS STREET: West Mill Road
BUILDING PERMIT NUMBER CROSS REFERENCE:
atfr
Judith T. Term
Southold Town Clerk
DATE : March 16, 1987
(TOWN SEAL)
1
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,..._._.-.) „-t-A4,,,,,,,..,...!.,65„,‘
' ' 1` ' "; Town Hall, 53095 Main Road
',..7- ;�`�- P.O. Box 1179
16:/ ,n `` 1 Southold, New York 11971
JUDITH T TERRY
�rw, TELEPHONE
TOWN CLI RK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK _
TOWN OF SOUTHOLD
March 16, 1987
A. Reilly & Sons Inc.
Box 434 - • ,
Mattituck, New Yo rk 11952 _
Re: Wallace Macomber -
Jacksons Landing ___— _ _ _ _ —
Mattituck, 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
residential use 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 ?tours,
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/Ijc
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14.
trl IA;
p , --t �Q Town Hall, 53095 Main Road
uti - ' ® �' P.O. Box 728
"4. ••° Southold, New York 11971
JUDITH T.TERRY TELEPHONE
Town CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 16,11987
•
To: Victor Lessard, Southold Town Building Department -
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 127 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by A. Reilly & Sons, Inc. for Wallace Macomber
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.
ergeor4
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 -
COMMENTS:
a
Signature
Date
OFFICE OF THE TOWN CLERK
Town of Southold a7
Judith T. Terry, Town Clerk Application No.,
Town Hall, 53095 Main Road Construction
P. 0. Box 1179
Southold, New York 11971 Alteration
Telephone Residential
(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 3 / 6 /r 7
APPLICANT NAME: A . ee /A/ Q,
APPLICANT ADDRESS: >C 3 1
SEPTIC K' CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Atte /7o/n Ca4v1' 7—A? a .v- A c /c S ®Dvr 1,9dvD/AJ6
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Whi--I IKe /4ACO/ri Re ce
OWNER MAILING ADDRESS:c' O ' Jcf L Com.
0_,d 4 .0p_ A) 7'. 7/366
OWNER PROPERTY ADDRESS: -ACi Sates [ANI-) )A/6
MAT7' ai dcK • Az /. % /55-
TELEPHONE NUMBER OF CONTACT PERSON: 2_ge F6'72
TAX MAP NO. : Section /73 Block O r Lot O S •
CROSS STREET: `il/ey 1 /'YJ/I-L i l)
BUILDING PERMIT NUMBER CROSS REFERENCE:
/7,0-/X),-44-v\
Signature o Applican
RECEIVED • '-
own Cl k's Offi
DATE: ['{AAR 1 1987
Town Clark Southold
, 1 1
' I
i^i,^Um
® The water supply & sewage disposal sys-
I, aGC®cdonee` ith Og ablisb®d by toms for this residence will conform to the '
_ aS a ted standards of the Suff'II( County Depart-
- P t`por®ds 4or titl® guNe! and °d p n.crit of Health S,iv,. ',
,.ndard and approvedo0 State Land
® L•1•p„L.S•by The Nev+ hse ("oder coo. -(/ a- O�
or such use on. l �I�y /6yf
Sitle p,ssoc►alio^•
LOT 16 2f;17 r f 2,. , I
' ' N ,
naN
N. 88°34'40"E. 153 .00 ' 2`,.'",,,06,
PvoQi's 34
r0 36J O./'E
`
97 {
0 i
LOT 17' 2Go' 50.
vaca:q-F
' LOT 23 �O(J 1 --
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mom'' ,c' 4 S.88° 3 4' 4 0" W. . 192 . 00' f zz.�
'"o `k. / L6'72 2 ,
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AREA = 22 , 425 SQ.FT. _1 • 9,,,;,
.
SINGLE M �Y 6✓4t�tl L6.i.I"��1\.f ®6�1 6.� �¢p� _ ,`•`'y we/� �,
ti`s 6m �j�•d`1Yl�r FROM �a ° ° �'� �����i/i°�m� 4.`Cs'f'-4.1 ' �'
1 Its I II
EXPIRES we// * �. ,
2 I '1CN> ,1.• I ,I
14e
I LANDING -o v ! ,
CERTIFIED TO : � �A ,,,J ,
WALLACE MACOMBER (P,, ,-., �� � '
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES S.0 V EY OF /4P
i
FOR APPROVAL OFCONSTRUC23 i
,,K)N'ONLY
I
IC:
DATE 3--2 x7 I!' �'':'• 1:r�'• 0 Or�� " MAP OF JACKSON'S LANDING °'I '
I
C-' ' .� FILED MAR. 28 , 1969 FILE NO . 5280 '
APPROVED'
•
40 „
0?:—)7 AT MATTITUCK
TOWN OF SOUTHOLD ' '
'''',:r,- ,--1LAND a � SUFFOL < COUNTY , N . Y.
,A7,:7' N,A. !4104, ��', 1000 - 113 - 05 - 08
• •y , '6,; SCALE 11 = 40'
4. / , i DEC . 30 , 1986
,, FEB. 2, 1987
' fA' QR NE� � -':Y. S . L'IC . NO . ;49668 , ;
Ii PECON IC SURAE MORS 131 ENGINEERS , P. C . ,
' ( 516,) 765, - 5020 , I
P. O. BOX 909 THE LOCATION OF WELLS AND CESSPOOL SHOWN ,
MAIN ROAD ' HEREON ARE FROM FIELD OBSERVATIONS AND
SOUTHOLD , N .Y . 11971 DATA OBTAINED FROM OTHERS.
' 86 — 796 I