Loading...
HomeMy WebLinkAboutManngard m • p JUDITH T. TERRYTown Hall, 53095 Main Road TOWN CLERK® - P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER �'��r' Fax (516) 765-1823 ® �L��iFax (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 752 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : ERIC MANNGARD Address 1 : 196 EAST MAIN STREET City St Zip HUNTINGTON NY 11743 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 7/29/91 . Name Of Owner MANNGARD, ERIC Mailing Address 1 . . 196 EAST STREET MU). City St Zip HUNTINGTON NY 11743 Property Address 1 LONG CREEK DRIVE City St Zip SOUTHOLD NY 11971 Tax Map No. section 55.00 block 7 lot 5.000 Cross Street LAUREL AVENUE Building Permit Number Cross Reference: Issue Date: 9/09/91 Judith T. Terry Southold Town Clerk (TOWN SEAL) i 7s-2_ 1 i ±i g©NO\W{E r Y a +V� w '' e 'd, 1• fly } 64,f AG I i99� . U 5 rug ° 7- Town Hall 53095 Main Road BLDG. �q 1179 TOWN or _..... SOUTHOLD So• uthold,o1d, New York1 1971 . _ • JUDITH T.TERRY _ r"' TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITALSTATISTICSOFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Southold Town Code Enforcement Officer From: Linda Cooper, Southold Town Clerk's Office • Dated: August 16, 1991 Transmitted herewith is a copy of application No. 773 for a Cesspool/ Septic Tank Construction Permit submitted by: Eric Mannqard 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: c9:+-c.o - J'+1 OC,[&e.►ka- 11roux& SIL.‘A Pkaiszis), zT % . L, 't\ay\ q RE D - L o .3= ht. Signature SEP 0 6 1901 � zZ\� t Dated 1 Town Clerk Safford OFFIC ' OF,THE TOWN CLERK Town of Southold � { '' Judith T. Terry, Town Clerk �E =2' Application No. 77-5 Town Hall, 53095 Main Roada • s� Construction P. O. Box 1179 Southold, New York 11971c- Alteration Telephone 01 x1i �0 Residential (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OFC' ( Bd@GI) APPLICATION for AUG 6 SE CONSTRUCTION or ALTERATION PERMIT :Too$4h©O l Irmao COGDt. SEPTIC TANK or CESSPOOL Permit No. Fee $ /O DATE Ac_.,7l(, F/- APPLICANT NAME: ,/ L 4-7 a 4-6/ / APPLICANT ADDRESS: i SEPTIC V CESSPOOL V v DESCRIPTION OF P POSED CON TRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION P ' ALTERATION: OWNER OF PROPERTY: 17 ` ee 40 / I v OWNER MAILING ADDRESS: -, � /44.--/\ � OWNER PROPERTY ADDRESS: G� ' TELEPHONE NUMBER OF CONTACT PERSON: 40. 6 6 TAX MAP NO. : Sections Block _ CROSS STREET: r (e BUILDING PERMIT NUMBER CROSS REFERENCE:_ � � h Sig tune of Appli anti RECEIVED BY: OF,-- •1 # Town Clerk's Office DATE: • o. :„..:;r.!..-:;° %-• ,,'-, �'.e--:, i • ,-- SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ' !' •---• ' •-. ' . ...r , .1._i'.! 1...!2--,.? i;:....4..)-- r FOR APPROVAL OF CONSTRUCTION ONLY DATE 7-z�(-9t REF. ' APPROVED � Ailf iv L`' _ W/ .' AR SHAMOMAQUE POND The locations of wells and cesspools shown hereon are from field 144414 observations and or from data obtained from others. nZ6 �6" '"30 395 /2c-- 1,,e 1':e e 11'31 E% e' s The water supply and sewage disposal - ' 5002 3 �-� s�o ' Pi_ o� systema for this residence will conform z- - l - s --�4-7c+ s to the standards of The Suffolk County =_ �( STK s 9 Department of Health Services. S _� \F— - 9 EN-CONSULTANTS r Jia':-- STK ' . ' ,o f --_�\ \ , / 1329 NORTH SEA RD, / \v' ) / i' \.___--,0 SOUTHAMPTON N.Y. 11968 ' �. \ ( / S16-283-6360 �'� ,\,\%, 3, f! 2 - / o . --_O , M , N STK " A \ _-t co Z , \ L 0T 6 \ N �. a • r0 ARE A:36,332sgft 2 y \ O.B34/acre \4c A-7, n n, �j `~• N so'+ 1 ) Z nt - - — — \\ -_ - _y PROPOSED s a 1. JO t "'s C ,r — IN (r� z p �o `t r N Posysto n o 'I 4- \ ti SURVEY OF 14 1. �. y i \srK. LOT 6 rn ,s\ �.� . �' o , SUBDIVISION MAP OF �' w '.•PS ' : LONG POND ESTATES SEC. I y �� �� o l� �'Jsss, a, , FILED DEC.27,1985 FILE NO.8037 r . ,4 —.__-sTK �_ '- �' STK ,' AT SOUTHOLD y P90 �� TOWN OF SOUTHOLD S75° 38'50"w 1/11.38,3 ''? SUFFOLK COUNTY N.Y. 1000- 55-07-05 TC/41.2 TC/3.0 SCALE I"=40' APRIL 16, 1987 LONG CREEK . DRIVE - NOV 5. /987 Dec. 14, 1990(add drive) (VACANT) , PLEASE NOTE no=� `� Sanitary system is not to be ,�-�`� }QF!!�, paced under driveway area. tj °1"c ��°'. "j �- N V Q\' Prepared in accordance with the minimum '�= Ea standards for title surveys as established _ ;° - by the LJ.A.L.S.and approved and adopted -, - for such use by The New York State Land Title Association. . ,; :r: . 2 . ��L�SAMET 4��� '\ • -., •, VI', F1 Ia. U "'? _%-1 - NYS L/C NO.49618 CONTOUR LINES..AND ELEVATIONS ARE REFERENCED TO N GVD - .' 1 4t' 05 20 RS 8 ENGINEERS, P.C. (' I.6.5=5020 P.O. B"OX NO. 909 54655 MAIN ROAD SOUTHOLD, N. Y 1/97/