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HomeMy WebLinkAboutMeyer (2) ;Y f lair !rrt $ Town Hall, 53095 Main Road • P.O. Box 1179 °' •*e 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 SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 352 R Residential X Non-Residential Fee ' $ 10. 00 Septic Cesspool X PERMIT ISSUED TO: Name : MEYER, THOMAS E. Address 1: P.O. BOX 56 City St Zip ORIENT NY 11957 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED AND AS PER SUFFOLK COUNTY HEALTH DEPARTMENT APPROVAL. Name Of Owner MEYER, EVANGELINE Mailing Address 1 BOX 69, NASSAU PT. RD. City St Zip CUTCHOGUE NY 11935 Property Address 1 NASSAU POINT ROAD City St Zip CUTCHOGUE NY 11935 Tax Map No. section 111. 00 block 8 lot 5. 000 Cross Street CARRINGTON ROAD Building Permit Number Cross Reference: Issue Date: 6/10/88 Judith T. Terry Southold Town Clerk (TOWN SEAL) 1111 \ , .` gosollas,ate WSJ-F�t,� ,, _ V ..... - --0\- ; t 4. , %-•.',.g ‘,444; s',„ 40.. % 3 ar nu r ©� 0 1 _ , , ; A - ,$:::. t4Ar S'Z' �,, e° \•- oo Town Hall, 53095 Main Road k ,,;s�, _ :-/ I. P.O. Box 728 ®� ®� ® •���.ftw o Southold, New York 11971 JUDI i T k, ® TELEPHONE (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK - TOWN OF SOUTHOLD June 9, 1988 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 355 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by Thomas Meyer for Evangeline Meyer • 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. 40g1046441.77.11"...." ' 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 - X DISAPPROVE - • COMMENTS: 0,0 jv JX�.C. Mega, 'y. cILIU s.Q. iC'• \(:::)46A.CL-22-- Signature G/ic/g y Date Irl�p•in..��'. • ,'' Town Hall, 53095 Main Road ' ,_.� ���'• P.O. Box 728 �� Southold, New York 11971 IV 04. JUDITH T TERRY TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD June 9, 1988 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 355 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by Thomas Meyer for Evangeline Meyer • 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. 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: Signature Date OFFICE OF THE TOWN CLERK Town of Southoldn Clerk - "� '- Application No. Judith- T. Terry, To Town Hall, 53095 Main Road � ` ` Construction En P. 0. Box 1179 4 F-V J Alteration Southold, New York 11971 : , ��•• Telephone '1 , 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 —,i c ' APPLICANT NAME: ilk 7 a rnCl 6 C. fl7i ' ie APPLICANT ADDRESS: /-3Cn yn {4 , fuy Ilg50 SEPTIC x CESSPOOL J( DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION I�0 0 v ' — 6 03 f'-e Fn72;/y A 6 60e LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION : OWNER OF PROPERTY: (Z.�, , ,ri vi,9-1/5.e.1,`nG } CVER—, OWNER MAILING ADDRESS: isu )1, ,9 7) s5 0 /221- ,!d & iL pia 6, /t// JJ9 ? OWNER PROPERTY ADDRESS: .c/'y) TELEPHONE NUMBER OF CONTACT PERSON: m/9-U/z5e zj ® /• �& )Sc.h o o 3 d 3 d' / ✓a?3 3J5 TAX MAP NO. : Section If) Block Lot CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: x • Signature of Applic nt RECEIVED BY: 0 ' Town Cle c's Offi e RECEIVED DATE: I I IN 09 1988 Town CIeCK Southold o,.umv -mow )anal ,c' r4i.,N1,t4 :;44 r-Ii-cop `I;onans )t))...( 0 ;AA -Q 1 q-'- '02' 791 GSr)s z,rczJJ s.-+ncl,i_1a00 'g,�1 'G7' c- UJ s-g) ao! ,40 :.f-r ii G-1 r, or0N 7-o (y c,b.)1Al p,--,p.9.4aurd„ .,-_ _474--a--1 IaMoL/C - +9q,J-4r7t; _1.-d--):z,icN r Oka-441x) f, !� i Baf,ot1 1 ;:27::-1-1-A_-_-73 kV • :: __7! L01 :i—or. ;• kms /. c n -_ oL - L°. - � yT - � r "� - ~i , , a Lf i � :9 S<, \r ; g *L - ',,, - - - 7o-r , - - 2r / r.�.jjRJ,71L1h) l =-7-J_-!�,J r• !I /�'1 ' �� . 4 ` —I__ 1" ' r 1 r I • -i I 1•`11(bd r)dS5J\\I ' I pi ,?, .. c'° opAa/., ns li 1 d,021a dJ dvIA1 /1 •fi 'bs OSE'l�_ (sau;; ?if` -)b _ 1 „ 1 -, 0 ' jr ..--:7,,G ;,� 1 - //\]/ . -...,.,.�_. _.._ i'Afp SIAM)/ .,a SUFFOLK CO. HEALTH DEPT. APPRO 1, S 7-W-..-- . w H. S. NO. If,.4, ,d r v,!I y i p ‘...1is„.. )177,Lati7117491.,r 7 .''') i'80 •,. 'J''i 1 A'r1- ' . .iii i lyi i „ ~6eco�� 1..Y MAR 22 19 YQ 10C2 STATEMENT OF INTENT . !NI /1-�-'CI-- 1'�.' S.C. p 'T. OF i THE WATER SUPPLY AND SEWAGE DIS �'�� '��M HEALTH VPS ; SYSTEMS FOR THIS RESIDENCE ' T ' CONFORM TO THE STANDARDS. 01 :U r—)UC 17- SUFFOLK C_Rn DEPT. OF HyE�ALTH SER APPLICANT a SUFFOLK COUNTY DEPT. OF HE L41____ SERVICES — FOR AP R VAL it--. , --So-- '1i. CONSTRUCTION ONLY �`�� DATE• �� ; } I H. S. REF. NO. � _ Sb / -.;-;11-.;-;11APPROVED: ��(} ' -- - - !6,I S' ' -. 0 SUFFOLK CO. TAX MAP DESIGNATIC r I { 2 DIST. SECT. BLOCK `= I IcXX� 1/1 8 In 38U•0 '' OWNERS ADDRESS: _ — -.,---11 —_--__..._-1 -770.^O • ('? [ vert-icelif Nlecf�r-- /P.5+ {Io(P .-a® r O. 69 icroscd t7rri r Oocid ' ( ; I�5 - -I '1 ' ':; / y v{ICU — ® ; (Tee'. - 34-- < ;C L`CT ‘C-)C..) 1 . - • ' DEED: L.4794 - P. s - ' a �1? e1 ' TEST HOLE STAMP ' ,t i I ir+( F;r 1.-?ta*t-z1 Wteratioo V Rvr �'��— : `� �:;.:n?cu•:*w is a r��S:rn afi 1 ; vi t� I ••" h_U rrl i�S : v^c,,n?': trA fd�W Yac -- 2 w_, S<DSI Lrvl. -- - __-- Scxtr f I_ ;?esry d tY`r ^er'V •:� :iee k nC wrv!rGr4 ir nh 09 G 44J.O - I "70 - J / I - orro,,: -xlaetsrfrmil not ba @ ,---- t (oara tt.k.y$a mkt utY-3 oo1•L /.0 f �), —�•a rrc( cau-erttn l.- rkvi hee^sat •- -- I', •-d ky"1 - - -• 2%2 �c,�;a•!t:,Fnrsn f- +ror,�wn (/ titit)-as+.G,eni or Ixx tmhie i i r: Cr i ;,,ts:,,rocony.P'vorornon+rd i f 1. t- L iv",-.1�navtut4'M fi;t�'1 h•y'- 1—- .. 17-ir "Xre?CY .- ` t,>r osr vnrsor„it c laiat hulls r eCYG-Y c-r• fiOC13E) - ,,-,,, ,e.FE.r n1•�o ars mai F mi4hriamz or t. I i - ea. oarze - ti t - 1 - ' _:xrrd SEAL , . ���KV. , , Mla d. Mat-. I e, (9-8 co G.‘10 ,-,: tI � RO_DER`I,CK VAN TUYL. P.C. tro< • r n� Zar`x�� • a- '✓r C S 2 5 LICENSED LAND SURVEYORSl'7 \-4cb CAVO S,' GREENPORT NEW YORK