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JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK ` 1%, P.O. Box 1179
® ? + _ Y" r �v Southold, New York 11971
REGISTRAR OF VITAL STATISTICST �
MARRIAGE OFFICER �. `< �`� Fax (516) 765-1823
444
���' Telephone (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. 714 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MOHRING AND SONS
Address 1 : 323 GLEN COVE AVENUE
City St Zip SEA CLIFF NY 11579
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APRPOVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 5/3/91 .
Name Of Owner MOHRING AND SONS
Mailing Address 1 323 GLEN COVE AVENUE
City St Zip SEA CLIFF NY 11579
Property Address 1 LAUREL AVENUE
(LOT 27)
City St Zip SOUTHOLD NY 11971
Tax Map No. section 56.00 block 1 lot 2.001
Cross Street LONG CREEK DRIVE
Building Permit Number Cross Reference:
Issue Date: 5/16/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
..StORMS..6 fIr 7/
MAY 41991
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BLDG.._DEP = = � Town Hall, 53095
TOWN OF SOUTHOLD 'sem"-r' � " tt Main Road
:''" ;-� P.O. Box 1179
_/el! .,0 P Southold, New York 11971
JUDITH T.TERRY u% TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office
Dated: May 14, 1991
Transmitted herewith is a copy of application No. 732 for a Cesspool/
Septic Tank Construction Permit submitted by:
Mohrinq & Sons
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.
,XX-Cte-e__
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: c., 1.,r,, R _,1 17,A ' (IttpaA
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Signature
Dated -,://44/ li
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OFFICE OF THE TOWN CLERK ,,,'"""'''
Town of Southold ''�,C.���Fo(/(e
Judith T. Terry, o
Town Clerk /1*® l/ ; Application No.#
y
Town Hall, 53095 Main Road Z, ;G Construction
P. O. Box 1179 ; v rn
Southold, New York 11971 �tt� �� Alteration
$10.00 - Residential
Telephone - �r °�!
(516) 765-1801 = 0� 4 •' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $/O
DATE / / 1 I
APPLICANT NAME: 4"`O'f-In "/,(JCo 7f $ 0 GZ ' -1
APPLICANT ADDRESS: ((c k < 4'UrC
SEPTIC )( CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
(J/hy/ s4e-0P (( e`1,1
1
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: VC 1-) 04-I,t) ( Icr ` S
OWNER MAILING ADDRESS:32 3 Cnrf L, Cdr, (
OWNER PROPERTY ADDRESS: Lc U c ( ,�
TELEPHONE NUMBER OF CONTACT PERSON: 6 GLI I
TAX MAP NO. : Section rc Block 1 Lot 12` G , _
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE: tOt, c, cfrc'vT ,
1reign of Applica t
RECEIVED BY: o�
Town Clerk's ffice
DATE: 7101 V
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--MA— = NO VEHICULAR ACCESS `S rYtlG Y_ARS FRODWELLING OOF�LY
` ' APPROVAL
SURVEY FOR
MOHRING ENTERPRISES, INC.
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES LOT NO. 27 , " LONG POND ESTATES, SECTION TWO
AT ARSHAMOMAQUE DATE APR 3, 1991
1 FOR'APPROVAL OF CONSTRUCTION ONLY / TOWN OF SOUTHOLD
-7 SCALE I 50'
REF. NO / ��C— / SUFFOLK COUNTY, NEW YORK NO 91 - 0259
• DATE. (-__.2._':=2_2'! ■WAUTH ORI2 LD ALTERATION OR ADDITION TO THIS
�� �� �/, ,7A SURVEY O A VIOLATION Of SECTION 7209 OF THE
\ �/ NEW TORR SLAT[ EDUCATION LAW .�E OF NFK.
AOPQOVFD _ A COPIES OF THIS SURVEY NOT BLARING THE,LAMD tP• y0
q 51� SUR VE TORS IMRE 0 SEAL OR EMBOSSED SEAL SHALL p W. ,9
JL5 3� ?S— R
NOT• BE CONSIDERED TO BEA VALID TRUE COPY *P yo '•fi..,,,
(GUARANTEES INDICATED HEREON SHALL RUN OILY TO
I HEALTH DEPARTMENT-DATA FOR APPROIAWL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED 20 C..
• AND CH HIS BEHALF TO THE TITLE COMPANY,GOVERN- • ., 0
MB AREIT SATES SAIN—MI !