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JUDITH T. TERRY A .„4 Town Hall, 53095 Main Road
TOWN L _ to-•4%r:,1j¢?
CLERK -� P.O. Box 1179
REGISTRAR OF VITAL STATISTICS r '
Southold New York 11971
MARRIAGE OFFICER a v40"f
s Fax (516) 765-1823
fi'' • :,= q 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. 701 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.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 3/29/91 .
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
City St Zip SOUTHOLD NY 11971
Tax Map No. section 56.00 block 1 - lot 2.001
Cross Street YENNECOTT DRIVE
Building Permit Number Cross Reference:
Issue Date: 4/15/91 Judith T. Terry
Southold Town Clerk
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'�'�•�E --- P.O. Box 1179
, "-t 't.,rJt • Southold, New York 11971
JUDITH T.TERRY y''' 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: April 3, 1991
Transmitted herewith is a copy of application No. 720 for a Cesspool/
Septic Tank Construction Permit submitted by:
Mohrinq & Sons (56-1-26) •
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
DISAPPROVE -� n
Comments: C�., .,I.,,�a,ct�s d' a„' oJT%Cn a a �.c�. 1-
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OFFICE OF, THE TOWN CLERK ,''
Town of Southold x.01 cj��F01K�'® 7c)-{-)' Application No. �
Judith, T. Terry, Town Clerk ' 0 Gy
Town Hall, 53095 Main Road �� . Construction
P. O. Box 1179
Southold, New York 11971 �� � Alteration
,j' ® ��' $10.00 - Residential
Telephone � ,
(516) 765-1801 _ ! l , 0' $25.00 -Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE q/ .„? ( ( /
APPLICANT NAME: D-I-I n T GU 4 S G �,y
APPLICANT ADDRESS: ? C Ct Lr (,
SEPTIC y CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: I/`2.o I/ (o' q -b ro 'S
OWNER MAILING ADDRESS: 3? -3 C ( t
OWNER PROPERTY ADDRESS: C 9 Uv- < C U -t
TELEPHONE NUMBER OF CONTACT PERSON: 6161'1 ( _ �3 ( (/
TAX MAP NO. : Section Block I�p Lot 2
CROSS STREET: <
BUILDING PERMIT NUMBER CROSS REFERENCE:
Al
S' nature of Applicant
RECEIVED BY:
Toviile =s Office
DATE: APR n3 1991
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NOTE.
--NA-- = NO VEHICULAR ACCESS SINGLE FAMILY DWELLING ONLY
EXPIRES TWO YEARS FROM DATE OF APPROVAL
SURVEY FOR
MOHRING ENTERPRISES, INC.
,uFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE`
LOT NO. 26, " LONG POND ESTATES, SECTION TWO '';',,:-,'..-:,----*t.'r
FOR APPROVAL OF CONSTRUCTION ONLY AT ARSHAMOMAQUE DATE MAR 5, 1991
• 1I TOWN OF SOUTHOLD SCALE I 50'
)ATE ��2��7 REF. No. A' / I SUFFOLK COUNTY, NEW YORK NO 91 -0151
K UIYUTMoo112 CO ALTERATION OR 40 DI TION TO THIS _
pr „4 SURVEY O A VIOLATION OF SECTION 7209 OF THE
APPROVED / NEW YORK STATE EDUCATION LAW OF
�• N COPIES OF THIS S1mvEY NOT BEARING THE LAND , ZE NFA,
3a�oa c1��� NOT[SURvEYCONSIDERED TOR'S INKED LOR B[AALIDSED SEAL TRUE COPY SO S PQD w ` SOP
MGUARANTEES INDICATED HEREON SMALL RUN ONLY TO `� -
HEALTH DEPARTMENT-DATAF)PPROWILL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED �. �(,
AND DN HIS BEHALF TO THE TITLE COMPANY,GOVERN- t
N NEAREST WATER RAIN_MI * N SOURCE OF WATER PRIWLTE_PUBLIC= MENTAL AGENCY AND LENDING INSTITUTION LISTED s
N SWF CO TAX MAP DMT 600 SECTION_i.S_BLOCK—L—LOT,1_,&,,z.1 HEREON,AND TO THE ASSIGNEES OF THE LENDING L+l {3' * - -- -
RTHERE ARE NO DWELLINSS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE !iii. -
OTHER THAN THOSE SHOWN HEREON TO ADOITIONAL INSTITUTIONS OR SUBSEQUENT -
N THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR TWO RESIDENCE - OWNERS --
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT T*DISTANCES SHOWN HEREON FROM PROPERTY UNCS 4 .3 _
OP HEALTH SERVICES TO EXISTING STRUCTURES R E FOR A SPECIFIC - • -Y
A/►LICAMT• PURPOSE AMO ARE NOT TO BE USED TO ESTABLISH fyS�p p7•
,- PROPERTY LINES OR FOR THE ERECTION a FENCES LAND SURTO - ,
ADDRESS - - 1
DE` - YOUNG a YOUNG &RHE'�'lk N /YORKE
NOTE !ZS ..-x `.., _
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN_WYOUNG,PROFESSIONAL ENGINE$ (T`1b ' •,,.I,yn.,,,,e.;_.5 ' •
SUFFOLK COUNTY ON NOV 29, 1990 AS FILE NO.9031 AND LAND SURVEYOR N Y.S UCENSE NO 12845 1\'lgl ,,.••,,., s:", ; .y
m MTN[LOGTDIOFW[LL 1,lEmc- , `- - HOWARD W YOUNG, LAND'SURVEYOR -'C�_, L1 L r' I ;lei'"-*1> `.: ,,'
o N 1lTIS CCSSPOOLS(CPI SHOWN HEREON - ',,,,.....::,,,,,-..;,_-_74-- -' ,,,:'";N•J rJ`_D5- ,-":21`41:;.!-..75.!!;11,..,"-;.z.,''.5.:` ' , -
( • ARE FROM FIELD oaLRMTION7 MOOR DATA OSTAINED FROM OTHER! - - ,NYS.LICENSE NO 45893_ `.',`ry'•d:4.,x,;sik"v ::s",y,..._-,, "^;c -
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