HomeMy WebLinkAboutMohring q:P Town Hall, 53095 Main Road
P.O. Box 1179
__ �► Southold, New York 11971
JUDITH T.TERRY =s,,,,,/%%� ' FAX(516)765-1823
TOWN CLERK TELEPHONE(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. 563 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MOHRING, RICH
Address 1 : 35 MOHRING BAY COURT
City St Zip BAYVILLE NY 11709
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 10/16/89.
Name Of Owner MOHRING ENTERPRISES
Mailing Address 1 323 GLEN COVE AVENUE
City St Zip SEA CLIFF NY 11579
Property Address 1 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 97.00 block 2 lot 13.003
Cross Street EUGENES ROAD
Building Permit Number Cross Reference:
Issue Date: 11/08/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
TOWN OF SOUTHOLD . : 5 a�$'"i3L6G.DEP-T. i Tia .
�a .�s Town Hall, 53095 Main Road
161); ,t P.O. Box 1179
1 ,- 0 Southold, New York 11971
JUDITH T.TERRY � ��� � TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR Oh VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office
Dated: October 25, 1989
Transmitted herewith is a copy of application No. 578 for a Cesspool/
Septic Tank Construction Permit submitted by:
Rich Mohrinq for Mohring Enterprise
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
Comments: o� QeZED C-leti RJa CQno -.1--
Signature
Dated
1®` a-co\%cl\
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OFFICE OF THE TOWN CLERK
Town of Southold s' ��`� `
Judith T. Terry, Town Clerk
= }. Application No.
Town Hall, 53095 Main Road xt }: '— Construction
P. O. Box 1179
Southold, New York 11971 . Alteration
Telephone r [` • Residential V
(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 $ /0'
DATE a/2- 3-/
APPLICANT NAME: /?! 647 G'" (C,-//2. Lam[/
APPLICANT ADDRESS: 3-7- a,(6.742�Z`Gi6' 7'3A
47ui r/(e' /l ?Q (+
SEPTIC CESSPOOL 7
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION A
/Ja °le /
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTIONfOR ALTERATION:
OWNER OF PROPERTY: Y•40 7/ (Z-� C E fji 4 r p p
OWNER MAILING ADDRESS: J 2 3 C(.e c G C/ cr
l C 1'4' f '' //S 7 y
OWNER PROPERTY ADDRESS: �r M (,) -,6 ) )
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 7 Block Lot
CROSS STREET: E r
BUILDING PERMIT NUMBP6 CROSS REFERENCE:.
i/2
Signa ure of Applicant
RECEIVED BY: ill 6c/ /
�/swn clerk's Office
DATE: �� n.- V
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SINGLE FAMILY DWELLING ONLY
Exrii1ES TWO YEARS FROM DATE OF APPrdi) AL. { ":' Yr.
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Past NOTE
- Re9uires septic tank
cover to -grade.
SURVEY FOR
„IFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES MOHRING ENTERPRISES, INC. -
AT CUTCHOGUE DATE SEPT 15,1989
FOR APPROVAL OF CONSTRUCTION ONLY TOWN OF SOUTHOLD SCALE I =100
HS REF. A.--- c SUFFOLK COUNTY, NEW YORK NO 89-0995
f1!iE I •
MUNAUTHORIZED ALTERATION OR ADDITION TO THIS
SURVEY B{A VIOLATION OF SECTION 7209 OF THE
1.0:�,AL L A, kah.– 1 HEW YORK STATE EDUCATION LAW if. OF NEL..
...-+oVED RCOPIES OF THIS SURVEY NOT BEARING THE LAND SIP y
N r2 L°-.1
_- 3 U - - SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL D O
\-\✓ L(J NOT B[CONSIDERED TO BE A VALID TRUE COPY SI'
M'. ,kw. •P,�,
M GUARANTEES INDICATED HEREON SHALL RUN ONLY TO O`�
THE PERSON FOR WHOM TME SURVEY IS PREPARED
HEALTH DEPARTMENT-DATA FOR A• R. • TO CONSTRUCT 2' Co
AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- • -, 'f.
11 NEAREST WATER MAIN 111 * *SOURCE OF WATER PRIWITE_PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED kW) 0
B RUFF CO TAX MAP DIST 99�SECTION AT—BLOCK LOT q.a HEREON,AND TO THE ASSIGNEES OF THE LENDING T`, ?'.yN •
B TIEM ARE HD DWELLINGS WITHIN 100 FEET OF TMS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE *rT�" ,
OTHER THAN THOSE SHOWN HEREON - TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT '"
N THE WATER SUPPLY ASEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE, OWNERS
MD ``
WILL CONFORM TO THE STANDARDS OF TME SUFFOLK COUNTY OEPARTM[NT I DISTANCES SHOWN HEREON FROM PROPERTY LINES (� -�O 48 9
TO EX!STING STRUCTURES ARE FOR A SPECIFICCf
01 WEALTH SERVICES PURPOSE AND ARE NOT TO OE USED TO ESTABLISH
APPLICANT. PROPERTY LINES OR FOR THE ERECTION OF FENCES O(AMD $UR
ADORE u _ /�
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TEL
YOUNG a YOUNG R�IVOERRHEAD"NEW YOR
REI LOT 2, MINOR SUBDIVISION-"CREATIVE VENTURES" ALDEN W YOUNG,PROFESSIONAL ENGINEER .
•=MONUMENT A"STAKE AND LAND SURVEYOR N Y.S UCENSE NO 12845 - • -
•
' - HOWARD W YOUNG, LAND SURVEYOR '- , •S ', - '
E '11 TVI[LOCATION OF WELL(W),SEPTIC TANKISTI•CESSPOOIS(OI MOWN HEREON. NYS LICENSE NO 45893 - -• - - - 'Y
/NE FROM FIELD OBSERMTIONS AND OR DATA OBTAINED FROM OTHERS - - _ - -
BRANDIS A SONS INC.
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