HomeMy WebLinkAboutMohring (2) _ /OW
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Town Hall, 53095 Main Road
Os v, P.O. Box 1179
_ �� ��'ii!" Southold, New York 11971
JUDITH T.TERRY �1�� FAX(516)765-1823
�� TELEPHONE(516)7654801
TOWN CLERK
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. 510 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MOHRING ENTERPRISES INC.
Address 1 : 323 GLEN COVE AVENUE
City St Zip SEA CLIFF 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 6/21/89.
Name Of Owner MOHRING ENTERPRISES INC.
Mailing Address' 1 323 GLEN COVE AVENUE
City St Zip SEA CLIFF NY 11709
Property Address 1 KIMBERLY LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 13 lot 20.018
Cross Street ROXANNE ROAD
Building Permit Number Cross Reference:
Issue Date: 7/19/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
0,,,„,„„,...,,,_ -./O O
. ' ::',..,J.,`s �' *4 w Town Hall, 53095
.�-�--aF;�� Main Road
�� a `: 4 ' 4% P.O. Box 1179
'' }• ��� Southold New York 11971
JUDITH T.TERRY — � `T
11-iir/i!/! TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
I _WB 1"! Y
R �/�
E 1
To: Victor Lessard, Southold Town Building Department JUN 2 61989 i
ii i From: Linda Cooper, Southold Town Clerk's Office
.LOG. DEPT.
Dated: June 26, 1989 r.._ y..TOWi\ OF SCDUTHOW
Transmitted herewith is a copy of application No. 523 for 'a Cesspool/
Septic Tank Construction Permit submitted by:
Mohring Enterprises Inc. .
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.
7 Please complete the form below and return it to me.
Thank you.
Ic.CGw
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
•
Comments: ate, F.,,.. (In-.CI� ''a rXn
C l--•
c rA S .c.• N.�( • 0,, lz• ) a-I \Sc‘
EUVE® ,:a5,...., (?.-2.-,Q-4
JUL 1 9 1989 Signature
71/01x ?
�', �� '�k,, r Dated
�
OFFICE OF THE TOWN CLERK COFD1A' "
Town of Southold ``. :
Judith T. Terry, Town Clerk Application No.
Town Hall, 53095 Main Road TE* r;��r� ` +� Construction
P. O. Box 1179 crl '
Alteration
Southold, New York 11971 �• ‘c-
Telephone 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. scpa
Fee $ /0 ,, 01)
' DATE (, 59
APPLICANT NAME: 1 koVvQ.\ll� �—v� ^(Z\5e5
APPLICANT ADDRESS: 3 2_3
SEPTIC )L CESSPOOL3-
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
T1s 74144> /4-/ Je bc. `;,..z 6‘,/.01.
g i,e_Atc,Ar7. /4)e?A
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: "A/24.1 514 71"ctptFsec
OWNER MAILING ADDRESS: 3023 &'/elf- Ccruc.,yy��
Cit^' i[ 'y
OWNER PROPERTY ADDRESS: skate.,
TELEPHONE NUMBER OF CONTACT PERSON: 67/ 0 6
IGGO
TAX MAP NO. : Section 70 Block /3 Lot .20. /e
CROSS STREET: 3O2 iut#-h GF' A)c 4-nne
BUILDING PERMIT NUMBER CROSS REFERENCE:_
Signature .f A. . ' nt
RECEIVED BY:
Town Clerk's Office
DATE:
CEL TOOL OVER 150'
(DWELLING)
SURVEY OF
PROPERTY
AT SOUTHOLD
;9.- ,3.8 l4 6 TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
`- 1000 - 70 - 13 - 20.18
o Scale 1" = 40'
o Nov. 7, 1988
to May 15, 1989(prop. hse.)
ct
5-0'1' p`
'EXPIRES
Si WILE FAMILY WELLING ONLY
EXPIRES TWO YEARS FROM DATE OF APPROVAL
?o° 7)N.Iv(•,yqy
`J` (DWELLING)
WELL a CESSPOOL `
-Si OVER 150' sv
C.4.ar
of
.; ti !r
t Y
�' CO. J S1 poLK COUNTY D`v`�'.".t t'4.?:-:i C,- l.v. T'l £ RVICF.S- ,, .{ ,>
PC: Ai ;ROYAL or c�c:;='..a l.ti: x.•.�t c,;.'_1" w
Otr,�� 't
a. 4 DA N 1 !Mg ET. i•' �—w �`'. '
i t
ti r
f •
' ----- 20.9 21.8APPROVED
W J
THE LOCATION OF WELLS ARD CESSPOOL'SHOWN HEREON ARE FROM FILO t Lc
OBSERVATIONS AND OR FROM DATA OBTAINED FROM OTHERS.
ct
zom (DWELLING)
O WELL a CESSPOOL
OVER 150'
_
��. The water supply IL sewage disposal CERTIFIED TO:
•.r ?d,00 sys-
tems for this residence will conform to te COMMONWEAL TH LAND TITLE INSURANCE
�� • standards of the Suffolk County Depart-
ment of Health Services. ' NORTH FORK BANK AND TRUST ,
LAND S
:cepPrepared In accordance with the minimum ,1 Vilfai40,-,,,,,mss' N.Y.S. L/C. NO. 49618
standards for 111/e surreys as established n
'�`� w �%fi! U' IYORS P.C.
x by the L.I.A.L.S. and approved and adopted
i
t. for such use by The New York Slale Land • t1 6 -5 - ,•-..t---;,•
Title Association. -f j.. 0. qi a f. y0g'n 9
it ,,R •,D e
S• .. • ' -'N.Y. 11971
N.
88 -. 683
;F
. .
PIEASE NOTE
Requires septic tank °F
C®lfei ® grade DWELLING)
grade
( :Li.;_-,
N.
yJENCr
it WELL
C. _ ,Z_____309.69'_._
WELL I �E -_ EASEMENT _� .-----
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h 20. •
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a `--- �EpSEM1+--:---'----;1 --
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290.28' —
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e''Z.1 ‘''S-6‘• Ifill
(VACANT)
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ABANDONEDWELL PIT ` . 46. .
i,ogi
�0 ELEVATIONS ARE REFERENCED �.
TO N. G. V. D.
NO TE' LOT NUMBERS REFER TO 'MAP OF PARADISE BY THE BAY' ROAD
FILED NOV. 4, 197€ FILE NO. 6463 AT THE OFF/CE OF THE 0 X A NNE
SUFFOLK COUNTY CLERK.
AREA = 45, 182sq.ft.