HomeMy WebLinkAboutMohring (3) Dix
Town Hall, 53095 Main Road
P.O. Box 1179
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$7. i!• Southold, New York 11971
JUDITH T.TERRY
�1 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. 448 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MOHRING, RICHARD
Address 1 : 347 GLEN COVE AVENUE
City St Zip SEA CLIFF NY 11579
Descripton of Proposed Construction or Alteration
SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS ACTED UPON BY SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES.
Name Of Owner MOHRING ENTERPRISES
Mailing Address 1 347 GLEN COVE AVENUE
City St Zip SEA CLIFF NY 11579
Property Address 1 LONG CREEK DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 52,p< ,00 block 8 lot 4.000
Cross Street LAUREL AVENUE
Building Permit Number Cross Reference:
Issue Date: 1/05/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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6 Southold, New York 11971
JUDITH T.TERRY ��A��iiil iiTELEPHONE
TOWN CLERK X
(516) 765-1801
REGISTRAR 01-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: December 29, 1988
Transmitted herewith is a copy of application No. 455 for a Cesspool/
Septic Tank Construction Permit submitted by:
Richard Mohrinq - Mohrinq Enterprises
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:
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APPROVE V '
DISAPPROVE
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Signature
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Dated 1
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OFFICE OF THE TOWN CLERK
Town of Southold 0 ` �G
Judith T. Terry, Town Clerk Application No. y��
Town Hall, 53095 Main Road o � � ' '— ' Construction
P. O. Box 1179 cry r� Ar. --�"
Southold, New York 11971 �- ` °:. " Alteration
Telephone •
/ i � [ 'N 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
APPLICANT NAME: /2 (e j, c yC/ G'�/l_a¢/12_7Gc�
APPLICANT ADDRESS: 3 co (
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SEPTIC
CESSPOOL S/7-
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: MC Fin ? �ky/--rp� S-
OWNER MAILING ADDRESS: 3 5/7 ( (/(kk z
OWNER PROPERTY ADDRESS: ( CA-\ p r
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TELEPHONE NUMBER OF CONTACT PERSON : 5( ( (r-- C' c7F /
TAX MAP NO. : Section C 5 2 Block d Lot U
CROSS STREET: L_ a,14,Ye'( e_tv
BUILDING PERMIT NUMBER CROSS REFERENCE:.
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Signa ure of Applicant
RECEIVED BY: ,4r7 'i //
n rlerk'. Office
DATE: / /2 / ?
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SUFFOLK COUNTY DEPART IE;`7T OF !HEALTH S V!CEES $ 6 0
FOR APPROVAL OF COWSTRUC#•!ON Cif#i.Y _
DATE HS REF. NO. W V ((0ct
'APPROVED
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G.r �'e� The water supply & sewage disposal sys-
temsJ 90N for this residence will conform to the
OW Get standards of the Suffolk County Depart-
�' Gt'� ment of Health Services.Cr O� lVP ,g
3 �O• THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELDe�• OBSERVATIONS AND OR FROM DATA OBTAINED FROM OTuca •
J N q- SURVEY OF
• a� 29zP!iD`s N47 01.8950"E.� 3SRAREA = 37. 324 SQ: FT. LOT 4
to tie line " MAP OF LONG POND ESTATES II
SEC TION ONE
' FILED DEC. 27, 1985 FILE NO 8037
AT SOUTHOLD
TOWN OF SOUTHOLD
•' SIIFFOI K COI INTY, MY,
Y, .:,dam..,•.,•..,,- I I m u u - U b:± •• I i b _ 04 ,
4-1‘ 14.1
ic �c•
MErs`4�L I i..I{�u{�.I lit Ui={.ul(IUIICti Willi the foul n..' SCALE I'' = 30 '
it 1.N ��� F standards for title surveys as establishcsd ,,
Ui -O — ?� p the L.I.A.L.S. and approved and adopted SEPT. 6 , 1988
Q-✓' t' ;' , �o :Y.S. LIC. NO. '49 618 for such use b The New York State Land
I P?� O�r .'�RV: T 's,IP.C. Title Association.
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SO ---74-!----.. . 11971 CONTOUR LINE Sr ELEVATIONS ARE
REFERENCED TO N. G .V. DATUM /2-2-8$ RF 'ISE Noose- Lod. ,
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