HomeMy WebLinkAboutMohring (10) ,or Lew 'fes
Town Hall, 53095 Main Road
ems® ��
_` P.O. Box 1179
,/�� ®°.� Southold, New York 11971
JUDITH T.TERRY �,� „„��� 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. 548 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 00000
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 8/10/89.
Name Of Owner MOHRING, RICHARD
Mailing Address 1 347 GLEN COVE AVENUE
City St Zip SEA CLIFF NY 0000
Property Address 1 KIMBERLY LANE
City St Zip SOUTHOLD - NY 11971
Tax Map No. section 70.00 block 13 lot 9.000
Cross Street ROXANNE ROAD
Building Permit Number Cross Reference:
Issue Date: 9/14/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
@M C
SEP I 2 V,,, ►
BLDG.DEPT. . .•7 �_ s•,titKi',
TOWN! OF SOUTHOLD _ tir� ' Town Hall, 53095 Main Road
4 Nx- P.O. Box 1179
�..4•-� eta Southold, New York 11971
JUDITH T.TERRY " ��
�� ���� TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF 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: September 12, 1989
Transmitted herewith is a copy of application No. 562 for 'a Cesspool/
Septic Tank Construction Permit submitted by:
Richard Mohring
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: 06.- casLA w, 0,,f, calo,k9A
CJU ca-�
Signature 1
\ c\
Dated
..:"-
OFFICE OF THE TOWN CLERK , �G"
cf_Fours
Town of Southold ��
Application4 No. .�
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road '� Construction
P. O. Box 1179 CtoSouthold, New York 11971 ' Alteration
°l >��� Residential
Telephone
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ /O , V
DATE 7 - A �
APPLICANT NAME: /? C C G C( gAO
APPLICANT ADDRESS: r- W/? ((/6 C C E
SEPTIC f( CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION // 1 ( W
40c I - �'� /��S' c CGA C
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: C /�1.� C�'y -� G,�j 4,1?r- �iUC
OWNER MAILING ADDRESS: C(r4 (06, c
C(r •y
OWNER PROPERTY ADDRESS: r eE G
sv .
TELEPHONE NUMBER OF CONTACT PERSON: 6 ? (-- (a
TAX MAP NO. : Section 07 C Block ( Lot •
7
CROSS STREET: DX0_, n
BUILDING PERMIT NUMBER CROSS REFERENCE:_
1
__ 40(
Signa ure of Applicant
RECEIVED BY: `'
SEPTitni9% rk's Office
DATE:
UM Mkt SAW
•
surf= COMITY Ds.:v.. ...wr OF HEALTH 6;_iVICES
OFC4 APPROVAL OF CC::ST..::CTC-t•: C f•:Y
0
O tie 66' I DAT= 5-.1
'(0 1:S f Lr. t:0. r��� I
is PN�f e.' ' `� C CRVRTIDN 'SPECTION REQUIRED. APPROVED /LA....—. .�
V•C) 1153
13
• THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
08SLRVATIONS AND OR FROM DATA OBTAINED FROM OTHERS
OD I.. vutcr supply &sewage disposal sys- -
ip / LOT 8 terns for this residence will conform to the .
standards of the Suffolk County Depart-
,� ( VA C A NT ) ment of Health Services. 3-
SURVEY OF SINGLE FAMILY DWELLING ONLY , ' v. J
I m6 r „ E)(MIE-_S TWo YE nS, `UOM )ATE_ Ge3F.+,Fci110til^,L 1- N
LOT 9 N.84°22 20 �' BULKHEAD
et IF I'll f
LL MAP OF PARADISE BY THE BAY ° �� `T"
It s
FILED NOV. 4, 1976 FILE NO. 6463 s .� O� . el 99 -N
Cr s• rO /
AT SOUTHOLD �� %y472 _ pro I0 J
t -", a TOWN OF SOUTHOLD ��' Is sy e eI LOT 9 et /ti
�,•>: ,_ SUFFOLK COUNTY,N.Y. = •t Ae I `� / m
=> 1000 - 070, - 13 - 20.9 . -�, still' _ +. f
'�;.T�.=: `p SCALE 1° = 40' a ol. 4 S o, 25 o /��'ti Q
`..--0.........! h - cr T P IS' n
o;, ^ JAN . 7 , 1988 so"0- , o n \°°M f �/
4' PR OP. HOUSE m o �' O
'PSA B,q y,`,Eh' n6 e I. N : \C4 I I
NOTE , ,iii 64 is.s' �3�
WELL TO BE LOCATED ON WELL EASEMENT % TS • O O
AS NOTED ON FILED MAP OF SUBDIVISION. O ___. .-_�_ Q __�•.-
-r0(� BULL ENVELOPE Sanitary s�• 14S not to be
I,J+XA�, • °3 o s
.t El im d Ori eway area.
�O LAND SL Z •.L es `� 234.69 J•
��e�A INc�9G STK S. 84° 22120,L W./ A' , t s t=
r qL O 1
,41',
`� ( VACANT ) i inin10r i d1Stah1 'i .iylif.n well
113Vht 73
�' . (j F %. CERTIFIED TOr f
* COMMONWEALTH LAND TITLE I and cesspool is to be 1 �6gt•
r % y INSURANCE COMPANY I
j - 91F�6. 4966$ eQ� NORTH FORK BANK AND TRUST• prepared its accordance with the minimum LOT ID AREA = 41, 596 SQ,FT.
`. • ' i./ Op ti=�I, S. LIC. N 0. 49668 standards for title survey's as established by
IPECONIC SURVEYORS 8 ENGINEERS R C. the L.I.A.I.S. and approved and adopted to tie line
1 + for such uie by The New York State Land
i ( 516) 765 - 50 20 Title 'on. Pt,FASE NOTE
•• F P.O. BOX 909 x
MAIN ROAD ELEVATLONS ARE REFERENCED "equims septic tan
SOUTHOLD , N.Y. 11971 , u-Ls-SS REVISE CBHVSLOP■ duns[ t', TO NG.V DATUMRe
aver to grade.
Y B-9-e8 Re& Se Pro?d...s i
•
Ok 87 - 1027
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