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HomeMy WebLinkAboutOlsen (4) OFFICE OF THE TOWN CLERK c0FOU , Town of Southold Judith T. Terry, Town Clerk s �' Town Hall, 53095 Main Road uy gi, P. O. Box 1179 _ 57 = ` Southold, New York 11971 O ( ' t O�-'� Telephone 0. s (516) 765-1801 ' I • TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 284 Residential X Non-Residential Fee $ 10.00 - Septic Cesspool X • PERMIT ISSUED TO: NAME: Janice M. Olsen ADDRESS: P.O. Box 614 Riverhead, New York 11901 DESCRIPTION OF PROPOSED ,CONSTRUCTION or ALTERATION New Single Family Dwelling- with Cesspool System APPROVED as per Suffolk County Health Department approval and survey. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Janice M. Olsen OWNER MAILING ADDRESS: P.O. Box 614 Riverhead, New York 11901 OWNER PROPERTY ADDRESS : Reeve Road Mattituck, New York TAX MAP NO. : Section 100 Block 1 Lot 10 CROSS STREET: Wavecrest Lane BUILDING PERMIT NUMBER CROSS REFERENCE: Judith T. T Southold Town Clerk DATE: January 26, 1988 (TOWN SEAL) C;;-3 : '++ (_ ,,,:_ ! F, Town Hall, 53095 Main Road a•'tea,��,.•_•;��„_�"•- P.O. Box 1179 Southold, New York 11971 4kA w r�` TELEPHONE JUDITH T.TERRY YL 'f' 1TEL516) 765-1801ONE I OWN CLERK RLGISTRARO! VITAL SPATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 26, 1988 Janice M. Olsen P.O. Box 614 Riverhead, New York 11901 Re: Reeve Road Mattituck, New York 11952 Dear Ms. Reeve: Enclosed herewith is the Construction, Alteration or Modification Permit for a Septic Tank or Cesspool System for which you applied. Please be advised that each owner of real property operating an on-site sewage disposal system, such as a septic tank or cesspool must, prior to such operation, possess in the name of the owner an Operation Permit for the system. The Operation Permit is issued by the Town Clerk's Office. - The fee for an Operation Permit is ten dollars ($10. 00) for residential use and twenty-five dollars ($25.00) for non-residential; Please have the owner,complete the enclosed Application for an Operation Permit and return it to this office along with the proper fee. For your general information I have enclosed an Informational Bulletin regarding the Scavenger Waste Laws adopted by the Southold Town Board. Should you have any questions pertaining to either permits or the Scavenger Waste Laws, please do not hesitate to contact this office. We will be glad to assist youin any way possible. Very truly Yours, Judith T. Terry Southold Town Clerk Enclosures (3) - JTT/Ijc • :i-D c t`-f _ `j , t c :�,1 l �1. .,,�}/,,,, i kit , _ • _ �` {f, ,,.... "r it >- y `tom - i j 259•' 4 +, :� : � � . = " . s• r 3 r _ -:,,., ,-;--,,.- -,:,/ Al r , _. _ '',..1 im,=(.Th;: = Town53095 Main Road BLDG DEPT �° cam^0 Hall, 0 TOWN OF SOUTHOLD :"r t °. r rt ..1 ``); • • = _ ' • OFFICE OF THE- TOWN CLERK S�FFOL/S' - .+ • Town of Southold` - } CApplication No. 02�K Judith T. Terry,_ Town Clerk . pp Town_ Hall,; 53095 .Main Road= Tsj .- ConstructionEry P. O. Box 1179 Alteration Southold, New 'York 11971 0�-•, - Telephone '17.01 �� Residential - (51.6) • 765-1801 "' - Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or_ALTERATION PERMIT SEPTIC TANK or =CESSPOOL Permit No. Fee $ ,6 DATE /741) , VC) ) -c' APPLICANT NAME: TPA)) 01, APPLICANT ADDRESS: TO g©, 6 1 T \ HE01D )J / 119O) .) SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION CO r51-lr LLt-F o vi 6rC s ivl�je- ��M<<lit res,Cie vie - LOCATION MAP: Must be attached hereto before permit may be issued. • LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: r-- Il . OWNER OF PROPERTY: . J AJJI CE TVJ v © LS. JU OWNER MAILING ADDRESS: {TC9 , 6 1 ; -1 \\-)'E-1Q1449-1)1 Ji y i )90 1 OWNER PROPERTY ADDRESS: (,Ifla 4) TQQV€ R4 ' 'M i-i tvC_K ) • TELEPHONE NUMBER OF CONTACT PERSON: 7 TAX MAP NO. : Section f Block 6/ Lot i0_/ 6 CROSS STREET: (AJ.&V Ct2 T BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Applicant RECEIVED � ovT (lferk's O fice DATE: JAN 2 5 RV Southold • - TITLE NO 71282-01855 Il\il .. " . \ 100 ., `� any/' I DW64,.— 4of 12 . I 0.4 £IN " 252.31 al r• w' o to -+ -- (Si _ 'I `O, - .0.p 30 E. tA� ri- \ ,,, N•73 o gest�" ��` Lp f ';5,5p5�F. R0. /� ri ° ,' e •r 107`1:6 EA .SR.1 XA•59 - --o 0 of V. AR o 4• 7 I et O' L ,D.2\VE111 `p0 0' _ 4h'�� '17 5-_-���y°te 0. d l0.....1 W - 1 - 0 It • e0 w �0��-' tAgE - t lqi -- ONE ;q - VAOpN rri 0: -' -p- 3• m 257.7 15 rn O T'' X. 5 �3•ppN • ap"W $ , O. 16 l�,6e e t j5 \ . a Lot 14 • - - La r ta -Cl\c"" ._ o • o a Vt O 41 Ir 315p ,L� ' - Z , , ' n - SANE MAR 9 J ' , - Cl o WAVECRES S` s� E I i E e t t t , Y• N �Fr> _ �!f�1GLc F.�P:'Il`. �`�=._�l. t� C E.;..I E�rry EXPIRES r1 FROM / Sx -1 , s I EX IRESS TWO YEARS DATE O r'.'"� 0, r l;irTs SURVEY FOR auffoLK coUT1TY DEP AR1MENT OF HEAL I'M sERVIt.t: JANICE OLSEN — LOT 13, "SALTAIRE ESTATES" MAR. 5, 1987 FOR APPROVAL OF CONSTRUCTION ONLY AT MATTITUCK DATE• JULY 22, 1982 TOWN OF SOUTHOLD SCALE: I"=40. DATE -S -- //y T j-1� REF. NO. ' ! - I SUFFOLK COUNTY, NEW YORK • NO. 82-394 I- /l . - ./-:-, .7e-,. - N UNAUTHORIZED ALTERATION OR ADDITION to THIS GUARANTEED TO: SOPS VFfY <<-/ �- .�' SURVEY S A VIOLATION OF SECTION 7209 OF THE ---- NEW YORK STATE EDUCATION LAW THE TITLE U.;:.•.TEE COMPANY N COPIES OF THIS SURVEY NOT BEARING THE LAND JANIC r• `� SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE NGUARANTEES DINDICATED HEREON SHALL RUN ERED TO BE A VALID TRUE POIILY 1C. ! ®4P71lA 114 }. HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED :'p��� ,_114; y �,� AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN. N NEAREST WATER MAIN_MI ! 0SOURCE OF WATER,PRIVATE ✓PUBLIC_ MENTAL AGENCY AND LENDING'INSTITUTION-LISTED ' hV N SVFF CO TAX MAP DIST 7°°°SECTION 7°11 BLOCK°7 LOTni_ HEREON,ANO TO THE ASSIGNEES OF THE LENDING r. `;'r i. *THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION.GUARANTEES ARE NOT TRANSFERABLE Y,� ' OTHER THAN THOSE SHOWN HEREON TO ADWN DS ONAL INSTITUTIONS OR SUBSEQUENT ; t'W-.•. 6. N THE WATER SUPPLY ANO SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE - *DISTANCES SHOWN HEREON FROM PROPERTY LINES rr;- C WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT +� OF HEALTH SERVICES. TO EXISTING STRUCTURES ARE FOR A SPECIFIC ?. APPLICA"T, ,/� PURPOSE ANO ARE NOT TO BE USED TO ESTABLISH f tio, I Ztl�e aP V a VI Ice OiS e h _ PROPERTY LINES OR FOR THE ERECTION OF FENCES �0 ADDRESS t C)130Y, 6(4 1?Iurer, A- II`r 0/ .ezG 4��6/ o.'- TEL ?�� I��I `,, YOUNG & YOUNG RIVEOSTAO NEW YORK ■•MONUMENT ' � SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK ";: r:' ALDEN W.YOUNG,PROFESSIONAL ENGINEER COUNTY ON AUG.B.,Bee AS FILE NO.45e2 ,`_ - T, AND LAND SURVEYOR N.Y.S LICENSE NO.12845 _ . HOWARD W.YOUNG, LAND SURVEYOR *THE LOCATION OF WELL(W),SEPTIC TANK(ST)12 CESSPOOLS(CP1 SHOWN HEREON N.Y S.LICENSE NO.45893 ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS TELEDYNE POST NOI779