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HomeMy WebLinkAboutPicken ecomAre r Town Hall, 53095 Main Road Vii` P.O. Box 1179 =_ � ,s�, ��®�s� Southold, New York 11971 JUDITH T.TERRY '.."'44,4w401/11° TELEPHONE5 516 765-1801 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. 437 R Residential X Non-Residential - Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : PICKEN, BARBARA Address 1 : GULL POND LANE City St Zip GREENPORT NY 11944 Descripton of Proposed Construction or Alteration CONVERSION OF GARAGE INTO A NEW SINGLE FAMILY DWELLIN WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 11/22/88. Name Of Owner PICKEN, BARBARA B. Mailing Address 1 C/O MACLEOD CAMP MINEOLA ROAD City St Zip MATTITUCK NY 11952 Property Address 1 GULL POND LANE City St Zip GREENPORT NY 11944 Tax Map No. section 35.00 block 4 lot 9.000 Cross Street MAIN ROAD Building Permit Number Cross Reference: Issue Date: 12/09/88 Judith T. Terry Southold Town Clerk (TOWN $UAB.) x \ ✓ t ri , L. j _Z al tai i�,; :- "7,,,, 11 t BLDG DFPiir0[A - �y` "n� `" :ry �,, ;� Town Hall, 53095 Main Road TOWN OF a ,. '''.,14'„..,._k'�;w* . SOUTHOLD f 3 ' ` '�f� P.O. Box 1179 tea....... "..' -_-.42,__ �`E a� ��� Southold, New York 11971 JUDITH T.TERRY p/��� 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: December 9, 1988 Transmitted herewith is a copy of application No. LEVI for a Cesspool/ Septic Tank Construction Permit submitted by: Barbara Picken 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. deco 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 4_,..ca. C. ..Q�c� e-,r, Qin, c cYfek-1-5L1 Q, k2,1 1.1\ - ..._?..wl \C.: C*—. Cat,.L..(7Q.._ Signature Dated OFFICE OF THE TOWN CLERK 0,,COFOL�(,O Town of Southold =� . Judith T. Terry, Town Clerk �,`A-f;,, ;R 1' Application No. � Town Hall, 53095 Main Road can w n ` '� Construction A, -r2 P. O. Box 1179 Alteration Southold, New York 11971 _ 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. Fee $ /6 °= DATE .1J2 C _ 9 j 5C� APPLICANT NAME: C�/'barct /`c,/c_p/] APPLICANT ADDRESS: 00 /1 Po-1,d cZ/Z Q, re€nPc,/�}- /V. SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION L LcLc e-tom' ' -d-e1i .C'-tr g ie., LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: &chary( e/'c_k_e/7 OWNER MAILING ADDRESS: - (p /t410-C,Le CaC_Th_p e_PO(a . .(1 l/1aJ7 c C `1 y/� OWNER PROPERTY ADDRESS: a lJ// p„,,c( ; V . TELEPHONE NUMBER OF CONTACT PERSON: Qf- 6J&F TAX MAP NO. : Section 30 Block '7" Lot • CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE:_ `6 aA-a— LVhac.oz ,cpb4. Signature of Applicant RECEIVED BY: ow}�,/ , E mown Qv. ffice DATE: DEC a 9 1988 T��� Caen S®utg®Gal ' F-_,-.--, r_, -, .,-! = •: _ - SUFFOLK CO.HEALTH DEPT.APPROVAL --- 1L--ra-z_ a.9 n.. —�-_ --1_-2 T6 -1--7-- 7 MAP ��e._ FF �` 1.111.4!IS.' GL i OF Pf2�JP� r 7, ,t - I rcov n:3 5'• wATErZ 1 i', E-_n a LL= i - �' •_tr,t= L—_ `_�Uf2VEYEE) F012 1. - - -- -- "A•1,11..:.'_ -- -- _-- -- --- ---- -mac - r., — •,`,\ ,—an.� ,C a:TF_FS O0— M—_Mlh ,D MIN.10' �t —oo— f✓ I /F..•., r^t,, !t a / I { , t A.:T f2- —'ACT li3''_ I IL/f ��\' b-I 11 l• r L. . i I��.i�\„1 -- 1• I 1 'c r, ,\ „lz>=c '- '= J". .Te• .u.�LL. FE- :;r „�a 3-r- ,,, r.-t ; -1:F.s=oti,:-r •}F --------- 'S--------------. �._.--^v t ',A,-....1 ', ,^rn 't.:-,--Li r:' c-,as.,_G,1_it:i:=; sEwerc r_u 1C�.3'4ALI_EF- =A-15-rc,_1,-. - r. STATEMENT OF INTENT �,rL;IvAL:143'L'f..\rC t� •—' THE WATER SUPPLY AND SEWAGE DISPOSAL �, OF MA-- r:'�-t ,: J,.:INTS r-4.�-r c.G_G r r ';r.3t..r..,��: r 0 I =-rat•tCsr"-`' ,'F -..:a4.:7T'..1'LTiC.,!• J1J;;.' :IV,_L-Ps- rr.="1JGr--1" :-.7,7e72, GI�EF!siP.•ire` SYSTEMS FOR THIS RESIDENCE WILL t 1, 5 TOAIY V;,.--_t:r,.5t5 r.1c_c,-, c,,•O r u' E'.C,,:1s' ! 1.....t'47:-.. _ ---`_------ --- CONFORM TO THE STANDARDS OF THE - - ---------L---- SUFFOLK CO. DEPT OF HEALTH SERVICES. I \ , l2; .. _, ,,-; (S) ' APPLICANT t t<,r=4'"i-r:=;: t_�<:'. :>F': P2.^rJ. LAT'_=;...t,i_ C` i. L:!_ECr.!-r-:-__EevICE,BUP_IEo 3 c, S 6xf_ 1 911401.. '�' wA rrr Lit F G ;ED.5; I r r ; ;�,iPyf��'(� �`isl`_(.? ;�ya/�t �I�'+. SUFFOLK COUNTY DEPT. OF HEALTH t \ T•r Z.',F•_-'. D:.__o ,Co' _ , is ..-'.i •Pit=t; J 1••u'L) ti•t_';•_•til'-':S' p•-,n. r t• .. - .SERV ICES - FOR APPROVAL OF O );, d ".C/ ,, -1,0 , / \• ''r '' CONSTRUCTION ONLY ,---- 1--.7- ` °tet 2,0,11-2.rcTe: +� ,fi6" si 0[3 ,vs lily_. Q • /\ DATE ,•r•• : 7 a > . s_Aar;f-,t.� %:. ('I I S- yl H.S.REF.NO. BIF l Uo , i:., 3_ q•Aq. r4e,-,wAtL- :10\I. t I 1O / V APPROVED. C C_ _, , fy-�t v, _ ( ..,�,EC-` T jr - LOO 5 !-L� r TEST H!l F- '8�',',...--/". I;Y6'"::N; J 1 %,:,_.s a) l - q' „m ; SUFFOLK CO.TAX MAP DESIGNATION: L, -'et' . i1 ), I,' DIST. SECT. BLOCK i' „t , s t; - PCL. rye ti�p=ass) ,r,at,# �'', �' 1.t �' l000 aS 4 g y`1' , O I: ' ► rC0• -_- -0, LJ w %Iu ' OWNERS ADDRESS: ' ' N PLLtdVEA17.-w4 i ;.•�' 5 \ .6 �,C /� `,,, THOMAS MACL6O0 t• t3) 9 �� (ZS a -r,c �+' o- �'; ;�' ; 21Cr= CAMP MINNEOLA rc0. \ �/ "'IAT,-.-i T;.k.k., Li:-r:. t L9S Il , , SCALE 5U=f ?fig..^t,�3) y c t l t \` \PEA I y',SC�,)-}�,.F'. DEED: L.r+r ,:. P.t 5,}(I2EF } (I`' In -MC``,iL) •ICs•i TEST HOLE STAMP / r r., ��T._ t / c= PIPE - York SVM t_' .- __.r•• - i - •�• y~•,-,,..,i v Nst?o•�of • S,7,"on 72:1P of thr Navy h- V••,J'•U_•.f'-- - HUMUS ,•• ,Is cst•cn Low. w. 50' -`7/ AN 6Y ' ri,tcrdsthry 761 odpratKprt•tg • ---_--.. mha:.erd soot 00 oaths conetdored LOAMY to:u e valid*wimpy: j .AVD Cusrentcee tndlcsted hereon st ' I rrn / AME�1 �__L3 NOV.0 I9HB ---- I•Sgoy tothav,At person rv. thosur ---_ _- -_ _ _-. lcd,ovstec1.and onhie befal'toga , N::a cortiv;ay,tlovorntnentil ovrvy ea lcrL Inctautlon Bated horcon end o thb.ns?,Enoea of the loading Ir otl- COAf_SF ;u,t on,I'iasrrd000 me not transfarPhte ��t.IO rt<a+tt.'ao:5g}rnx}tution•or aubssauent rav:ira. - - ti 1'15.t_cit SEAL ' !.L- I NO.:3 • .I.E,FF. 1G'MAP_ ='F 1ZJ(WI-IAM ACT?iS,tl11,EP ' IN THE `?31..4 f-' CO,:71.-1 k:F.. OFFICE �t>_ MAP P O.-.!-5[V --- --�" 5G?t-4;;;.wZTc, /F•NE lop ELEVATIONS I'_EFF2 -O 1M'IEA�15:EA LEC•/EL.CN.G.V.D) �>� ° �'y 3_PrZlEtilEiS;IN F-1_:)0t)7_O}�F A=I{E-.52, _ , A5 5U2VFY<© :7;5P-1;151968 CC�A��� ����o�P� ,�A�,�� \ RODERICK VAN TUYL.P.C. O li\+ tn,r'`,3 , v. 4 \) .4• PeoF` . `. -f•'r`.C• _.'_Chi PGSIT•I01_IE : TOAvOiD "Plata. 'r }r .'..././A 5-I E._t_,•11.45,t7)70 ,r X L-EASE" lyr"AEK.NF vi,.\T 6? L_NrEr-'4_. r 6.1-1-4EI2E IS 1 t0�PJ}L�eT AI,dG•_N c WA,vE OIScr:;)SAs_SY T M— LICENSED LAND SURVEYORS • Iq' et o �S ZFo.•..v. Q- - a*s F- 1E-1E"OHED A _'NO`•VGG;': GREENPORT NEW YORK � s`� l'mtorra POST Ne1370 --- —