Loading...
HomeMy WebLinkAboutSkrezec OFFICE OF THE TOWN CLERK cvFF(CirI' Town of Southold 0� Judith T. Terry, Town Clerk 4 g t.° Town Hall, 53095 Main Road t t11-4.'* ;. P. O. Box 1179 .v' - : Southold, New York 11971 O O�•r, Telephone - ®1 , • (516) 765-1801 TOWN OF SOUTHOLD - SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 307 • Residential X Fee $ 10.00 Non-Residential Septic Cesspool X PERMIT ISSUED TO: NAME: Krista T. Skrezec and Timothy G. Clark ADDRESS: 514 Flint Street Greenport, New York 11944 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling with Sanitary System. APPROVED as indicated on the Suffolk County Health Department survey. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Krista T. Skrezec and Timothy G. Clark OWNER MAILING ADDRESS: 514 Flint Street Greenport, New York" 11944 OWNER PROPERTY ADDRESS : 405 Flint Street Greenport, New York 11944 TAX MAP NO. : Section 48 Block 2 Lot 9 CROSS STREET: Seventh Street BUILDING PERMIT NUMBER CROSS REFERENCE: hT - T. ,,y. Southold Town Clerk DATE : March 15, 1988 (TOWN SEAL) _ f �tl war E • }fir,, f' Town Hall, 53095 Main Road VS Cr/.w r P.O. Box 1179 Southold, New York 11971 JUDITH T.TERRY = TELEPHONE TOWN CLERK �``� '� (516) 765-1801 REGISTRAR OF VIT 1L STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD • March 15, 1988 Krista T. Skrezec _ Timothy G. Clark 514 Flint Street Greenport, New York 11944 Re: 405 Flint Street Greenport, New York 11944 • Dear Ms. Skrezec and Mr. Clark: 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 rion-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 you in any way possible. Very truly ours, Judith T. Terry Southold Town Clerk , Enclosures (3) JTT/Ijc 4 Pc;\f F ULA' r�'��; �Yj`�'•_ gyp? � %)'&P‘' Town Hall, 53095 Main Road = � P.O. Box 728 ' Southold, New York 1 _.1 JUDITH TTERRY � � � r' TOWN CLERKONE• -(5:ro-Y,65=180n D REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD MAR I 1 098 March 11, 1988 BLDG.DEPT TOWN OF SOUTHOLD To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 311 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by Krista T. & Timothy G. Clark Please review the application and location map and advise if the project has received Suffolk County Health Department approval and if we may issue the permit. Please complete the form below and return it to my office. Thank you. Judith T. Terry Southold Town Clerk * • * * * * * I have reviewed the application and location map of the project cited above and make the following recommendation: APPROVE - DISAPPROVE - COMMENTS: CO." A4 A,ct,c, %Lk/LAMAS\ Signature Date .( •,, OFFICE OF THE TOWN CLERK �c.0Ffkee," Town of Southold p,0 i �Y- .yA. Application No. / 1 Judith T. Terry, Town Clerk ;!4 • a,- �.,j+�'may'. :L Town Hall, 53095 Main Road ` �/� 41.y�a� S. .. - Construction vi P. O. Box 1179 �_ . ,; ;.•' ' J Southold, New York 11971 ® -' 0-1. `" Alteration Telephone �l" Residential (516) 765-1801 '1 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No.3, / Fee $ J DATE .3///4? APPLICANT NAME: �5 ,5- )/i t.71- rk'-sem-K. 46 APPLICANT ADDRESS: `57 / 1 j-/- (4r'i_„ ,),_--1 / /` SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONS 'RUCTION OR/ALTERATION; OWNER OF PROPERTY: % /5)-0-777-, ,�✓ C-- —. /i ^ G- 2 OWNER MAILING ADDRESS: 3-') / ///, �. OWNER PROPERTY ADDRESS: 4 ? ,JZ4L I' 0-1--/- . /'c :/<- ( TELEPHONE NUMBER OF CONTACT PERSON: . TAX MAP NO. : Section 4 r Block Lot q CROSS STREET: ke,1.4 sfi-/ BUILDING PERMIT NUMBER CROSS REFERENCE: - ) Signature of App ' ant RECEIVED BY: ,.__---/4.--27-•_a -�,e_ Clk's fice . DATE: �// 43 , • . '• , . ..,..- ! ,,. •,,- ,, <7) , .. - (Jr'- ..I .: (2)1-- ,,--k- - • ,,. • ;1 - := -‘-' .--- 1*--,t',.l•." e:-,{ -117::t.• tw"....P`‘ . e-,• '.• J'''it.. ,r--.., ------------;O: I C--\ I\-In'4.'-"' -- . • .--- ----- . IL......,• -- i / ! o .1' ,,,n c_•____----_. — ----e- _{ . , /6 •-_.......,-.-- ._ _ c... , , • , ___.--- :• 1 ,‘2 i . - ; •-,,, L I I 1 i (•' ' I. , ' 1 • . •,f, "r. • 1: 1 k , ,; L,________ ____ y i• ; • . • ....1 •. N— ,; :. L, i 1.4. ..-•- Ir H Ci. •',.' 0 '; • i ' - -.." I ' ...-- :) \—• , / ' 1- "? ,L. k---• . CA.: 1 „_ .,.. i...-_,'-!/(-'_.--..., i ,-, ./..., , I , 1 ..;, . I I 13. .___ L..),(4 - t 'irr Cf t i Lr,I, i t; f:- ' -„, „'C.c..:,',..I•I-(--' i ci if ri , • t ... Li.- ; . •.•(,) i I - ,.. , (5 -- N/F -CESS'Ft.:• i.,21.I (fi . . i - ;0 .....-.... I 1" --- 6: ' it EC) P IZO P':."). ' --I•r- 10 : Cl 1-, 17n r- - i .-1 = 1 ct 1 , I eit.?“..121t4ti 1' . , 0 ' • L.; '1 1 " 1 i. .. .1..-I,.•• 'rs • I ,-, • I ' •1- ,__ • (s,1 L_____-- • 1 I t _ I , — - — c-- ....-----' _,,c, ,_,, ....,,,, • . , !...----.,- ,-,,,,,_ • ,:f.4 ( 1'..) ../V. ri01,0 .-- 150.0 TO 5 Eii E N-4-1-4 ..:--,---r-r4.'E ET •z , ...... 1 - -CTAB Ai' 1.4 100ED) - I. I..:. . +'6-.• ,'.6' ', ' .. • 1 . ; -1 ' ' ' ,'F.PIt''2,,, , ' , r------- - ' a, ,' , •, +1:1'..,.._ ; 44- - I- L:f NT • - =5T.1.-c-,E.L.2..i ._ ...., 6, , _,- . - „ -._ , , %(-/ ,:,tsi_,-,-.. , -'•ie.,,::,.,.,,,-, -, ' , ,, __L-5c.) _ ' N. .... -7-',4;t,'.5.`v-i;;':•_,. , . _ . . ti ' -.', ' ' . 7,-.•,:-,f,'-',0j, s4",,:-.,., ,.. ' 1, ' : , . . , ; II ' ' • • . . , £1. ' -:',•;•" • I ' . , ,' - . „ 2..-',,, ,;'.*:.:•,--•3'•,••,--_,'• • -1 ''_ - • , , - . . - .a. . -:•;,,,„,f.--_,..,-,*,'„,;,-,,,,, • • i-- , ,, --,, , --,4?Sl--'-.;‘,..;,'is•'f••,I 4'.-:‘- • . - . -- — `-'''..•1••••}•1•$'4-1'•••1.).,-,',,- •'',,-•, ; , , , , • -. ,•• • ,- • ',', ',---i''-.- •,'''',!,' ,vr.:.,t,,i-k.,:„...-•,•:•-•,•,„•,,,,-,•,•._, . , ' 6 ViAl- 12.- MAN. -_-' . . . '.1'!!-Z 7,.•".,`;';•.k.•'s,•`• ` ' ' „ - , . . • ' •-'‘v"-"-,'---:'-i`. •''•.••"2"'-- • , ( EE',..-:.--.,>.i I.-,E.NCE-Tc::3') • ' ' - - ': ' _ : , - .- - . „..„ . - 'f ,,.--__NOTE.3::„"i',-,-,.; • r:' -- • •-, ., . . • --' ,,..,-,. ---", '..''•'•,.' ' •-•-' 1.LOT t\-10'f..--.),12-E F r:1;2 1' MAP Or GIZEI-.1\1Ps._,-.12i..1712:1 VI N.r,"7' Pinks 7;:-..':'1::FI L E-D . . ._ `-'''----7'"--- -11'-1-9--'c- 1-Ji"•-f-. "--'--) ' Fr-,--= c..-)EF:ic E_C,: ..5 MA NO 69,, 1:-.---'jf•,-4,--,..::-:_•,:''_.•, Z;E; 1-7:\./i,7i-i c.-:-.).t:i.'-:---, PEFF..-1 ._' TO MEANE.:-.EA_LEVE . - - -. „ .• ' -, :,--,;.'':..-..,-., •,:•-•--.. ' . . ,., , . - - 4 4''-', -,"..',c't''''..4.•,,1% ,1,4.0, ' ' • • ,.. . ' ,44 % . • .4 . .- '- • ' ', '';4'''Ov;47-'''3-4''-''' ''- ' • ' '... '' ' ' 4, , • ' ' ' - . . . ,- , ,_ - , 1.-'• .i ' • -' '- , - ' ,' . " ." ' '• - _ , L . - " "•'':•+-4.t.e'• ' ' " . .'"" • .. • • "' •. n' • ,, L ' n n, , n..,. .'. . L.' "._ ;... A„ ., ... ,I ' r • ' e.,e% .11". ..‘. . • .., : t.. s • , ;, , . .. . , „ . . • ,5.11, ,, '4'4,?4, . " : '' '„ • rile?*" ,.. ' ' • L. " • . , ' f ... . . - - — . . r • . - ;••• L.-,- -f"'-1 • .... •-. . • . - t -...- —' , - „ ' " " . • , " . - . , . - . •---,-.,'I% .1 . . .. . ' 'rli.A , , ' .,.. .., • , . .. . . _ . •.,..•,.. , , .„ . . ,. • • • , - - .. . • . , • — . -' --,. ;..:1.1',7 ,• - ' - . - -... . . . . , • •1.• 'ill r.4'4 ' , , ' „. r —ql..'4' . , • . . . - - , ' . e• ., •. '4.V4''Sr'• . .-4. .' ' • • • .0 - •714* • - "" . . - • '4",' 4 V. _ L . . 4 . -S Al .. a•..•.4%PI' . a " . . ,_ ' .• qii"."' -L a • • " L . . . .. , - 7'•44 e. • " - . . .• . , • A. 4" ' ' • a , , L. • • . : ''' 2.:t...'' • -4 .. 7 .. , . . . a. : • . ' •11V.4 " .' ' a . . • 4. . _., , s.... ..,. . SUFFOLK CO. HEALTH DEPT. APPROVAL H. S. NO. . :-.. ! . , rtt,„It•-... - •-• 1:71' .../"1 `, * r•-• .. r - C • 1 L--:\•-;:lir-,--...., .„,.. „----- --L.- , ;- ,. •:: ..., --' , ,', ? -; F. 1.• ,,t ......, „ _ 1 k r-• "Th r- r",''. i"-.. -. r- .- -r- , .- - \. 4 r.:::b I il: Z 1‘r-7-1:';-::'1:"3-i-.:7-7:-;-;:,";.......-;;-;:i::::. 1-:',---- ::;:i:; 4,:.:r 1 i'-'.V L,1 r- r--I.' __,--- 7:: ;,_ ; ', ,... : ::: L i Ta`l E. ?71- i,-.- FL,' ?. STATEMENT OF INTENT i • • : i....._„,, THE WATER SUPPLY AND SEWAGE DISPOSAL ---. — ----- ----- -- -------- ' SYSTEMS FOR THIS RESIDENCE WILL ._.. CONFORM TO THE STANDARDS OF THE --- SUFFOLK CO. DEPT. OF HEALTH SERVICES (S) APPLICANT 4..,'k ,i ' r L -• , ,- • — . •- , ., • , V.. -17 ...., ... : ' V ,,, .„ :.•.' 1- ,., ‘7" SUFFOLK COUNTY DEPT.. OF HEALTE SERVICES - FOR APPROVAL OF CONSTRUCTION ONLY • _ . .) ----- --- a- ; r'----. . It , I DATE: 0 Cl) p - ' H. S. REF. NO.: j APPROVED: -Y7-/C4 1 ' . , t \ SUFFOLK CO. TAX MAP D ,IGN • TION: DIST. SECT. BLOCK PCL. 1, 1000 _ 4s, ,-.; ,.. 9 11 rYNNEREk ADDRESS: . . 1, • A, ; - ec 1 ;• i! 1i.:A- :-.:,71',.:::`, -, 1-;', - ' D, M()N Li f''-11:::f•s-i-i- . ----- ---- .- DEED: L.E...-i:..-.d i P.57/6 Cr2.E P) . , . • -".Tf E I. -1- 78 1 : -:- -ZbiC , 1 i TEST HOLE STAMP , - • \ ' . . •, - 1 ,,--,-+att4rwasi,or od+tron • ' _. -:,..•,..,,f.,o v't•Asition of \_...\+_. ••• . ,r,•.••',..-..•of?Ivo New York RAI!, A . . . , - L•svr. , - • , -.,- • - . , . , , . . . , . , , . . ,' „ ---7253()L L ' 64 .....:1.:-.::::,,,T.,:1711.):::.ple,c.Eirn.kr:176491:21b0„44:111:11-1 ' t -- ,- ' - ' ' 1-0AN1 ." r,,,...3 1:1:•••11,44,(:-hen,hp(nam ph.p,ruo . . , I ' . . ..1 . ' - , 1 , . r ' . . ,. g U • - •.:,.'•,-, ,,-..:4,,,::::0,..Liv....-INt,ina,1111 to.th4Ln-Ve.f. , ,. ...ny,g..,..,rnmroitol rt,i2.ncy:Ind .-------— •-. •-..,,dt.on Inga-d tora . '. . 2EVI =r.) ra ..7 -I FES-1.6.ig139 — ..... ,.•........ ,r trNi lortdmr;ir441- , — " _!_Micst.4:, , ,, n%,,c.,..nt I not vowurfonoloi,o • '" .`‘,, ;.,...;irolit1,171,3 or s..0-.64-oiera ' . ' . , . . • . G 12&VE L , .-. -.. . . • . . . _ _____________5 . -- . , , . , •, , -„,. , , , . . SEAL . , ... -. .. . .- . , .. . , ' • 08 00 I 91 ,. • .- .,. ,-,. - , ... ID6Tt -A'N '0V:31-1d,TAIVE:VEt :--: N..k.;-i.4 1q8.-; - .' . ' ' ', , t c..) 0-- -.or >• 'f. HilehiNVA.N TUYL:P.C. - kik • ,, f • ' -..' li , -., LICENSED \..,:i..,-;•;:. .2 bblVii LAND SURVEYORS '• ' . _ . .. , , . ,, .).-.(i' " • - GREENPORT NEW YORK.,,' T.,.. ,.. ., • ., „ , : - ' 1 - . , . " --- .. - - -,'- ' - - ' - ----,. . -, ; , • , - - r--4 -- • .... . . ,-: •- . -.=,-. .-,• .. ; .. .- -;= ,-" : ." , 1-' • . .. • , . : . ....',.. .. , .— - . . . , • .. - '!.''...i.".• .. . - . , ." , ., , . •-•• . . ' 7 - , -, ,• . . A - , • . . . - '' $'•11 : , _. _ : . - - -. • , , r - : - . , . , -.;..,,'7;`,,,-';• . . - , • • - ., -_:;„11-.',-.) . . • . - . — :,..., . , . ., , . . .- . - - - : . • - - - . . : L • - . ' _-,:'-.,•11.. ' - ,- . .. . * • _ , . ' , . .• '', , • :.5"1,i4; . ' . - : '''..-'-'1•!* . _ - . .. ,' .r ' '•I''' ' , - - . ' ,d ."fl • - - - - : - , . - , . . . . • i .. - r - .,. - . ,. . _ -„ , . • _ ''. '',. 0` . •• . - . . ',..;