HomeMy WebLinkAboutSoutholding Corp OFFICE OF THE TOWN CLERK c,§W FU�c
Town of Southold • ot�
Judith T. Terry, Town Clerk y &
Town Hall, 53095 Main Road
P.. 0. ,Box 1179 ♦v'
Southold, New York 11971 O ~r ''`�O� f
Telephone
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 001 Residential X
•
Fee $ 10 . 00 Non-Residential
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Boeckman Construction
ADDRESS: P .O . Box 1453
Mattituck, NY 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New system
•
•LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Southolding Corp .
OWNER MAILING ADDRESS: 208 5th Avenue
New York, New York
OWNER PROPERTY ADDRESS: Private Road
Mattituck, New York
TAX MAP NO. : Section 112 Block 01 Lot 10
CROSS STREET: Sound Avenue
BUILDING PERMIT NUMBER CROSS REFERENCE:
ereoleeza‹....,
Judith T. Terr
Southold Town Clerk
DATE: July 24, 1986
(TO ,N SEAL)
',', ,,,iii '
•
t 1=3 :i44 AM) •
,,��� Town Hall, 53095 Main Road
�•
r, s' P.O. Box 728
� 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
July 23, 1986
Mark Boeckman
Boeckman Construction
P.O. Box 1453
Mattituck, New York 11952
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 you in any way possible.
Very truly yours,
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/Ijc
iii -_
is
�o -.. Y�f
CONSTRUCTION S�FFUL
ALTERATION crs . .f
/
RESIDENTIAL ✓ 6461 #;o"�
NON-RESIDENTIAL
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
' for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Application No. 0O /
Permit No.
Fee $/4Oc�
DATE 7/9i/j-4
(Y)/ k 73OECk'Klf3-0
APPLICANT NAME: i_-t er3Q, C.a Matrz
APPLICANT ADDRESS: Zc ici. .. 11\10C-44 tJp,2�, 'V
SEPTIC VCESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION:
Nc /
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER NAME: 3 i4-4 40
OWNER ADDRESS: 215$ IWC 9 m
TAX MAP NO. : Section J 7___ Block O k Lot
CROSS STREET: 3404..7-t41h �k �
BUILDING PERMIT NO. CROSS REFERENCE:
Sig ature of Applicant
m R2 K B e e.ic
6410�
RECEIVED BY: r-e-
Town G{erk's fice
DATE: 0/. W-Z
.,
S�UN Ngo H ,�.
ANQ isL
5� os,Pcox•
L0NG "c`r ASA
L*
2" 5 N
V. N
o O NNO°xa JFF
X)- O� N-' O OF 8�
I.
*. 'NIL 16•099*.
Q99*AO? ,
,40020
S•Ws 69°� 'O'
,� �. N 644`\ P•�4.1gPG
iD b‘.;,' ..''.*.9 �O
..
7p N- � -' cam ..
ti
•
2 ^
CD
o Q
ci
coN
CP
ID
'fir- A
f 3o o
� �v
N - r
r
o
01
NP." n O
TEST HOLE ..
0D •
.Q.,
-
HUMIS Z /woy
o /
DARK BROWN - O.Y NNo O/NO / 2-5.-------9��j S�`‘
SANDY LOAM OHO , 6 °�e
- - -- -- 2A • 000.: $OPO, C• °se�pc
R
CLASILTY 0 0�,�' eC\y JOr�
.v F� �m
tr. Oc �° -
4.0
\ c°
N.
BROWN MEDIUM _ �, G .
SAND
GRAVE a% - O 0 \
NOTE: O- •04' O ELEVATIONS SHOWN HEREON IS V, 0O `
LIGHT BROWN FROM"TOPOGRAPHIC MAP-FIVE EASTERN '1• P
MEDIUM SAND TOWNS"PREPARED FOR THE SUFFOLK A`O
• COUNTY DEPT OF PUBLIC WORKS. vN
-Iz0 - J
. . SURVEY FOR
- - - SOUTHOLDINGS, INC.
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE:
MAY 23,1986
AT MATTITUCK DATE: MAY 15,1986
FOR APPROVAL OF CONSTRUCTION ONLY TOWN OF SOUTHOLD SCALE: I"= 100'
®ATE HS REF. NO. SUFFOLK COUNTY, NEW YORK NO. 86-532 `
•
M UNAUTHORIZED ALTERATION OR ADDITION TO THIS
SURVEY MA VIOLATION Of SECTION 7209 OF THE
NEW YORK STATE EDUCATION LAW
APPROVED *COPIES OF THIS SURVEY NOT BEARING THE LAND F-BSE OF 'Ve .,ti
SURVEYORS INKED SEAL.OR EMBOSSED SEAL SHALL /
NOT BE CONSIDERED TO BEA VALID TRUE COPY
*GUARANTEES INDICATED HEREON SHALL RUN ONLY 10 I pp It �' ®�•
',,
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED ® % \
AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- / •g 1-.
N NEAREST WATER MAIM MI.o *SOURCE Of WATER. PRIIATE_PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED4
UF & '�
N SE CO. TAX MAP DIST SECTION 112 BIACK-QL-LOT OIO HEREON,AND TO THE ASSIGNEES OF THE LENDING I
*THERE ARE NO DWELLIM9S WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE <Ira
!
TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
OTHER THAN THOSE SHOWN HEREON. ser
OWNERS
N THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE *DISTANCES SHOWN HEREON FROM PROPERTY UNES I _� tl
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC , .. Q E"or
OF HEALTH SERVICES. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH \ .', ''''"
APPLICANT' PROPERTY LINES OR FOR THE ERECTION Of FENCES \,''
ADDRESS
TEL. ; YOUNG a YOUNG
L a R RI• AD"NEW YORK
NOTE ■-MONUMENT fT4' ,u ALDEN W.YOUNG,PROFESSIONAL ENGINEER
f • ' •ke
3:;114,4 AND LAND SURVEYOR N.Y.S.UCENSE NO.12845
3;;;
•. 114 HOWARD W.YOUNG, LAND SURVEYOR
*THE LOCATION Of WELL(W),SEPTICTANK(ST)SICESSPOOLS(CP)SHOWN HEREON t N.Y.S.LICENSE NO.45893
ARE FROM FIELD OBSERVATIONS MOOR DATA OBTAINED FROM OTHERS '
BRANDIS & SONS INC. 1046