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Home My WebLink AboutStone (2) • OFFICE OF THE TOWN CLERK c0FOUre Town of Southold Judith T. Terry, Town Clerk Town. Hall, 53095 Main Road P. O. Box 1179 . . Southold, New York 11971 Off` �0�- ••' moi'l • Telephone O _ [ ' g'/ (516) 765-1801 ' TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCT ION OR ALTERAT ION PERMIT SEPTIC TANK or CESSPOOL Permit No. 177 Residential X Non-Residential Fee $ 10.00 Septic Cesspool x PERMIT ISSUED TO: NAME:- Norman L.Stone ADDRESS: 14 Oak Road Setauket, New York 11733 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New single family dwelling with sanitary system. APPROVED as approved by Suffolk County Health Dept. • LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Norman L. Stone OWNER MAILING° ADDRESS: 14 Oak Road - Setauket, New York 11733 OWNER PROPERTY ADDRESS: 5055 Skunk Lane (Bay Road) Cutchoque, New York TAX MAP NO. : Section 138 Block 2 , Lot 3:004 CROSS STREET: Pine Tree Road BUILDING PERMIT NUMBER CROSS REFERENCE: Judith T. Term Southold Town Clerk DATE : June 8, 1987 (TOWN SEAL) (Ts '.. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 yr JUDITH T. TERRY ce+..��s,I' TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD June 8, 1987 Norman L. Stone 14 Oak Road Setauket, New York 11733 - RE: 5055 Skunk Lane Cutchogue, New York 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 ($25. 00) for non-residential. Please have the owner complete the enclosed Application for an Operation Permit and return it to this office along with the proper fee. For your general information I have enclosed an Informational Bulletin regarding the Scavenger Waste Laws adopted by the Southold Town Board. Should you have any questions pertaining to either permits or the Scavenger Waste Laws, please do not hesitate to contact this office. We will be glad to assist you in any way possible. Very truly ?yours, Judith T. Terry Southold Town Clerk Enclosures (3) - JTT /Ijc - „„„ cv 16 tV Town Hall, 53095 Main Road P.O. Box 728 �� 1 Southold, New York 11971 JUDITH T TERRY TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD May 29, 1987 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 180 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by Norman L. Stone Please review the application and location map and advise if the project has received Suffolk County Health Department approval and if we may issue the permit. Please complete the form below and return it to my office. Thank you. ereed•cro......essofte.so° Judith T. Terry Southold Town Clerk * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendation: APPROVE - D( DISAPPROVE - COMMENTS: Oe.® e.e A.t aL IP Z 6.%-)161/4.0L 7Y-e 1 ' N, 1 (. Signature Date J ' • OFFICE OF THE TOWN CLERK Town of Southold Judith T. Terry, Town Clerk Application No. 1 L7 Town Hall, 53095 Main Road Construction 17' P. O. Box 1179 Southold, New York 11971 Alteration TelephoneResidential (516) 765-1801 /7 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. • Fee "$ DATE - —1?-7 APPLICANT NAME: NOGG M,4 Af S TO-4/ E APPLICANT ADDRESS: Psi 9'4 k RD S' 6-r4-0 cC e-r`- dl Y re-7 3 3 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 4/ V Co.✓ i r�. c 77 o.r/-= $ (A/6-(C ,/1-Ar y; Z S? ' j. WO 00 P-124-0KC p cii ci,V c '- f{/G GL CS s poo-es 77,9-4/1c: LOCATION MAP: Must be attached hereto before permit may be issued, ' LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: s /1104/14.4 5 Mille— C4177Mr VevaE OWNER MAILING ADDRESS: fV Ori f2� 5 ET- Ai /c 73 3 OWNER PROPERTY ADDRESS: 505-19— S kvAik: L4t-3,A-rU C c- & ur AJ TELEPHONE NUMBER OF CONTACT PERSON: / — g 2P TAX MAP NO. : Section / ,5g Block Lot 3 , ooy CROSS STREET: p l 774- BUILDING BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Appiicant RECEIVED BY: Town Clerk's Office DATE: RECEIVED • • Town Clem. Soutnol -17-.1•.:-:.~ . « co .. dwellings( wells) L P � /o 1°T/04 I• P o COT 105 , - - . setit( Sos0,, O (-feedDATUM APPROXIMATE o ::::60).2s 4t3 K' oc1LOT AREA- 17,563 sq ft 000 7/ I fence0.o 311m , ? (II 0) stk TAX MAP - 0 I v2 DIST. 1000 SECT 138 'cei ti, BLOCK 2 LOT 3 004 • Q I 2 _ j. Li •LI J 3 0 ( 1 CC n�° c I� i I 3 J TEST BORING(BY OTHERS) - t / T-5 I w3 `'' --- — 0' w v `qri cDi • _ Z, Ioom CI r • I °n v 110,pp Z 1104 =• / I m sond 6 set (70) o Ips grovel stk. 1j0 co Post a,011 f I cf fd fence ) cd. o 4E mon o v 060 0 (6 7 J inion — I 84Y AVENU (68) Io 30l E I00 Do f�,o� wafer \ E so�47"W 4 6E. t a „„.,,„,-.„7.,„„i ., .. cc (68) 334 Ig 5N �� S 06°30'lowW 1 - post aroti�� o _ fence of f( r 1c J \ Sem- s u v o a - 05N -1 N m -c-Inc- ai ax_e_vv* w..".&2._ • Z L.L. Z - o '2-8 -' v u a � ' `'"`' /J - v .0 F W p rri w 0 LO Z m u° f .� .rr3 to ry m . 1 o• �a •U WJ° giiiik, o z mdock Z JZ _ I Z w I I— F- • 1- dock o DIST 1000 SECT 138 • CREEK z' BLOCK 1 LOT 15 The existence of right of ways and or easements of record, if anyynot shown are not guaranteed. (/ l� «'E ie_ FARA DWEL 7 1984 • 9) c `U�' EL !N G ONLY REVISED NOV 5,1984 JFFOLK COUNTY DEPT. OF THE WATER SUPPLY & SEWAGE NAME _ R EALTH SERVICES FODISPOSAL FOR THIS RESIDENCE '1'(1`)-t f-tt5l0 1140/(VI -1--s'k 'PROVAL OF CONST. ONLY WILL CONFORM TO THE STAND- ADDRESS ITE Dc,rD-7`oaf ARDS OF THE SUFFOLK COUNTY .5 ' ,yfs%o.' ..)T S. REF. NO. 14 Ga s e. DEPT. OF HEALTH SERVICES. :)/y1,'"r (.‘iii ytI/' 4, /53 O� UT 'PROVED BY 1, 01t!/`o� TELEPHONE 7, I. 'C y3P1 OFFSETS (OR DIMENSIONS) RAHTEES INDICATED HEREON JOB NO. 84-559 FILE NO. NASSAU FARMS' IwN HEREON F R 0 M T H E SHALL RUN ONLY TO THE PERSON UCTURES TO THE PROPERTY FOR WHOM THE SURVEY IS PRE. - ES ARE FOR A SPECIFIC PUR• PARED, AND ON HIS BEHALF TO SURVEYED FOR MATH I S CONTRACTING CO 'E AND USE AND THEREFORE THE TITLE COMPANY, GOVERNMEN. • NOT INTENOEn TO RCI0E THE TAL AGENCY AND !ENDING 111571. PART OF LOT NO 5 104 and 105 CTION OF FENCES :-ErtiINING TU',OH LISTED HEREON, AND TO LS POO'S. PAIL('; F'MNTING THE ASSIOFFES OF TIil LENDING MAP OF NASSAU FARMS AS. ADnITWOH To g'n'-DINGS INSTITIITIOI. ' GUAI/PTEES ARE ANY OTIIER CONSTPUCTION. NOT TRANS'ERABIE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT UTHORIZSD ALTERATION OR OWNERS. SITUATED AT CUTCHOGUE (TION TO THIS SURVEY IS A LATION OF SECTION 7209 OF COPIES OF THIS SURVEY MAP NOT NEW YORK STATE EDUCATION BEARING THE LAND SURVEYOR'S TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y ,--') INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE SCALE 1 ” = 60' DATE OCT 31,1984 �� e r A VALID TRUE COPY. JARANTEED ONLY TO FILED MAP NO. 1179 DATE MAR 28,1935 ATHIS CONTRACTING CORP BOOK NO. L L PAGE RST AMERICAN-TITLE INSURANCE CO of NEW YORK HAROLD F. TRANCHON JR. P.C. ` 1 -- LAND SURVEYOR • C4 - SUCESSOR TO WILLIAM G. MEIER / (' / NORTH COUNTRY ROAD - WADING RIVER -(• -' c,( r 1 Ii\✓- NEW YORK 11792 ROLD F. TRANCHON JR. 11:1(. LIC. NO. 048992 (516) 929-4695 ALT 473-3626 PENN. LIC. NO. 21115-E