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B ��, Town Hall, 53095 Main Road
qn P.O. Box 1179
Southold, New York 11971
JUDITH T.TERRY %% Q1i' ' TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OI VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 417 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : SWEENEY, TERRENCE J.
Address 1 : P. O. BOX 113
City St Zip WESTHAMPTON NY 11977
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES 7/21/88.
Name Of Owner SWEENEY, TERRENCE J.
Mailing Address 1 P. O. BOX 113
City St Zip WESTHAMPTON NY 11977
Property Address 1 GRETON COURT
City St Zip MATTITUCK NY 11952
Tax Map No. section 107.00 block 2 lot 3.001
Cross Street GRAND AVENUE
Building Permit Number Cross Reference:
Issue Date: 10/31/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
.
- � ';;1 Town Hall, 53095 Main Road
''f ' P.O. Box 1179
6 Southold, New York 11971
JUDITH T.TERRY '
""��f TELEPHONE
TOWN CLERK (516) 7651801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department ,`J` ; 0 0
From: Linda Cooper, Southold Town Clerk's Office
Dated: October 17, 1988 SLOG.DEpp
7Ylll/V OF SOUTHOLD__
Transmitted herewith is a copy of application No. 422 for a Cesspool/
Septic Tank Construction Permit submitted by:
Terrence J. Sweeney
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.
GwCa_)
Linda J. Cooper
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE DC
DISAPPROVE
Comments: 00170,Q42_ jc_a\VI
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h-c�)`meg.v«s, 9��cam. w° .
SignatureIi\i%
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Dated
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OFFICE OF THE TOWN CLERK cOFU1J
Judith TW TTerry, Townn Clerk � 'Y rx". CD
`
�, � Application No. `� a-
Town Hall, 53095 Main Road of °� Construction
P. O. Box 1179 J
Southold, New York 11971 ®• Alteration
Telephone O1 +i Residential P"-
(516)
/(516) 765-1801 "' Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION .PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ /6
DATE j0/ /7 / g0
APPLICANT NAME: /e����,vc� v
APPLICANT ADDRESS: ,' ox //1 S/ A0/07-4
Gv�S// fo•,� // /17 7 7
SEPTIC CESSPOOL ti
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/( c)U frs/e.,til •
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 2.
.exvce_775-eizeewey
OWNER MAILING ADDRESS: //S S, D911 #4(
OWNER PROPERTY ADDRESS: (rn,14/ 4ep��) �� /
A1 47-7-7 7--c„(
C/C
TELEPHONE NUMBER OF CONTACT PERSON: 374 - Z)38- 77g7
TAX MAP NO. : Section /07 Block 0a Lot 3
CROSS STREET: e(/2 1_6 - cI'--e -e 06(-,cJ '
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signatur o pplican
RECEIVED BY:
Town Clerk's Office
DATE:
01 TITLE NO 8308 — 0/652
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`� SUI F()i.ii t FFLt`J ( USI Ar(4-r Lf`T L'F HEALTH SERV CF1 l l l ( ,
FOR f�f'F�;`Ct',li Of �, P; �,��'"1•"•n E
�i l i�l .. t.i � _
C'AT� �3l- � F.., RF . f:LI. )\.1.-c�SQ_0S ;:.:::
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.i eters 4nnu l lar wife fite S1andar,Is •-6-r- xNii
, arida-Asti-tali/ SURVEY FOR
oPSu sur4aCt Ser-h e s s4 1 SrjJ•te is Fog S,Ai;91e Fmtl1 TERRENCE SWEENEY 8 SUSAN SWEENEY .
Re)ider es miffl mill abide kl -1-14e, Len cli s ce+ LOT NO. 2, " GRETON ESTATES "
tvl�rd, arid 'y1--h �z7?i,,{ ( f �� AT MATT/TUCK DATE: MAY 9, /983
'2Gteit ce/ y
TOWN OF SOUTHOLD SCALE: / " = 50 '
C' SUFFOLK COUNTY, NEW YORK NO. 83 - 332
*UNAUTHORIZED ALTERATION OR ADDITION TO THIS GUARANTEED TO
SURVEY IS A VIOLATION OF NEW YORK TATEEDUCATION SECTION 7209 OF THE CHICAGO TITLE INSURANCE CO.
N COPIES OF THIS SURVEY NOT GEARING THE LAND TERR =Er"Sj�" "'Y ;;,...8 SUSAN SWEENEY
SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL OF N p Z,.
NOT BE CONSIDERED TO BE A VALID TRUE COPY 'r
1 . {�, ,3 a
*GUARANTEES INDICATED HEREON SHALL RUN ONLY TO �* � t,�1 QG :C4
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED :1 4 k;
AND ON HIS BEHALF TO THE TITLE COMPANY GOVERN- .i * "6V?+b+.+F"'' �0
*NEAREST WATER MAIN MI.. *SOURCE OF WATER, PRIATE X PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED J „,:
M SUFF CO. TAX MAP DIST 1°0o SECTION 107 DLOCK 2?LOT 31 HEREON,AND TO THE ASSIGNEES OF THE LENDING ;' E 1 s x;
INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE I l x `�� `�t'�-
MTHERE ARE NO DWELLING! WITHIN 100 FEET OF THIS PROPERTY .1
OTHER THAN THOSE SHOWN HEREON. - TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT ! ".1 : • ;.R j�
H THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS ;t r' ,
*DISTANCES SHOWN HEREON FROM PROPERTY LINES l .r "'•:""a1r2,.:01'6"". W
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC N.
OF HEALTH SERVICES. ki q, �• 4'
APPLICANT. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH >� 121Sgit 4§)is'
T2rden1Ce t ,cusa4 S,..oee*le.1/ PROPERTY LINES OR FOR THE ERECTION OF FENCES w•
AMR EIS r +......„ r -
p. &�x 113 St Dry-E i d. .��:e ./i -,., /r°=••!,
i
TEL _ �k� --` YOUNG YOUNG RidERHE DA NEW YORKE
wef+�a.� �� 516 zea s►�7 , 1
NOTE r Qi - MONUMENT 0 = STAKE t1sa t t
•SUBDIVISION MAP FILED IN THE OFF/CE OF THE CLERK OF Lt) ALDEN W.YOUNG,PROFESSIONAL ENGINEER
SUFFOLK COUNTY ON SEPT. 20, /976 ASF/LENO.6447 `. AND LAND SURVEYOR N.Y_S.UCENSE NO.12845 _.
.' HOWARD W.YOUNG, LAND SURVEYOR
*TIE LOCATION OF WELL(W),SEPTIC TANK(ST)B CESSPOOLS(CP)SHOWN HEREON N.Y.S.LICENSE NO.45893 -
ME FROM FIELD OASERMATIONS AND OR DATA OBTAINED FROM OTHERS ‘