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HomeMy WebLinkAboutTheuer OFFICE OF THE TOWN CLERKSFair , Town of Southold Deo 4. Sim 4e. Judith T. Terry, Town Clerk Town Hall, 53095 Main Roada , f ;� P. 0. Box 1179 .cn5 Southold, New York 11971 • ••� Telephone ®1 ��,,; (516) 765-1801 ' TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 122 Residential X Fee $ Non-Residential 10.00 Septic Cesspool x PERMIT ISSUED TO: NAME: Winds Way Building Corp. ADDRESS: 1020 Glenn Road Southold, New York 11971 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Henry and Harriet Theuer OWNER MAILING ADDRESS: 2000 Westview Drive Mattituck, New York 11952 OWNER PROPERTY ADDRESS : Lot #3, Jackson's Landing Mattituck, New York TAX MAP NO. : Section 113 Block 4 Lot 5 • CROSS STREET: Mill Road BUILDING PERMIT NUMBER CROSS REFERENCE: Pending • Judith T. Terry Southold Town Clerk DATE : March 11 , 1987 i 1 , ` (TOWN SEAL) i Ni �,.�'' ,__,ss ;� FC�I' • ate ; - "�,'' • Town Hall, 53095 Main Road e � P.O. Box 1179 �'f`dl V? Southold, New York 11971 JUDITH T TERRY "%two'/li TELEPHONE TOWN Cu RI (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD March 11 , 1987 Winds Way Building Corp. 1020 Glen Road Southold, New York 11971 Re: Henry and Jarriet Theuer Lot #3, Jackson's Landing Mattituck, 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 /ours, • r Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc .-.-- 4 % g....?.." 4f,,,,,..a4,...,.el, -:::Ac." • W. ' S. 1 N' 1% Town Hall, 53095 Main Road P.O. Box 728 ��'We�/if 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 March 10, 1987 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 122 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by Winds Way Building Corp. for Henry and Harriet Theuber. 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. e 4 Judith T. Terry Southold Town Clerk Q * * * * * * * - * * I have reviewed the application and location map of the project cited above and make the following recommendation: APPROVE - X DISAPPROVE - ' COMMENTS: Afigl-CLOCO%„.--- Sp 4 A ;Q_ , / ' Gt.A...k. Signature Z// c=/5? 7 Date • OFFICE OF THE TOWN CLERKt\COF0(4-1, Town of Southold ®� ' , " � f/ - ` " � Application No / A 2--- Judith T. Terry, Town Clerk Town Hall, 53095 Main Road ' Construction P. 0. Box 1179 „, • Alteration Southold, New York 11971 `�.�+ Telephone ® Residential P • (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Ma, Fee $ / DJ DATE 3//0// APPLICANT NAME: ,✓i2/ ,Oh, a/0 ofr6 APPLICANT ADDRESS: L'19 dio SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ” e� v � J 72N4 r( getc•!g frrDG Lj— y LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: / ' j /& s' )J 7% t ,' c,-L., OWNER MAILING ADDRESS: ) (. 0 P)41/1-V,'a-iv 614 , .& ,41,1 5 OWNER PROPERTY ADDRESS: Lb/� ,3 -0-)4td-fid,4c L 4kfe,`,J ca Cd-qg,',31 g S/S TELEPHONE NUMBER OF CONTACT PERSON: 7 L 5V33,y" TAX MAP NO. : Section //3 Block Lot a J CROSS STREET: )1'0/J/ /LIQ , BUILDING PERMIT NUMBER CROSS REFERENCE: i Signature of Applicant RECEIVED BY: Rrt- n 6°`Town Clerk's Office DATE: -, r Tow- ' '•4'u jOUThold rV FOriF \\ � S \ F. `} `�® i �Fr� s r�Q-':',e 3 ; 00 \ eS2 4S T - \ `� ss o �'IGy��q };rte n/ Lot 4 • C tit; \\,\,qRk ,��\ .1\ H FGA / �� ti O / zc N 2 .. q 7-7-/7- -... / 3 hf3 Bt-uS`.A 1r, ,_ �aFd•It..Ftj'+.a� g,l �q�,F,., s.:6la ii,rD �� R . �'P� ['� x� .d, .� a . „ ,1. .is A �..1� ss`IR`9 a�.n:A,u � `,�,�� �� r • f - Ias.�-a+„-.a+tt[�re•,.•ami,aaw..rrxavr.-r�•,oYs.,a�--,r.a.a_-...ae�a,. �r�>s,..,•x-.m-„.-s..e.• • 1 NOTE: .. s�•. o .e^�A ELEVATIONS SHOWN HEREON ARE �i ;=r: ob.l it; a'''':”1."—^, :e. ; e :?^rri cz '`^t'1'.•• c REFERENCED TO MSL DATUM. ikfc.,,T ,irtl.,Cc,:F(v;:cc _ _- 2.-`' t � -" / b ' -' SURVEY FOR SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVIC r.. HENRY G. T H EU E R a HARRIET G. THE U E R LOT 3 , "JACKSON'S LANDINGee FOR APPROVAL OF CONSTRUCTION ONLY AT MATTITUCK DATE OCT. 17, 1986 TO.VIN OF SOUTHOLD SCALE• I"=30' . DATE `S°*.:a"°P� HS REF. NO., -9 r' `l C 4, SUFFOLK COUNTY, NEW YORK NO. 86 - 1107 ,- ° r Q H UNAUTHORIZED ALTERATION OR ADDITION TO THIS a SURVEY FS A VIOLATION OF SECTION 7208 OF THE 4PPROVED ' '* , =- '" •��-=`-, ,—-----r'' • NEW YORK STATE EDUCATION LAW • P•(E OF /V�.� 0 N COPIES OF THIS SURVEY NOT BEAR1•JG THE LAND ' S y NOT BE CONSIDERED TO, SURVEYOR'S INKED LOR BE A VALID TRUE CED OPY �F(2D ry Oar ' *GUARANTEES INDICATED HEREON SHALL RUN ONLY TO O O HEALTH DEPARTMENT-DATA FOR.APPROVAL TO CONSTRUCT THE PERSON FOR WHOT THE C IS PREPARED �' M S^' G AND a4 HIS BEHALF TO THE TITLE COMPANY,GOVERN- 1P,.,,,• 1 {.;, NEAREST WATER CAIN MI.± N SOURCE OF WATER PRIVATE__PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED J ?s^`�1- O' ; H BUFF CO. TAN MAP DIST 1000 SECTION IIS BLOCK 24_LOT 0B HEREO4I, AND TO THE ASSIGNEES OF THE LENDING SO r �'i *THEM ARE KO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE CCC a y'-"' OTHER THAN THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT m THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOSS THIS RESIDENCE *Di ST OWNERS / �i ^ • WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT T*DiSTANCES EXISTING SHOtYN HEREON FROM PROPERTY LINES II o ' OF HEALTH SE/R�VC ES. TO STING STRUCTURES ARE FOFJ A ESTABLISH `rFG y '� APPLICANT+ (N / /6 / Q PURPOSE AND ARE NOT TOT BE RSCD TO (;ND SUVit /7 G✓ �`j,,,�� LGA-/sy./ PROPERTY LINES OR FOR THE ERECTION OF FENCES ADDRESS !�V l9'LC/J/242. c Ju/Zt/d/►7/ i(f ,/5 )/ _ 7 /,6-„TEL. )6r31L/33d/ ® - ®U � 4 OOS ADNDEW AVENUE YORK NOTE: ©= MONUMENT '' ALDEN W.YOUNG,PROFESSIONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ,;:,:`,1 ,.- �a ... AND LAND SURVEYOR N.Y.S UCENSE NO.12845 SUFFOLK COUNTY ON MARCH 28,1969 AS MAPN0. 82€30. =.•'y, ,-,,, HOWARD W.YOUNG, LAND SURVEYOR • *THE LOCATION Of WELL(W),SEPTICTANK(ST)13CESSFOOLS(cP)SHoewN HEREON " N.Y.S.LICENSE NO.45893 ARE FROM FIELD OO ERWT1ONS AND OR DATA OBTAINED FROM OTHERS r•ntr r r..,,.. nl.. 1/l•C !' N.88? 02120U E. / 4I2O �•. ./,. it : - ‘; f= . :1 . 01,7 1P IPLY"t 4F /3 N(vG/NPeZ 02 a rtC f(/7 t'c!— c Cr i-•� •, 111: tN r•, DUE TO i'.i(;ii GROUNDWATER. G '"r�' i �'I: �'' 8•0 SF/ 4/ ^///v6. w/l / L t•9 '��1 r'• sv`�, :9 �'':f.I�'(+'L` •h�•a) r•`�11� ' ' 4 • vrnilLATION lel` I17� S}ilii: r DiSPl: .•e ,/r rr1 \ \ \� S FILL MAY E {EI�')I ACU. N��.�r% ..\��r • /1/2111/7-.'---C--------8,.,, ,�.�1; . .: ,., r P20Ph�ED ��1NAGE \ , .� .\. \ p1 t. 0 ....„.. .., ,0 ‘ . ... \: N • /.�,� to r / �'\/O/..s.. ..,„.:1:4/.6.\.„ .. ., cp. , P 20 Po r:r7 CET yt/ i.� \1'I `� •''4�O s -"4 \. \` O. AINIAIG 4L / r . . �'. 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