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HomeMy WebLinkAboutUlmet (2) OFFICE OF THE TOWN CLERK SWFOLkc Town of Southold ; � - • Judith T. Terry, Town Clerk • 01,44,(4t Town Hall 53095 Main Road P. 0. Box 1179 ,. ` Southold, New York 11971 O d- ,1 Telephone 0l at, (516) 765-1'801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 135 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: NAME: Kim Ann Ulmet ADDRESS: 309 Fanning Blvd. #4 Riverhead, New York 11901 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION - New Single Family Dwelling • LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Kim Ann Ulmet and Brady S. Ulmet OWNER MAILING ADDRESS: 309 Fanning Blvd. #4 Riverhead, New York 11901 OWNER PROPERTY ADDRESS: A. J. Masters Road Laurel, New York TAX MAP NO. : Section 126 Block - 9 Lot 18 CROSS STREET: Peconic Bay Blvd. - BUILDING PERMIT NUMBER CROSS REFERENCE: Unknown 4,".ft Judith T. ,Terr Southold k Town Clerk DATE: March 31 , 1987 SEAL, s3 'pry; -yam la''r 1 r � •" ;k v 0 Town Hall, 53095 Main Road P.O. Box 1 179 # Southold, New York 11971 JUDITH T TERRY '""•mss to" TELEPHONE TO\VN CURL (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD March 31 , 1987 Kim Ann Ulmet 309 Fanning Blvd. #4 Riverhead, New York 11901 Re: A. J. Masters Road Laurel, 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 ($25. 00) for non-residential. Please have the owner complete the enclosed Application for an Operation Permit and return it to this office along with the proper fee. For your general information I have enclosed an Informational Bulletin regarding the Scavenger Waste Laws adopted by the Southold Town Board. Should you have any questions pertaining to either permits or the Scavenger Waste Laws, please do not hesitate to contact this office. We will be glad to assist you in any way possible. Very truly ours, . ` %woos ihwAdatSor... .,.:..rte Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc OFFICE OF THE TOWN CLERK -Town of Southold Judith, T. Terry, Town Clerk Application No; 7c- ef) Town Hall, 53095 Main Road Construction P. O. Box 1179 Southold, New York 11971 Alteration Telephone Residential (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee .$ /6),, 00 DATE 3)30)e 7 APPLICANT NAME: )5',rr. 191)r) (}/m APPLICANT ADDRESS: 3bq � Siz' 7 nn r c /MO9/ SEPTIC CESSPOOLJX DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: // OWNER OF PROPERTY: •/y'1 4- 1 / / ' 8 d_ � L / OWNER MAILING ADDRESS: 3t 9 //7nir d f £b , /'9O/ OWNER PROPERTY ADDRESS: 0. mei5) /1 ✓ i ,a ZOO re_� TELEPHONE NUMBER OF CONTACT PERSON: 3:b9 -/a ,0.Z TAX MAP NO. : Section �a Block 01 Lot ® , CROSS STREET: Pearl;L BUILDING PERMIT NUMBER CROSS EFERENCE: ZYr/17:1; //id2ed-' Signature o Applicant RECEIVEDi':c,,� # Ofown Clerk's Office DATE: WAR C3 0 q', • Town Clerk Southold 12©993 r'kb''Tr'kur.IWe' •IW'Vro.,*YY„a'e P.1.W4.4.M.bi ....:1:'..:1:Ywt91fH1 AO!tY.Yhsu.MNC4"tO_rytE.' a..et......4.avk'K.hTN:t•..tl+fH'AMtit.+n4WA..,,,,w'YI_:':ArW+<%1+11T., lvtiriw,1`!Gl •tIEl:Y.hY'..3S&Mf R:H.Ltt ?.:%t'.W1(a.-%.1tiwgel:..•r:f4Tf.1Y?r-:..,:ar Vt4YI.W rW!, FRONT AI/E s0N 1 GP 4. E L IN 1 I� OHN /pErJ l i i kr W L (RESENT '� YlE�1ptE�l1 la Fan v,1 �P • �' GRrEpN ISI1E R �� ii 1 ®II E. f ROM o Zd ; C. a o t- ' 1 /�y 0 ® 9 Y� MAP OF 9 { \ ` f. �' \q')'. \,) O2'W S/TUATED A1" k MON d.2L ..), t^ } FND �! f, ill 0 /'S q'/ 1 ; s ,.w mc' ' i c) 9a5 J QIl • \/ `°' v TOWN OF SITUTHOLD o °ncia -a SUFFOLK CO a N. Y cm 1 1 i 1 ..-i3 TEST HOLE [;s d G� �q�p DATA 31V ' • �Y99V - (AS PER OWNER) 3 I ® p EL=30.3 I i x t• I 7 0.0' �. n .1 ,t1, S C. DE T. OF / ,e4, TOPSOIL t i .34") I V ; HEALTH SERVICES O tF '�'� `' ,,, �. 1:,, .. ... BNOWN ,••7Lt 410N. r FNUQ s..t-.= SAND � t I 1 11. _� O 4 D' ! , 2/ OPCP �� 2 9 h at 6, Z q -'OCP rt Z/ j ��Q 4/c, • SAND O �0 . ; ,/\ i v M e% 9Cr. y __ �. 1 /7 NO WATER Q 13 I r, 2G Ne T-'10, \ 1 o /2./ ?' 4,O ��� \� q Br) �� r I 1 m MON. T- \ 1 r-^ `,5,:" c u` \ 1 FND \ � \ 6 n a 1 ¢,, `‘h i ® 4bj ve 0 FND. _� 6 / 35 !l. MUA '6� A ¢ 11 FND ' .. �° eY 'd'Y 4$ON J\1 N <-- I'-" TEST FND 0 ��2 (ne a'_n 'I Cr HOLE i 0,'S ,t,, SI�, O ` ( a - "P-760 /3', ' °` •t. �� "� ° Pz% 4'93.48 ' \ _b' _ CO _amu f ( a e o o ' i0. t" o 2� � i' / 5S � Qr • • n r \QP ®, �J Ge N -N.:. 4i••••• MON 1 v / (] `` Qt. MON vJ Z� ON2 N O\ �� ;�- a ,/ 4 (� E,(,„ A6 FND 9� 1, 0 2'E.' �/ -•z._�/�/ ` •"" a/,r ��V� a. ��9V @3'S i E - , P , ": ' MP3 G\Y \0 3 �{ Wo o, ' tr9 J \5 O� \�' V� P ,� ,o` FAG 7f` • y�, t. i 1 0.6-2T' , 0 A 40 . MON 666 0 CO N `�® ONON NON. ,6 VIII ct FNU. N ,J�%,.r.°'�.._' �® J` �� 1 141 O P'W . i/f. pp \ i Q \ Nl W MON .� Sr• ((^^ Z. FND. "� k\11 lP Vo �ilt� y ,ril 32, ` a r surveying El ' \ EC . { ,� engineering P.C. a + 71 1 10 west main street .4—D....,.....---" --' rr, �;\ `� = 49 , riverhe®d new `q,crk 11901 ` ! • = (5 6) 369®177 o Dec. 17, 1986 Job N2 86-1591 O CI AREA. 34,257 S.F. 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