HomeMy WebLinkAboutFouchet, Judi ,,,,,,,,iy,�
` tk%
L
JUDITH T. TERRY : Town Hall, 53095 Main Road
TOWN CLERK : p rZ P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
.� �`
MARRIAGE OFFICER %V �- � Fax (516) 765-1823
---A: ' '‘:00/
,�� Telephone (516) 765-1801
44
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 824 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : JUDI FOUCHET
Address 1 : P. O. BOX 1713
City St Zip SOUTHOLD NY 11971
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 ON 4/7/92.
Name Of Owner FOUCHET, JUDI AND MICHAEL
Mailing Address 1 P. O. BOX 1713
City St Zip SOUTHOLD NY 11971
Property Address 1 SEAWOOD DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 7 lot 64.000
Cross Street NORTH BAYVIEW ROAD
Building Permit Number Cross Reference:
Issue Date: 4/28/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
,O��FF OIKcG
JUDITH T. TERRY :�
Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS CP ` Southold, New York 11971
MARRIAGE OFFICER 0 � Fax (516) 765-1823
00
ol �1a� �� Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK 4»
TOWN OF SOUTHOLD 1177:7-1),Fign
To: Southold Town Code Enforcement Officer �'
@
From: Linda Cooper, Southold Town Clerk's Office
Dated: APRIL 23, 1992
Transmitted herewith is a copy of application No. 850 for a Cesspool/
Septic Tank Construction Permit submitted by:
JUDI AND MICHAEL FOUCHET •
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.
Linda J. Cooper
* * * * * * * * * * * *
I
have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE x
DISAPPROVE
Comments: qk'`�1, t.L) Q a*1 _+��� .
6 u �
OA. (40,
Signature
AVI
Dated
NICWWrif
4
OFFICE OF THE TOWN CLERK �COFJ(kr►
Town of Southold N ,<cr �Q
Judith T. Terry, Town Clerk k` Application No. S2-6-6:
Town Hall, 53095 Main Road Construction
o :. � - �
P. O. Box 1179
' �i
�• • Alteration
Southold, New York 11971
�
Telephone �61l r �► Residential
(516) 765-1801 n
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. g---5-0
Fee $ /D
DATE ' /q a
APPLICANT NAME: Ji,t_pi Foc.(cit)ErF
APPLICANT ADDRESS: p.O , x. (`113 3ac/no o J ] ( 9 7
SEPTIC CESSPOOL_
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
lt4& rn ve) Gc,GiVZr
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Jiaa k-30 ►( ( L ui Q
OWNER MAILING ADDRESS: �O &)x 11 ( 3
aus_ hvcd , ►'-f I J 1 )
OWNER PROPERTY ADDRESS: c cw>O ,
(of Pq 1 I J i
TELEPHONE NUMBER OF CONTACT PERSON: 5/40 765- 30cia
TAX MAP NO. : Section 0-7I Block a 7 Lot 6.-,LI
CROSS STREET: N(.. F' VI�.J
BUILDING PERMIT NUMBER CROSS REFERENCE:.
Lit0f. ed'aKi94V22//
Signature of Applicant
RECEIVED BY:
o n Jerk's Office
DATE: 9 •
89- 50 - 99
/ ____ MARSH AREA THE LOCATIONS OF WELLS a CESSPOOLS SHOWN HEREON ARE
_ FROM FIELD OBSERVATIONS AND OR FROM DATA OBTAINED
�� �- — /
//// si / _ FROM OTHERS.
Nana.Ty SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
FOR APPROVAL OF CONSTRUCTION ONLY
i N, ( 6q YV/F
O/F 1"4C4
S a ti ro
•iS3 ea,.
p0 4R0� T/ Ply
•TO GATE 'R ``� HS EF NO . /
60 �/OO'F' D RCE., U APPROVED _ .� /-- IMF
O"V R i1 ', 'r TEST HOLE
G \ 10
2 DARK BROWN
LOAM
6
y/ O BROWN SILTY
Vy IO' ti �- ,� LOAN
25'
-, JP °' 10 o0 121 PLEAOE NOTA `,? BR BROWN CLAYEY
GQ "V, SAND. 6.
a
ti 3° x It is the a:'c'1c^rt';; r•sponibilit� 0 BROWN COARSE
< ' ,4.,' ,��� � 4'03.0 ' maintain a:.'ec1U0�,'- snitary dlstanc TO
BAND
h° '0; 0' between all v�titer *pply and sewage Iz'
N,..,
3a \; , ,° ti0 disposal facilities. PALE BROWN
MEDIUM TO
tom\ �p�• ,1,‘x(....1.: Se R,.O�• COARSE SAND.
2' t0(. ys,, 17'
Q(oe ,P SURVEY OF
'� LOT 25
23 J
407. -- -__. ., — /'TH. Py " MAP OF SEAWOOD ACRES
1 N•6' 2S • y�o z� SECTION ONE
/ 2i O �' •
y Q FILED JUN 26,195 6 FILE NO.2575
111 1V`•, ^ xi �� o �?
`.a 0 AT BAYVIEW
REA = 12,802 SQ.FT. �— � \ �Q �\ �D�a TOWN OF SOUTHOLD
'�. SUFFOLK COUNTY , N.Y,
iv 1000 - 079 - 07 - 64
/ a OT 2 •1e' •<? ,y k, SCALE I" = 20'
04,k'4. 26 �? `' �`V �. .\ AUG. 17, 1989
Ii . /.° N
o .,- 4' E 0
RES 3 L YEARS FROM DAT OFAPPROVAL
N of ` r n / CERTIFIED TO ' ,D3, ? ,A,
•k g-jd f.�,. LIC. NO. 496/8 AMERICAN TITLE INSURANCE CO. a i
-I ��! SOUTHOLD SAVINGS BANK
?I L ,1; P.C. MICHAEL FOUCHET .3
' -!