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Home My WebLink AboutWissman • OFFICE OF THE TOWN CLERK c.31FU(/r`," - Town of Southold OG Judith T. Terry, Town Clerk Town Hall, 53095 Main Road P. O. Box 1179 • Southold, New York 11971 O �� .!� Telephone Ol [ �' (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 13 Residential X Fee $ 10. 00 Non-Residential Septic Cesspool X PERMIT ISSUED TO: NAME: Robert Wissmann ADDRESS: 104 Concourse East Brightwaters, New York 11718 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION To install cesspool system for new single family dwelling. • LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Robert and Charlotte Wissmann OWNER MAILING ADDRESS: 104 concourse East Brightwaters , New York 1171-8 OWNER PROPERTY ADDRESS: 100 Gull Pond Lane Greenport, New York TAX MAP NO. : Section 35 Block 4 Lot 7. 6 • CROSS STREET: Main Road BUILDING PERMIT NUMBER CROSS REFERENCE: amu - Southold Town CIe DATE: August 19 , 1986 (TO�,�N SEAL) / t l cvFFUL,-• ,y. . Town Hall 53095 Main Road _® -tea :: ��. :1; ` ��r P.O. Box 728 ._ .� y+ 0 Southold, New York 11971 JUDITH T TERRY ��l' �"i°'� TELEPHONE . TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To : Victor Lessard, Southold Town Building Department • From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 17 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by Robert W-issmann . Please advise if the project has received Suffolk County Health Department approval and if we may issue the permit . Judith T. Terry Southold Town Clerk Attachments :.0 w -7•fr o - ` ` ,,J • OFFICE OF THE TOWN CLERK ✓7 Town of Southold / Judith, T. Terry, Town Clerk Application No. Town Hall, 53095 Main Road Construction V P. O. Box 1179 Southold, New York 11971 Alteration Telephone Residential L/ (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 ° i DATE g- .4411-./67Cf C, APPLICANT NAME: 1 \APS'S,l/P-r�A✓ APPLICANT ADDRESS: /p ---S �,a-7 ,'y (/ 7/ SEPTIC CESSPOOL ✓ - DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION "2-0 7 4- � C2'f5S c)v L &(VS -11 , eves ,5,,..�Lcz_ p�77z-t<Ly f� w LL) "-C., . LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR A�j'�TERATION: OWNER OF PROPERTY: o<r C \A/KSSA-7 OWNER MAILING ADDRESS: .5-/f 'J A-x" ,,g,,sd„. - OWNER PROPERTY ADDRESS: fO O G-yq . 600 i'l SU. d( /41g/P (21) TELEPHONE NUMBER OF CONTACT PERSON: 14-6,--1 — 666 --SS31-6 TAX MAP NO. : Section 03 Block 4 Lot 7 , CROSS STREET: /-14/Ni G co o Pi � . BUILDING PERMIT NUMBER CROSS REFERENCE: S'it nature of Applicant RECEIVED BY:(54-c- ce_-ti Town QYerk's Off ce DATE: CLe...i,t,t_a_11-_, 8'l (2.X . . . -... - --..- , _ . . .... . . , . . . , ...........,7 SUFFOLK CO. HEALTH DEPT. APPROVAL , • •••„..,, • ELEVATIONS -12-GE-FEQ TO MEAN'SEA L-GVEL PET2 U.SC..ct" ' Pi2.E.:-11.z3E.5 IN eL_ NC-.)IILDIZONE -12E-S./A !?, • - H. S. NO.j2_346 - _ _ .... ..,....... 61\ sPiTzaki -rii \a A. \a. id. III\ • \ ' ' -'\;-\ S.--A• i'-‘ t", 4> ,,,, , , .. • 7 1 . , \.- .7:C>‘ • \ , / X ;40 ,.„ / \ , . • // \ -,,,14//1 \ / ' STATEMENT OF INTENT \ -6 \ pool..4-5•::...-.(-'--' ' \X' \ , \ • \ "LA „A-(- ‘ \ / ' :< ,TFiE WATER SUPPLY AND SEWAGE DISPOSAL .-=7, \ __,..../._ ___.,, i FLoor.-) , \ SYSTEMS FOR THIS RESIDENCE WI LL PL.C.,)1.3 D ZOI‘Ja: A-1 LEE.,9)---4-\ ""..•••\---FLOOD ZOKI E .A.--7 (EL. al—.----,...'"? roNI a--____---N...----'‘'.:7--n.....a.7.JD 2.:0NE A7(EL. 6) •( d \ 'e,---)\- -- \•JA-11.-:17...-fil -vriV,.'... \ ••:- „ ,...,c ,t, „„),,,. r_ „.....N. 0 , \,..":':;-1• i.si. , 1 \ i CONFORM TO THE STANDARDS OF THE \ •• \\-..,., Ki.66 0 1 e...0 ,--. ,./. - _ „„ . 170,0 o - _ SUFFOLK CO. DEPT. OF HEALTH SERVICES. ' :/// \- 44 El. • \ tfi (S) ..,' \ , ), `„, ,t--n 0 . . \ ;•1 '1,/ -16 -- -:.---y •„---"•• : • • v •/ PC0 P. P00Li.T, \ Ir': '-91'..'.4.\ .- v\-•,..,;-• ./ .,," . z., ...,,s,-, N.,, . ' APPLICANT - \ - 1d- '-----,., '25,9-. -\--11\- Arri•kt.& / \ r\ :.,• -,\ -. ., 7.,„• k • I ,--...... (., \ ''1,.5-, - 1 i E \\/4:"..; ::\------0 .:71:7: :,,\-_,,,,.,, '\.2",,:/:' \ _±„..„. O• ' \ ..\ -, ..-•,,, ••,./•- i/ 11/1/ , • SUFFOLK COUNTY DEPT. OF HEALTH KEY. MAP \ . .. - _ _ •,.,\ '',: -, '• ,\ 4...,: 0,.. .,_,.„ •/ SERVICES- - FOR APPRO'VAL OF \ Ls% • ,,....,.,. 1 \ \ .,_._Zi. -1-2- / N., CONSTRUCTION ONLY ‘..../ --• Ii % ,<...; \ \ :,•--1_,-_-_, \ ., \ _ • - -\ ,...• • ., H \ \ . MAI NI NIOCT-4,-I 1.20AD • \ - _. _ ' H. S. REF. NO.. -, - N \ , \ ,,,,t, \ \ \ \ ,..f.) t, . \ , , ., ) \ 4 ,.. , C.' •\ \ ..- • VI • APPROVED: , , 4 —../ . '..7',i/ \ \C‘'-"' \ . ,t), 6-1 \• v,,, \ {r.-: .9 ..‘„,_; \ -t3,, -,:11 ......., \ , • / \ \ ‘31" --- .-. .i. ..;\.„ •-.., ....3. . . c . / \ ,\ iv-.. 4). \ '\• '''N SUFFOLK CO. TAX MAP DESIGNATION: \ . , .:-. 7/ , -3„/ \ , ' . ,... DIST. SECT. BLOCK PCL - r‘l. \ 0 ',cc • '''qc,_ \ Li_ d7' 1 f, '',.'IS ;)=7.7. •- - -1..- -\ ‹.' . v4c.1- i "'Li ,..5,4, \ v t.> C,<Y OWNERS ADDRESS: .. k \ E.', • e - v>.,1 ''<"•\ 1' ' s' '. 5,ki kJ! 4,1) 4"/ . . - • ' 170,0 7'.111W111..\ , ......, ',„ ' \ \ \ / • .11 ______.---6.1 '-:'::::\ . —. . , :& 7,--„,,,i- :,,,,. \ ,..'..7.5.-`:.,5,17-•D•',"›.... , . -FL.DOC; ZOKiE a \-,-k . 81..4,-,Y.:„+-:1717—C-y---A.1,71-':C,_,TZT:',.,--7."7:77-"Y 7:1 . . ';'",,\ 4,l2.F.A. ';`• _:r------ , .‘ ''•,.'cl\\\ \ / ''' - •. - --6 7- ,, / IF t_. '5 167,( _- -F, 7 /0, v .4 ‘ \ ... / - l/ i . ____________ I_Z..... _ \ ••••,c, % 1-1.4 \*• ---FO C..)DN•la,,••\--I 1:E7.-. .::-.:',)jr/ f/ i , . . V• , ........_)\--\ DEED: L. 99 P.4 6 7 `(- t......"-7--F.) ' \ • . - e7-- \ \ ' r2.ALI C 14 i(*-/ i . 1,1EMt.-1 . TEST HOLE ' - , STAMP 4 r f 1 r i . I ' y e\ , • 1 Ltriouthorimn alteration in additim ('-' I MI= T,T=D( A N. 1 . _1___ 1 1_.,..______:_______I---..!:---1,..t N_ \ N A /s-b-'.. \ .., ' / ,,2 * / ,e. / ) C::'(—AL F.--- /C1'.-1" - _ to this survey is s viotetion of ,. ' ,S,;ctecn 720f.;of thi,flaw York Stele Edtar.ation Lev.. / \\\‘ - ------; _ _ _... . Of- / N J".../..F. N-1, q\.4, •1-.1F-t-if Coillea of thi's airer.y mcp nal benin0 / J. BL tDCE-I •.-1.-- ---------='-'--...,': ._..._, ' / / '-----1 i•-k,j-'1,7;A, 9,.3 4_, v--. sreror'o lekor,;asnl er \,71 i' I- ''.1 --"- "tr.* r)r h,,--- - -- - ,T",-,/ - ,, -. enthr.ear-.4 con!r.‘,1rtl nef ho oonshOoreel 1 /I' I-- k ) , r i C... ' ., '..\\.,) -,1..'" ,..31.......,.,' CLAY - to L.,.-.•a valid true copy. -- , —1 --------- -,rf L E y.K).0.4-, 10(-,7 i , "V• \ i v__________________ ________ 4: 0 OG. Guarantooa Inenicr.tod horcon than run ,...- 2 1 I-121. -r_'" .'TT' - r.,''',r., \ only to tho mreon for eg-tom the suruey --..7.'L.,'',••-_‘;.' L_ ''; t.... i..." r s,.",1‹._ , \ Co= 1.2(...)N PI P:f-E-: is propane,and on hia kstthalf to tho . - \ / - . title company,governmental agency ar10 • ' ' ' 2",' Pk ','•‘. ,,' i!, t \j,/, \ . Ilendinil ins•titution listed hereon and 's. to the acergnoos.cf the landing in321- ! -•4" ; r---.. - ,,. •,,,- - ; , --. .--.. i.-.,, f, ,. ; r-. ,t • i',,,,„ . \Ai, .,,J -,,) 1 1 4,'---4z, ',... `,4 1 ` „1 • \ , • . . tution Guarantees arQ not transferable 5 to rAdIt9071,21 tiraiWtiOn2 Etr suftequent 0:;.71Q4rai. , ' 21:-:VI..5.5ED JUL.21" 21_, 198,6;AUG.8,19 EK,-, k • . .. 5,1- 1D . ______....._ SEAL C-:1 ,:' .---r 1"-•• ; f:,'-`,1,1,-,;-; '- \ . -7-1,-,-',. .1,,, i ,••••a r-•• (---,. ••a r•i s t . ^•"-: i i. - f• - SAND t of NEw ; ‘,.' .-N i•-•i, '..,--,! ,._...A'‘.,,,-,...,' .,1 r=4, ‘r . ---'^------------ ' ,:I4\,1; t\, 1 i.F;.:L 0. ft CT'{CITY"'.1`i I I-1.--,', ti.-1`':,Li i;?/,'-,•",1.-1-*--; r'7". G2AVfL • •k' y. v )- _ 8: ve oc 4/1/ 0,ii. :.-;.Vir:.`6''i.7.;1.,:j DEC,t1i,'-jia,3 V,iATEQ RODERICK VAN TU.YL, P.C. . - , 5. vi"t-t-W* 2 . Az. v e-N••••ms.---- i.....:1,--POrek(: c•-• ; :•!•-ser•:-- „ v LICENSED LAND SURVE ,-ORS • ...... ,:, S N'0 LAND , - . - , GREENPORT NEW YORK -- ' ' . - . • ' N75564 _ • ' . V .. . , . . . . . . . , ., .