HomeMy WebLinkAboutWitzke o ,
,
B ' ' ' ; Town Hall, 53095 Main Road
O ��� P.O. Box 1179
°�� 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
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 386 R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
PERMIT ISSUED TO:
Name : WITZKE, WILLIAM
Address 1: P. O. BOX 47
City St Zip PECONICD NY 11957
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY HEALTH
DEPARTMENT 7/27/88.
Name Of Owner WITZKE, WILLIAM
Mailing Address 1 P. O. BOX 47
City St Zip PECONIC NY 11958
Property Address 1 LAUREL AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 56. 00 block 3 lot 2. 001
Cross Street ROUTE 25
. Building Permit Number Cross Reference:
Issue Date: 8/22/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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TOWN OF SOUTH u a J,);, �m �� Town Hall, 53095 Main Road
�J.9 , '' P.O. Box 1179
=-�igi �- 'y'�`v•i 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
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office
Dated: August 16, 1988
Transmitted herewith is a copy of application No. 392 for a Cesspool/
Septic Tank Construction Permit submitted by:
William Witzke
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.
Y 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 _Tr
DISAPPROVE
Comments: 0...., A,,, A tt- ciro...LS LIA
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Signature
A2-2–‘V
Dated
•
OFFICE OF THE TOWN CLERKOma,OejUD ,
Town of Southold C '
Judith T. Terry, Town Clerk ?F � l/ Application No.
Town Hall, 53095 Main Road a �d " ' ` " Construction i
cn �r, � �
P. O. Box 1179 - � W.
� � J
® `® Alteration
Southold, New York 11971
Telephone * P® • Residential
(516) 765-1801 •
Non-Residential
TOWN OF SOUTHOLD
A
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee
DATE / g
APPLICANT NAME: t.„„,j1 .L1 igho L,)' {-z)fE'
APPLICANT ADDRESS: / f_UiBB(e[.1. l7 �r
CC�c�'1'hra 1e1 y
SEPTIC CESSPOOL
•
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
71)e-W /100,5 f & .._S)/f511.ein
LOCATION MAP: Must be attached hereto before permit may be.issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: " W I LL/ ft C.3 1 fz)f
OWNER MAILING ADDRESS: e a. /3,y ' 7
P e c o s'i c ���/ /? /.f
OWNER PROPERTY ADDRESS: .ty ^ 1246 / r u //eL hfVE
01-h l�' .'l.
TELEPHONE NUMBER OF CONTACT PERSON: 7 - C� -7/7-
TAX
7//TAX MAP NO. : Section Block 03 Lot C9 /
CROSS STREET: ,,`„4.Un e 6U E CR S._.
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
("Lie-<7-al't _
Signature of Applicant
RECEIVED BY: p
R ,rc_ `.; n C erk's Of ice
DATE:
AUG 16 3
Town Ugh Soutimid
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5 • �, . SURVEY FOR coarse Jand._ 48,
�j'" 392. so'
='4o;"w - WILLIAM M fVl � IWI TZ K E . 1
301_ w
,' ( PUBLIC WATER IN STREET) AT SOUTHO L D
28.2rTOWN OF, 'SOUTHOLD
'
CE SUFFOLK -COUNTY N .Y.
CIRTIFIED TO-: ,
1000 .— 56 — 03 — 2.1
,r
FIRST AMERICAN "TITLE
SCALE "= 40'
INSURANCE COMPANY OF NEW YORK
WILLIAM M. WITZKE JAN . 13 1986
1986
MAR. 21, 1986 .
prepared accordthe n
standards for title surveanceys aswith established
imum by
the L.I.A.L.S. and approved and adopted
'+ • C 8- 27- 86 l- 3 - 87 for such use by The New York State Land
Rev/5847 ��'L 3-6=G ssociation.
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Cr ILi t i yy__- S. 19° 34' 30 E E. �..
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e disposal cys- 41
W i i i fl In (,A I < ) E The water suPPIY V b N.- 905/8 20"�/ N.13° 26 '40%
I`��`i
ncewill conformDeo rte z��
O`I terns for this resid Suffolk County 30.57 N.1$° 2 6 '40"6�:'
+X standards of the 59. 301,
O .I C �-`1. � I /S � r()Ilan
nentof Health
,Satin nicas. � 4 .
Ce c, I 30pp LAUREL AVE. 29.ir_.
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,/f -, t., :;c o O - INS
1 ' *` • .:,':-'1,4- -.......'447,i",. 'i; .S. LIC. NO. 49668 WIC
}-' ern �E' TOTAL AREA = 1. 277 ACRES
P'ECON ,� • �VEY;C�R^�- ENGINEERS , P. C . __
!t" 516 ) •-'.i.•. °rV. • ':
P. O. BOX ,.Q,9 ELEVATIONS ARE REFERENCED •w S
MAIN ROAD TO AN ASSUMED DATUM. ,;•};
SOUTHOL'D, N.Y. 11971