HomeMy WebLinkAboutWolf Pit Assoc JUDITH T.TERRY o .teg ; Town Hall,53095 Main Road
TOWN CLERK chi g P.O.Box 1179
REGISTRAR OF VITAL STATISTICS V° 0 Southold,New York 11971
MARRIAGE OFFICER = � ,wlof� Fax(516)765-1823
RECORDS MANAGEMENT OFFICER � .d Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER ,''''�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1309 R • Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : WOLF PIT ASSOCIATES
Address 1 : C/O SALAND REAL ESTATE
City St Zip JAMESPORT NY 11947
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-94-0089
Name Of Owner WOLF PIT ASSOCIATES
Mailing Address 1 C/O SALAND REAL ESTATE
MAIN ROAD
City St Zip JAMESPORT NY 11947
Property Address 1 MILL LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 107.00 block 4 lot 2.005
Cross Street WICKHAM AVENUE
Building Permit Number Cross Reference:
Issue Date: 4/07/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY ii.Z Town Hall, 53095 Main Road
TOWN CLERK rTi t P.O. Box 1179
En Vie' ;4 Southold, New York 11971
REGISTRAR OF'VITAL STATISTICSV® � Fax (516) 765-1823
MARRIAGE OFFICER �" Telephone (516) 765-1801 .
RECORDS MANAGEMENT OFFICER _sAA®1 1 b i�0
FREEDOM OF INFORMATION OFFICER ���i.wii7r1•
OFFICE OF THE TOWN CLERK /�
TOWN OF SOUTHOLD D ��� ff /1all 7'`
Tlr I r
TO: Southold Town Building Department L )4 2 8 J9�5 lift,'
FROM: Linda J. Cooper, Southold Town Clerk's Office -5r r,F._i,'
DATED: March 27, 1995 ��rOt�� �sDE-4.7,_,._.
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Transmitted herewith is a copy of application No. 1358 for a Cesspool/
Septic Tank Construction Permit submitted by:
Wolf Pit Associates •
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 rrecommendations:
APPROVE v
DISAPPROVE
Comments: firj:74,7:2-..e..p).7re, g." A'WDo
-7.4 'ei I 1"9/ 4
Signature
Dated
OFFICE OF THE TOWN CLERK �,,,,""""'%,
Town of Southold .�'� \\FFDLK
Town Clerk � ��l/ Application No. /8.58—
Judith T. Terry, , y'�
Town Hall, 53095 Main Road Z L ; Construction
P. 0. Box 1179 • o _. • T
Southold, New York 11971 • til
: yc Alteration
Telephone ,� 0 ,'� $10.00 - Residential
(516) 765-1801 Ol '�
,, $25.00 - Non--Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
„ for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ /
DATE ���7l
APPLICANT NAME: - 6(141 /-- /�S5OC--(
APPLICANT ADDRESS: a ,76 Sz4 gQ 4h
W'y.
SEPTIC CESSPOOL /
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
5-7 671_4(4/1/ 12ede..97
LOCATION MAP: ' Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: War- Pt- I95SG
OWNER MAILING ADDRESS: S-/ J I i5% _
R61,14. /'QC • -Gvmeofa
OWNER PROPERTY ADDRESS: (Y1, tv
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section /07 Block Or Lot 2 S
CROSS STREET: W/G�-
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: REali
Towriva kls,OSfice
DATE: •
J'uwn CIerK ,bpumOTd
Sze A/0 re- A2 . u.4r(/ 61v9 ' rs'
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES • • • MILL ROAD NI
FOR APPROVAL OF CONSTRUCTION ONLY oN.Q
SURVEY OF Pus
i/REF'. '°-0.
DATE 34 4 I HS. REF. NO 7 ��• TEST BORING N� �i m
r— N N
LOT 6 ��SR-TY LORA! N
"WOLF PIT POND ESTATES" APPROVED J�� j� c� � l BROWN •
°m 2
FILED JUNE 21.1990 FILE NO. 8963 SLT
AT MATT/TUCK I am familiar with /he STANDARDS FOR APPROVAL 2.5' stic U'
AND CONSTRUCTION OF SUBSURFACE SEWAGE PALE w = '
'TOWN OF SOUTHOLD DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES Boot OARSE N
SUFFOLK COUNTY N Y. and will abide by the condilions sel forth therein and on the SAM s o-
permit to conslrucl. §..j. o
1000- 107- 04 -25
636.32.
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.1' 7- \ 75' • W. c— ANY ALTERATION OR ADDITION TO HIS SURVEY IS AngOLATTON 0,<496.19"
N `T 2;J, 58,2815• i 0 IXCFPT AS PER SE ON 72OF SECTION 7209 OF TIE 09-SUBOMSIav 2.ALL EDUCATION
CATIONS ��1� ���G N�NYOAk J NO 496
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S. I£REC/ARE VALID FOR TNS MAP AND COPES'IEEE THEREOF ONLY F _
I SAD AMP OR COPES BEAR TIE AWRESSED SEAL OF THE SURVEYOR / '
1 ^\ REASC
1 - WHOSE SIGNATURE APPEARS HEPECONIC `SURVEYORS, P.C.
O ADDITIONALLY TO COA&'LY WITH SAD LAW THE TERM ALTERED BY'
l5/6J 765 5020
5'I \ ' AN/ST BE USED BY ANY Alm ALL SURVEYORS UTR2AVG A COPY P. 0. BOX 909
ELEVATIONS AND CONTOUR LINES ARE OF ANOTIER SURVEYOR'S MAP. TERMS SUCH AS'INSPECTED'AND MAIN ROAD
REFERENCED TO THE FIVE EASTERN TOWNS 'BROUGHT-TO-DATE-ARE NOT IN COMPLIANCE WITH ThE LAW. SOUTHOLD, N Y. /197/
TOPOGRAPHIC MAP.