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Home My WebLink AboutGraeb, Thomas //l/, ilii---- s % JUDITH T.TERRY ��o % Town Hall,53095 Main Road TOWN CLERK H Z % P.O.Box 1179 REGISTRAR OF VITAL STATISTICS 1 1,� Southold,New York 11971 Fax(516)765-1823 MARRIAGE OFFICER y� A?0°. RECORDS MANAGEMENT OFFICER v.( * *00 Fax (516)765-1800 FREEDOM OF INFORMATION OFFICER ' ,,, •I" OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1370 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : THOMAS R. GRAEB Address 1 : 22425 COUNTY ROUTE 48 City St Zip CUTCHOGUE NY 11935 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. #R10-95-0088 Name Of Owner GRAEB, THOMAS R. Mailing Address 1 22425 COUNTY ROUTE 48 City St Zip CUTCHOGUE NY 11935 Property Address 1 22425 COUNTY ROUTE 48 City St Zip CUTCHOGUE NY 11935 Tax Map No. section 84.00 block 1 lot 10.000 Cross Street COX'S LANE Building Permit Number Cross Reference: Issue Date: 8/14/95 Judith T. Terry Southold Town Clerk (TOWN SEAL) ,,„ • ...„.. / 3 'X JUDITH T. TERRY % 4 yL l� Town Hall, 53095 Main Road TOWN CLERK t. =v rZ % P.O. Box 1179 Vs 'W $ Southold, New York 11971 REGISTRAR OF VITAL STATISTICS = V. Fax Fax (516) 765-1823 MARRIAGE OFFICER -_'`n .aO I.'� Fax (516) 765-1801 RECORDS MANAGEMENT OFFICER . 1 rI FREEDOM OF INFORMATION OFFICER ��.�.iiiiiiirrr OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD AVG - 7 in TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: August 7, 1995 Transmitted herewith is a copy of application No. 1421 for a Cesspool/ Septic Tank Construction Permit submitted by: Thomas R. Graeb . 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 !/ DISAPPROVE , Comments: —,,,r;0: _,.fi „ C.- 1 /60 ,, 11- r 15 . 11"174----; Signature o r /J/g'S-. Dated OFFICE OF THE TOWN CLERK ,•,""" Town of Southold .�' ��Fo�xe; _ Judith T. Terry, Town Clerk •�' � . ' l/y� Application No. Noz-( Town Hall, 53095 Main Road �� Z - Construction P. 0. Box 1179 ; o '` Alteration Southold, New York 11971 tt� •.` Telephone �y0,y �Q �•� $10.00 - Residential (516) 765-1801 jig �, ' $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 Jul /4/4 / :_c APPLICANT NAME: '74,05 APPLICANT ADDRESS: 472R405- Cy; /ale. 7er-- //l SEPTIC CESSPOOL 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: �S OWNER MAILING ADDRESS: p 7 Cly. -e C - Cc&4 he is /fr/ //, i5 OWNER PROPERTY ADDRESS: ...0k) �� l vems --z. ckt ( TELEPHONE NUMBER OF CONTACT PERSON: 7,3—5 TAX MAP NO. : Section O y Block ( Lot 54, CROSS STREET: C p k es_ BUILDING PERMIT NUMBER CROSS REFERENCE: ignature of Applicant RECEIVED BY: a, Town C Office DATE: -0sr • • • 1 c.P LOTNUMBERS ARE REFERENCED TO ANY ALTERATION OR ADDITION TO THS SURVEY IS A VIOLATION O ' SETOFF MAP FOR ROBERT C. & PHYLIS OF SECTION 7209 OF. THE AEW YORK STATE EDUCATION LAW, O \ OFT T. ` RAE� 'FILED IN THE OFFICE OF THE SOUTHOLD EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTF7CATIONS TOWN CLERK. HEREARE VALD FOR THIS MAP AAD COPES THEREOF OWC Y F ��„xi, HEREONSAD MAP OR COPES BEAR THE*PRESSED SEAL OF THE SURVEYOR f' © WHOSE SIGMA TURF APPEARS HEREON. j ADDITIONALLY TO COMPLY WITH SAD LAW THE TERM 'ALTERED BY' AK/ST 9E USED BY ANY AND ALL SURVEYORS UTILIZING A COPY OF ANOTHER SURVE'YOR'S MAP. TERMS SUOI AS INSPECTED'AID "BROUGHT-TO-DATE'ARE NOT N COAPLGtNCE WITH TIE LAW. Zqo 43' N I 4 2°29 3oME x ;, �•4 �� O /65 \. ,i I (' f / 195 \ \ I o SURVEY OF PROPERTY ♦ AT CUTCHOGUE N.'_ a ., .- ? TOWN OF SOUTHOLD 145 w i ,o SUFFOLK COUNTY, N Y. �5 ro� W` 3 .-k 1000 - 84 - 01 - PCO 10 o t' ,' `" `A Scale . 1" = 100' o % �A Jan. 101995 , G ..c, : (11 N e 11 Ian kola with /he STANDARDS FOR APPROVAL 'Cn AND CONSTRUCT/ON OF SUBSURFACE SEWAGE h DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and WI abide by the condllions set forth Iherean and on the perm// to conslruci. •0 .15' i, A Ir I N ` p, fini N. , -� s e TCO The locations of wells and cesspools Pil-^ shown hereon are from field observations i and or from data obtained from others. Play};0,5`l 9! z %J + SINGLE FAMILY DWELL ONLY Z 1' EXPIRES IIIREE YEA t3 �f10�1ISA'fE APP SAL I5-1.6 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 2\0 FOR APPROVAL OF CONSTRUCTION ONLY 5 e. \ DATEJUL . . HS. RE '..�NO.yl1/O- _G�,', a_ 41 \ �' ( 1 / , \ .kr 1�. APPROVED !' .,' . ,'':n'' /6,./ A Z \ G BA's 11a -3 Iw u O \ ( � i� 61.19' CONTOUR LINES ARE REFERENCED rq \ I , S. 71'30'• . THE FIVE EASTERN TOWNS • 0 3°a\� 1 c MIDDLE ROAD TOPOGRAPHIC MAPS �. ` O 1 N (j' DV:1'M mg ‘1 ,.,1_,„;/i) p ,--- -37_, ,... \ , N , ___ - r. j 6 695 cl\ ,) .lam lT 9 O �E Ur PiE 61,�. N aN cp�P r' T. A1E,,,n� 13; i IT:14 , vow, ( 1 ` NI 900' t 0 l' 4 . Y.S. LIC. NO. 496/8 SI-71.3019X1 .7/ 30'00 EASEME 257.90' ••4 -�.-0.44:1(', . MIDDLE PEC i"INt Mil ORS, P.C. :.!TER:.O ROAD (516) 76 - 020 ii{ - ( CR No. 48 P. O. BOX 909 7/8/55 P vi$c cc nsc /e )---- MAIN ROAD AREA - 78718 Acres SOUTHOLD, N.Y. 11971 .