HomeMy WebLinkAboutReyer, Robert ,/0 N0SUFFOi,�cO
ELIZABETH A. NEVILLE �, • Gy� Town Hall, 53095 Main Road
TOWN CLERK y • ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS i Southold, New York 11971
�� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER RRIAGE OFFICER \A 4)...-0.0.�, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ���� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2815 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ROBERT REYER
Address 1 : 2095 RUTH ROAD
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-00-0023
Name Of Owner REYER, ROBERT
Mailing Address 1 2095 RUTH ROAD
City St Zip MATTITUCK NY 11952
Property Address 1 LAUREL TRAIL
City St Zip LAUREL NY 11948
Tax Map No. section 125.00 block 4 lot 24.004
Cross Street ROUTE 25
Building Permit Number Cross Reference:
Issue Date: 6/21/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE t��,_� 4 : Town Hall, 53095 Main Road
TOWN CLERK o - ; P.O. Box 1179
R 2'' `M 'w_,' - • '_ _ ISTICS W
Southold, New York 11971
r ", R �G4 ������ Fax(631) 765-6145
RECO T, IFFICER ---_ R1 #„0.
0i0 Telephone (631) 765-1800
1 REEfQM OF INFO t TXO OFFICER ••�,0 southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
,"— :. , .,,,f'( r' TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 15, 2002
Transmitted herewith is a copy of application No. 2876 for a Cesspool/Septic Tank Construction
Permit submitted by:
Robert Reyer, 2095 Ruth Road,Mattituck,NY 11952
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE /�
Comments: I. -fes 4 .,. / ' -
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Signature
D6 /-/L
Dated
OFFICE OF THE TOWN CLERK .'' ' 0[k _ /
TOWN OF SOUTHOLD �.��5 �QW Application No. S7 10
FT I7ABETH A.NEVU7 F,TOWN CLERK O.
P.O.BOX 1179 �G ,...------
SOUTHOLD,
� Construction
SOUTHOLD,NEW YORK 11971 0 T
. Alteration
Telephone O,j�,y� ��Q�;i" $10.00 -Residential
(63-1) 765-1800 - 1
�'' $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 ,j9 kCT/T/ / gOO
/
APPLICANT NAME: L186,�r 6-1
APPLICANT ADDRESS: 2CO f éJ7i'
/`�} 7-7-/ Tic>lC lY ' // S
SEPTIC ,/CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION ORA TERATION / 6 AJ /4),5ec—
C'vn/STTLO n/ ,417-- Z/9V2 Z LI/tile-5K,41.4'2.6 4/7
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALT RATION:
OWNER OF PROPERTY: ,f0,ez-, '7- /7,i`77 C 217 47Lc-if
OWNER MAILING ADDRESS: ?a5 ± /JeiJ-
`V/ 77, 7 Jc% f / //ss-c2
OWNER PROPERTY ADDRESS: /07— # ' LAW/Fe-2 71----f/9 //
L:46/ tc L//V 1 9 // ZcL /Y, V.
TELEPHONE NUMBER OF CONTACT PERSON: oq.i?4/6' / 0/2 .Y..o( `;
TAX MAP NO. : Section i�,5---- Block C 7 Lot . _v. V
CROSS STREET: 1 .!7:141-721-- .6
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
Signatu a Applicant
____ __jA)
RECEIVED BY:
o n Clerk's Office
DATE: .� b /Da
w
- SURVEY OF PROPERTY II , .
-; ' AT MATTITUCK •
•` TOWN OF SOUTHOLD
SUFFOLK COUNTY NEW' YORK
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� ' 1000-125-04-24.4
> SCALE: 17.--30
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t 400 ap�'�sr . JAN. 29, 2002
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i;i1;.iVJ S"`.'4`c,.sLTh Vii:ls'.i�:..G vi 2 WATER
$i1F�OL.CCO'" Y Y3nPAF! VALVE yy/S ' It
1, ,,a a 1 LAIa
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PEr2PiiT era AP^Ro LBF CONSTRUCTION FOR R w ' ° 6 : I
W s I ' ".� ‘6 lAJ 4t
81,4Fa ccLVI3: t>zt_mcEi�+ii�' 50' 1 o 25. z c' ¢
. � 3 o LOT Z 1 W >
DATE / 02---.7,.7% o0��0-0.. -OC). 1 '1 R iI 4® AY-op srp Ac. $T v
APPROVED =Y
e�`
FOR MAXIMUM OF F 3S •-�
EXP1iiESTHREE YEAIir�:�Q" :E ' , V u
CERTIFIED TO: 1- I 11 — ' ' / \EL.AK3o .
ROBERT REYER z — 3
KATHLEEN REYER a 1 ti OOD,
as 18
ITES
am familiar. with the STANDARDS FOR APPROVAL 1 HOg, y/ ��pF NEW yo9
ID CONSTRUCTION OF SUBSURFACE SEWAGE
42 3 t� c.tAcrt� ¢
SP❑SAL SYSTEMS FOR SINGLE FAMILY RESIDENCES , $ LOT ° �o+� rigr
Ei
id will abide by the conditions set forth therein and STAKE SC1- (VAC T) s► e`3,
the permit to construct \ EL v36 EL i .p, ,
e location of wells and cesspools shown hereon are
----v \
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om field observations and or data obtained from others .� • j •�a,Li co '618
'ECONIC ri VEYu' ',D'..NZ
ovations are referenced to an assumed datum, LOT NUMBERS REFER TO 'MAP OF (631) 765 - 5020 . 1) 765-1797
ANY ALTERATION OR 4DDITIQN r0 THIS SURVEY IS A VTOL ATION LAUREL LINKS" FILED IN THE P. 0 BOX 909
OF SECTION 7109 or TIF NEW YORK STATE EDUCATION LAV.
EXCEPT AS PER SECTION 7009-SUBDIVISION 2.. RLS CERT7W.ATIONs SUFFOLK COUNTY CLERk'S OFFICE 1230TRAVELER STREET
HEREON ARE vALID FOR TMS MAR M D C(�1ES NOW amr IfI 0
AREA=29,94 9 ST, HEREON
MAP DR COPIES BEAR THE DMIEBSED SOL 0' NC SURVEYOR ON NOV. 23, 2001 AS FILE NO. 10712 SOUTHOLD, N.Y 11971
hNCSE SIGNATURE APPEARS/EREOC