HomeMy WebLinkAboutMohr yffi ��ELIZABETH A.NEVILLE � a 'f' ; Town Hall, 53095 Main Road
TOWN CLERK - ; P.O. Box 1179
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Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ® Fax(631) 765-6145
MARRIAGE OFFICER :" ak Fax
RECORDS MANAGEMENT OFFICER =__ ®g 11®lil 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. 2843 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOSEPH MOHR
Address 1 : 309 HUNTERS RIDGE ROAD
City St Zip WINCHESTER VA 22602
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 #R10-00-0267
Name Of Owner MOHR, JOSEPH
Mailing Address 1 309 HUNTERS RIDGE ROAD
City St Zip WINCHESTER VA 22602
Property Address 1 SHORE LANE
City St Zip ' PECONIC NY 11958
Tax Map No. section 86.00 block 1 lot 4.016
Cross Street INDIAN NECK LANE
Building Permit Number Cross Reference:
Issue Date: 7/23/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
ELIZABETH A.NEVILLE i-t° y Town Hall, 53095 Main Road
TOWN CLERK � •
; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
% v, Southold, New York 11971
MARRIAGE OFFICER .fi: CP ���0 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =__�®� tit�i� Telephone (631) 765-1800
FR DOM OF ZNk ORMATION OFFICER '��� southoldtown.northfork.net
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JU1V 2 7 `v:i OFFICE OF TIDE TOWN CLERK
LL_____":„ 2002 1 El TOWN OF SOUTHOLD
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TO: -South`M? n Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: June 28, 2002
Transmitted herewith is a copy of application No. 2946 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
Joseph Mohr
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: Maintain required setbacks from adjacent wells,buildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED. ar....P .1-.."
A941A1.;;e2tf-r7.— Xeci, _
2/A:e.r.9%,.:,/ .
Signature
, tat.i/A-;://72---
Dated
,•
'OFFICE OF THE TOWN CLERK ,C�,FFOLKC _ 9
TOWN OFSOUTHOLD e Ql/ Application No.� '
ELIZABETH A NEVITI.P,TOWN CLERK O 'A:44
P.O.BOX1179 Construction
SOUTHOLD,NEW YORK 11971 vrn
% � �. Alteration
Telephone ,jjy Qi� $10.00 -Residential
(516) 765-1801 -_ ! �,,! $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 c0 2:7
APPLICANT NAME: fi14 /h4fL.
APPLICANT ADDRESS: a J1-r,tN7i4i5 f2;O 56 �O
t/3"r_ .s-r 4 t�� 2�o
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTIONnnOR ALTERATION
1�4fl1 /1 0 sUl,JL,N4
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
• OWNER OF PROPERTY: \-1:6014- Ilkoi+L
OWNER MAILING ADDRESS: 5 k( 7 S Q/o&.
fuct4-4S1‘g 60 2-
OWNER PROPERTY ADDRESS: S11022- 4 ,u
'( /rl7
TELEPHONE NUMBER OF CONTACT PERSON: j4( ) -7ar3 -( f9'
TAX MAP NO. : Section 36 Block 0 ) Lot 1-1. ) G
CROSS STREET: `1410% Liq11) " 1'00/AN MVX L J, JG
BUILDING PERMIT NUMBER CROSS REFERENCE:
• ,
ignature o Applicant
RECEIVED BY: C�
Town Clerk's Office
DATE:
�.:..
--_---r
1 ' L
SURVEY OF
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LOT 16
. MAP OF
RICHMOND SHORES AT PECONIC
FILE No. 6873 FILED NOVEMBER 20, 1979
SITUATED AT
PECONIC
cPNk� ' yo0o TOWN OF SOUTHOLD
�P R-3 �� SUFFOLK COUNTY, NEW YORK
•
-a S.C. TAX No. 1000-86-01 -4.16
N,)0..) �p� J '� SCALE 1"=40'
�� ENl SUFFOLK COUNTY DEPARTMENT a OF HEALTH SERVICES JUNE 24, 1999
�(.�O �NO� �Q S� JULY ',4, 2000 REVISED WATER SERVICE
1r 0- PERMIT FOR APPROVAL OFCONSTRUCTION FO# A AREA = 25,199.31 sq. ft.
14 �- .� Cs�.l�FAMILY I�:S1D NCF.ONLY 0.578 ac.
''" 'E \41 DATE — rZ''-C10 HS .F.NO.-.L -.: . _,(
APPROVED , C
___-----<,,00 oo'' \l,
00 0o N A� CD :47.17ATE
OOl�iS665 00 6 9 -- FDICto XIMUAIIOF �'y ,IP 't C7 G # $XPIRESTFIRF.EYEARSFROM OF APPROVAL
NOTES
5. ?SOD, O •. �,(')���T��{� , I. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
2' \3'?j, 0- Y"-' • EXISTING ELEVATIONS ARE SHOWN THUS:120
p- Q 2 REFER TO FILED MAP FOR TEST HOLE DATA
J • 3. MINIMUM ON TANK CAPACITIES. FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS
4_ I TANK; 8' LONG, 4'-3" WIDE. 6'-7" DEEP
\ CO' 4 MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA.
1 POOL; 12' DEEP, 8' dig
PROPOSED EXPANSION POOL
. \ .
PROPOSED LEACHING POOL
\ 1,O�(-1- ' f0'0 M PROPOSED SEPTIC TANK
5 THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
6'- /� OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS
155?°9'
PREPARED IN ACCORDANCE WITH THE MINIMUM
�` STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
BY THE LI AL S. AND APPROVED AND ADOPTED
7:„...1
� FORTITLE SUCH USEON BY THE NEW'YORK STATE LAND
rn EA 0 ED j SEo, .
\\ S 6g 2� R !' t iii
i/ i, l
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7� \ j/ 'v -----,c..,
Wt f;/ NYS L c No 49668
UNAUTHORIZED ALTERAT{QN OR ADDITIONTO Tills SURVEY .i) - '}
-------------
' N-' SECTION 7209 OFSTHE NEWT YORK STATE -.'�_�y_r Q
EDUCATION'LAW Os ph A' • Ingegno
\ __--
,_‘- Ci COPIES OF THIS SURVEY MAP NOT BEARING `
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
��‘CC TO BE A VALID TRUE COPY hand Surveyor
CERTIFICATIONS INDICATED HEREON SHALL RUN
\ /, ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys - Subdivisions - Site Plans
- Construction Layout
LENDING INSTITUTION LISTED HEREON. AND
TO THE ASSIGNEES OF THE LENDING INSTI-
, \
TUTION CEFtTIFICAT;ONS ARE NOT TRANSFERABLE PHONE (631)727-2090 Fax (631)727-1727
THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED 1380 ROANOKE AVENUE PO Box 1931
RIVERHFAD, New York 11901 Riverhead, New York 11901-0965
99-40