HomeMy WebLinkAboutELE Development Corp (5) li'�SUFFO fr
JUDITH T.TERRY I°_$ $4.1 Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS O � Southold, New York 11971
MARRIAGE OFFICER :** %`-- / Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER _ 49l * *as" Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER Os°
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1633 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : ELE DEVELOPMENT CORP.
Address 1 : P. O. BOX 1143
City St Zip CUTCHOGUE NY 11935
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. SCHD REF. #R10-97-0037
Name Of Owner ELE DEVELOPMENT CORP.
Mailing Address 1 P. O. BOX 1143
City St Zip CUTCHOGUE NY 11935
Property Address 1 ELE DEVELOPMENT CORP.
GABRIELLA COURT
City St Zip MATTITUCK NY 11952
Tax Map No. section 108.00 block 4 lot 7.026
Cross Street ELIJAH'S LANE
Building Permit Number Cross Reference:
Issue Date: 4/22/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
o��Ff OLKc�M• l,
B i Town Hall, 53095 Main Road
•1 a Obi P.O. Box 1179
Southold, New York 11971
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JUDITH T.TERRY 111%`.O'l TELEPHONE
TOWN CLERK \`�����• (516) 765-1801
REGISTRAR 01 VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD J 3 3
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TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 13, 1997
Transmitted herewith is a copy of application No. 1694 for a Cesspool/
Septic Tank Construction Permit submitted by:
ELE Development •
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:
RECEIVED `
i
APR 2 1997 Signa r
/o/97
Southold Town Clerk Dated
01:1:4CE 01= .( I IE TOWN CLERK ��5�FF0(,-`�
Town of Southold
Judith T . Terry, Town Cleric "', = Application No.
-[ own Hall, 53095 Main Road ` Construction
P. O. 'Box 1179 ' -- —
Southold, New York11971 O 0Vp. 1, Alteration
,
Telephone Residential -�
(516) 765- 1801 � �"" Non Residential
TOWN OF SOUTHOLD
SOUTIIOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
APPLICANT NAME:
--------------------
APPLICANT ADDRESS: L_._Q . ay__._��%
Ccole-"zi‘ /JEW- - —
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 : 519/77e-
OWNER
19m
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: ,5;074._.
TELEPHONE NUMBER OF CONTACT PERSON : 7 -5-8VO
TAX MAP NO. : Section DK f3locic c
CROSS STREET : LJ/��lSL?MX---
BUILDING PERMIT NUMBER CROSS REFERENCE :
ignature pplicant V_---___---
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RECEIVED BY : ^✓��
Town Cleric's Office
DATE :
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TOWN OF SOUT
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17 • �`" iii - SUFFOLK COUNTY DRPARI T OF HBALTH SSRVftZS
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rA ik is, k MUST FOR APPROVAL Q/CONIFTRUCITON FOR A
YZJ o r SINGLEFAMii,Y • •_,I. . « ONLY
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2.,.. .•R MAXIMUM OF al BEDROOMS
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e�,•,, 5,5 THREE YEARS FROM DATE OF APPROVAL
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7715 SURVEY IS A VICLATpt I on, familiar with the STANDARDS Fa? APPROVAL The locations of wells and cesspools
dr sTATf EDUCArloN Y AND CONSTRUCTIO OF SUBSURFA ` SEWAGE shown hereon ore from field observations
OIVISION 1 DISPOSAL SYSTEMS FOR SINGLE FA ' .Y RESIDENCES and of from data obtained Iron, others.
ver ,!phi► , rr I i.fhP41 b r the conditions set fort !therein and on the . nave