HomeMy WebLinkAboutELE Development Corp (7) I.°0��SUFFO(,�C'
JUDITH T.TERRY OGyl��� Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS O � , Southold, New York 11971
MARRIAGE OFFICER . y
�� Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER = � �40. 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. 1622 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 GABRIELLA COURT
City St Zip MATTITUCK NY 11952
Tax Map No. section 108.00 block 4 lot 7.027
Cross Street ELIJAH'S LANE
Building Permit Number Cross Reference:
Issue Date: 3/20/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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; MAR 1 4 199i
` - Tow Hall, 53095 Main Road
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0 y0 �. % Tr)I.Mei OF SCS P.O. Box 1179
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JUDITH T.TERRY TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OE VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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. 1693 for a Cesspool/
Septic Tank Construction Permit submitted by:
ELE Development Corp
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:
RECEWED
MAR 2 1997 Signature
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Smfr:al Tann3 `- nr.,9 Dated
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OFFICE OF 'I HE TOWN CLERK O�Oc3�FF001-
Town 9.1 Southold
Judith T. Terry, Town Clerk `" Application No./093
Town Hall,, 53095 Main Road ` Construction ,..-----
-----
P.
P. O. Box 1179 cn --------
Southold, New York 11971 0 O� Alteration_ --
Telephone �1 �fif Residential `�—
(516) 765- 1801 ""� Non-Residential
TOWN OF SOUTIIOLD
SOUTIIOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL .
Permit No.
Fee $
DATE '
APPLICANT- NAME:
-----------
APPLICANT ADDRESS:
_ Aee,...v: _/,,,,3
e_4//-e,zi /1,,_ / -3s---- ..._
SEPTIC ---CESSPOOL4.e....------
DESCRIPTION
--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 :
OWNER MAILING ADDRESS: SiT,#n
OWNER PROPERTY ADDRESS : /y��_
TELEPHONE NUMBER OF CONTACT PERSON : ?2.01wTAX MAP NO. : Section /Ok/ .kBlock d - ?,_7
CROSS STREET : . x/47,9 __ w-r._._ -- -
BUILDING PERMIT NUMBER CROSS REFERENCE :
--_ Signa r of Applicant----�--
RECEIVED BY :9
Town Clerk's Office
DATE: 3 // -- / 7 _ . ____
Or so` to
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�r -�, SURVEY OF
�. LOT 22
0.1. "ELIJAHS LANE ESTA TES, SECT. 2
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FLED OCT 8, 1998 FILE NO. 9912
, � AT MATTITUCK
.\9,Zo �e` TOWN OF SOUTHOLD
52 \. • SUFFOLK COUNTY, NY.
ss 1000 — 108 - 04 - P/071
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i0 V LA TION I am familiar with /he STANDARDS FOR APPROVAL The locations of wells and cesspools . <`.. tie. 490
� � AND CONSTRUCTION OF SUBSURFACE SEWAGE / / tti
[GF ON.Y DISPOSAL SYSTEM FOR SINGLE FAM/L Y RESIDENCES shown ore from lied obsa/herons ' / �.?.
MI sLRVAMOR 0041 w&/ abide by the con:il,'ons set forth /herein and on the and o� from data obtained /rom others. Sr-VEY
permit to construct.
- CONIC VEYORS, P.