HomeMy WebLinkAboutELE Development Corp (10) t 1
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JUDITH T.TERRY Town Hall, 53095 Main Road
TOWN CLERK ;
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JUDITH T.TERRY 11 OG'fJ► Town Hall, 53095 Main Road
TOWN CLERK tt P.O. Box 1179
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P � Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER `..y 11 Fax (516) 765-1823
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RECORDS MANAGEMENT OFFICER =��,( ,lll Telephone (516) 7654800
FREEDOM OF INFORMATION OFFICER es"
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED : April 23, 1997
Transmitted herewith is a copy of application No. 17 33 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
3 ; 4(9 /1/
MAY 1 4 1997 Signatur
/j4/97
Dated
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QJ: :1 E OF -HIE TOWN CLERK Oc���FO(,�'`,O
Town of Southold �j
Judith T. Terry, Town Cleric Application No. / 13
Town Itall, 53095 Main Road Construction
P. O. E3 o x 1179 ______ ------
Southold, New York 11971 O Alteration
TelephoneOlt Residential
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(51 6) 765-1801 "" Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 2 42.r
APPLICANT- NAME:
APPLICANT ADDRESS: c
itqx
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 : 5/9711Z-
OWNER MAILING ADDRESS: /y/n
OWNER PROPERTY ADDRESS: 5/29/17
TELEPHONE NUMBER OF CONTACT PERSON :
TAX MAP NO. : Section t Ovt Block Lo t - 3 0
CROSS STREET
BUILDING PERMIT NUMBER CROSS REFERENCE :
Signatur Applicant -i� --
RECEIVED B Y : RECEIVED
Town Clerk's Office
DATE: -
• Southold Town Clerk
.......
, ., �z N•�
};dam; � - i The locations of .yells and cesspools
IN
O • shown hereon ore from field observations ,
and/or from data obtained from others.
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t Eat Pre ELEVATIONS ARE REFERENCED
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�� �— TO AN ASSUMED DATUM.
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P� so ���y �
�` >,tP SUFFOLK COUNTY D 'AXIWN T OF IiA TH MACES
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c /,'"?..., rnerr PM erwaYiu.arcor�rasx.'I frac A
to 11iI L1 VAINLY 1 ONLY
'_. HA 2/0.12 -y7..00 to
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DATE
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1"-,
y� APPR�VBD
''‘)10 ; EXPIRES THREE YEARS FROM DATE OP APPROVAL
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\ SURVEY OF
0 \ >,, \. LOT 25
K -r 9:1'd "ELIJAH'S LANE ESTATES SECT. 2 "
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e' y/ '. \ 2 \\ FILED OCT. 8, 1996 FILE NO. 9912
-A --"—‘- \ AT MA T TI TUCK
P J TOWN OF SOUTHOLD
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��o "u �0. SUFFOLK COUNTY, NY.
:_..--)<-44'' '
1000 - 108— 04 —P/0 7.1
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��. Scale: 1"= 40'
4 �� �y^,. Dec. 4, 1996
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Co' <��F Of NEP,,/,
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AREA = 41,345 sq.ft. .,, -, `',
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ANY ALTERATION OR ADD/TION TO This SURVEY IS A VIOLATION I am familiar with the STANDARDS FOR APPOVAL s
OF SECTION 7209 OF THE NEW YORK STATE EDC/CATION LAW AND CONSTRUCTION OF SUBSURFACE SEWAGE
EXCEPT AS PER SECTION 7209-SUBDIVISION Z. ALL CERTIFICATIONS DISPOSAL SYSTEMS POR SINGLE FAML Y RESIDENCES r�' . Y . LIC. NO. 49618
HEREON ARE VALID FOR THS MAP Ano COPES THEREOF ONLY F and will abide by the conditions set forth therein and on the •
SAD MAP OR COPIES BEAR THE IMPRESSED SEAL OF TIE SURVEYOR permit to construct. PEC• «e �� �.�► ., P.C.
WHOSE SIGNATURE APPEARS HEREON. ($161 ley/''
ADDITIONALLY To COMPLY WITH SAD LAW THE TERM 'ALTERED BY' P. 0. BOX -
MUST SE USED BY ANY AMI ALL. SURVEYORS UTILIZING A COPY 1230 TRAVELER STREET
OF ANOTHER SURVEYORS MAP. TERMS SUCH AS •INSPECTED'AND SOUTHOLD, N.Y. 1/971
'BROUGHT-TO-DATE•ARE NOT WI COMPLIANCE 07TH THE LAW.
96 - 317 25