HomeMy WebLinkAboutELE Development Corp (21) ,__ice..
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JUDITH T.TERRY ti Town Hall, 53095 Main Road
TOWN CLERK
c/3 P.O. Box 1179
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Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O �
MARRIAGE OFFICER � y �1 Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER ? 49 , �aO.•�i 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. 1605 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. #R10-97-0013
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 7.047
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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JUDITH T.TERRY � _ Town Hall, 53095 Main Road
TOWN CLERK ; y = P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
y • �1� Fax(516) 765-1823
MARRIAGE OFFICER �JQ dal Telephone(516) 765-1800
RECORDS MANAGEMENT OFFICER 1 '1►
FREEDOM OF INFORMATION OFFICER , �����I
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 25, 1997
Transmitted herewith is a copy of application No. 1679 for a Cesspool/
Septic Tank Construction Permit submitted by:
E L E 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.
,c/ L et-.1
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
MAR 1 9 1997 Signature
- „9/7" 7
3 : sr r/z/f7
Southold Town Clerk Dated
014FICE OF 111E TOWN CLERK eC F0Lk
Town of Southold % CSG
Judith T. Terry, Town Cleric = Application No/ 7?
Town I IaII, 53095 Main Road ` Construction —
I'. 0. a o x 1179 tn -----------
Southold, New York 11971 %,,v6,- . $ Alteration
Telephone1'01 . :"..' Residential
(516) 765-1801 Non-Residential __
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TOWN OF SOUTHOLD
SOUTIIOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL .
Permit No.
----------------
Fee $
----------------
DATE______2./.2 _i�__-_----------__ -
APPLICANT NAME:_ __t7:LE---_a 4dr'fii/_--_-eC)
APPLICANT ADDRESS: -- AX- - _L/1 eujlir
SEPTIC CESSPOOL i„....,---""
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
____ -______L_ o f ho.3l _.__.__._ / an", -- -- -
LOCATION MAP: Must be attached hereto before permit may be issued.
- LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY :-. _______1/45;0_9/17Z ___ _ -----_-----
OWNER MAILING ADDRESS: 5/41/7,11:_
OWNER PROPERTY ADDRESS :
TELEPHONE NUMBER OF CONTACT PERSON :--_-- 7.,,,?_.Z=15-040_-
TAX MAP NO. : Section C
--�Q�-_____Block ��-.�-- -----Loi 7 4/7 __-__-- ---
CROSS STREET : _ eZ 7.il ��.tie--
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature \ pplicant
RECEIVED BY :
Town Clerk's Office
DATE:
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ANY ALTERATION OR ADDITION To THS SURVEY IS A VIOLATION / am familiar with the STANDARDS FOR APPROVAL The locations of wells and cesspools kit;
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW, AND CONSTRUCTION OF SUBSURFACE SEWAGE shown hereon ore from field observations
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTFICATIOWSN.
HEREON ARE VALID FOR ThKTMAP AAD CODES THEREOF ONLY FDISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and or from data obtained from others.
SAID MAP OR COPES BEAR THE IMPRESSED SEAL OF THE SURVEYOR and wNl abide by the conditions set forth therein and on the PE ON/C SU YOBS,
WHOSE SIGNATURE APPEARS HEREON perm// /o Construct.
ADDITIONALLY ro COMPLY WITH SAID LAW TIE TERM ALYERED BY' S P l0. BOX 90920
MUST BE USED BY ANY AAD ALL SURVEYORS Ur1C/ZW4 A CQrY ELEVAr/ONS ARE REFERENCED 1230 TRAVELER ST,
OF ANOTHER SURVEYOR'S MAP. TERMS S(�AS 7KA�'ECMD'AND TO AN ASSUMED 0.4 TUM SOUTHOLD, N.Y. II-`
BROUGHT-TO-DA rE'ARE NOT N COWL INCE WITH THE LAM. .
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FILED OCT 81996 FILE NO. 9912
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TOWN OF SOUTHOLD
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SUFFOLK COUNTY, NY.
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