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HomeMy WebLinkAboutHill, Ronnie (2) • %gip' SOUI'fo ELIZABETH A.NEVILLE +" '`� 4 Town Hall, 53095 Main Road TOWN CLERK * Jill ' P.O. Box 1179 REGISTRAR OF VITAL STATISTICS N gh o aC Southold, New York 11971 �� MARRIAGE OFFICER l �O �1 Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER . ��" Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER Cour( s" 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. 3396 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : RLH LAND PLANNING SERVICES INC Address 1: 8595A COX LANE - UNIT# 1 City St Zip CUTCHOGUE NY 11935 Descripton of Proposed Construction or Alteration -NEW RESIDENTAIL CONSTRUCTION -FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT Name Of Owner RONNIE HILL Mailing Address 1 P 0 BOX 551 City St Zip EAST MARION NY 11939 Property Address 1 745 GOLF VIEW COURT City St Zip EAST MARION NY 11939 Tax Map No. section 30.00 block 2 lot 13.200 Cross Street ROUTE 25 Building Permit Number Cross Reference: Issue Date: 12/07/05 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) �''4 SOO ,�' y> tip ELIZABETH A.NEVILLE '`� l0 : Town Hall, 53095 Main Road TOWN CLERK o 4i 1111 , P.O. Box 1179 REGISTRAR OF VITAL STATISTICS ` G . c Southold, New York 11971 MARRIAGE OFFICER kO? Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER 'VeA�. Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ..court,*�'�� southoldtown.northfork.net r \)g) 2 2p05 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD O: - Southold Town Building Department FROM: Michelle L. Martocchia, Southold Town Clerk's Office DATED: December 1, 2005 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 3547 for a Cesspool/Septic Tank Construction Permit submitted by: RLH Land Planning Services Inc. Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: ( , Q, /zepa .,L0,4as.r,a , ..... .e6 ‘-e1170a 7fri....:4. Signature lam` � r /- Ds-/aS-" Dated ELIZABETH A. NEVILLE Town Hall,53095 Main Road TOWN CLERK k a,! ; P.O. Box 1179 t x Southold, New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER tia � Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER y�f ����� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER = �'� 41 #00, southoldtown.northfork.net to OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT . APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10 /r Non-Residential @$25 Application NoCj(-/ 7 Permit No. Applicant Namego, L(..04C,Q,o, , Applicant Mailing Address L74-ty //93S� Septic Tank or Cesspool At BriefDesc iption fProposed Construction or Alteration /(eMf R`e_yhc:� C!. -51Y Ile,troy) Location of Proposed Construction/Alteration: Owner of Property: A00'1,6, ,A4 // Owner Mailing Address: F. 6•61X, 537l 62i fMeue,01, I /1939-c S Owner Property Address: 7''S QoIP lii etAif ugP 5-f Mai2ici, NI 11939 -05-.5- I Name and phone number of contact person Tax Map No:I (OTTO Section/� C (cn 3 v Block • a Lot (3Cross Street IV IS �1tk os- ko ) NOTE: , LOCATION MAP MUST BE SUBMITTED ITH APPLICATION. NEW CONSTRUCTION REQUIRES SUR ' WITH HEAL " DEPARTMENT APPROVAL S.gnature of Appl' .,�t Date Receivedb (/CQ � i Y � JFFOLIC COUNTY DEPARTMENT OF HEALTH SERVICES\PEP.MJTFORA1PROVALOFCONSTRUCflONFOR A GLE FAMILY RESIDENCE UPiLY 30 ei 29 °s " SURVEY OF PR 0 PE ?rn T 1 '� / TE \ - HS REF.NO. Rio--ro5-- ,0-`19 / 36a. ° A A-r sit R MAXIMUM OF P i F NP pay / \ �: EAST MARION Fo NI EE EXPIRES THREE YEARS FROM DATE OF APPROVAL of Ga - ' - c TOWN OF S 0 U T H 0 L D s� a�� \____/ ". `\ N SUFFOLK COUNTY , N. Y. �` v) `�' rO woo - 30 - 02 - l 32 ° 382 f4 '4 �_ rP l,•- O SCALE I'' = 50 6g / �ti •__---0' r . May 4, 2005 CN•. .0.- t '- ;- �o t /' 0 ° 28 AO, Ili \ I N \2 / i o ,4,. - ----- -:- ‘.2.0.eo 0 013 / \o \ ok N- e• � `a, 2 R=35• � N� r 0 s � . 1 R. cotil -50 o PG 13 9, N o, �'p , `.•256 / � 2 s. - 35 \--i- ` Ol PRE P - I�'f 8• \ ; c� ' • / o• Q \I rs.-..)%, 0 O 0 c� 4 A v \ / s \ .C.._ ..• O p \ 30 \ 2 < R 5 n -� Z� \ SSPE 9' v \ G < < � \ pP 2-A '00 N R ,� 25 13 o s, \�O S 6$° 59 vac po 2 �► 0 c •• a \Q \ \ \\ • �p• '� -,- 13 \ Ny �` The locations of wells and cesspools . 20 . shown hereon are from field observations o� and or from data obtained from others. ANY ALTERATION OR ADDITION TO THIS SURVEY ISA VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. 1 ,t6 OF NZii, EXCEPT AS PER SECTION 7209 - SUBDIVISION 2. ALL CERTIFICATIONS * Yr, HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY F •, SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR Cr T WHOSE SIGNATURE APPEARS HEREON. AO * 41 13 l am familiar with the STANDARDS FOR APPROVAL ADDITIONALLY TO COMPLY WITH SAID LAW TERM 'ALTERED BY ' * AND CONSTRUCTION OF SUBSURFACE SEWAGE MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY Z V'.:.6:"'. •if DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES OF ANOTHER SURVEYORS MAP. TERMS SUCH 'INSPECTED 'AND IP. 49618 and will abide by the conditions set forth /herein and on the BROUGHT TO DATE 'ARE NOT IN COMPLIANCE WITH THE LAW. :� . permit to construct. 'CONIC �iE i�.4- & _ "— ' I