HomeMy WebLinkAboutER Yanke Homes Inc S0045,-
ELIZABETH A.NEVILLE ,, ' O \ Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
co 4c Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER ; .�` . � Fax(631) 765-6145
RECORDS MANAGEMENT OFFICERq,f•C i•0 Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER UUNTY 1 ,►al southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4301-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner E. R. YANKE HOMES INC
Mailing Address 1 75 WAMPUM WAY
Mailing Address 2
City St Zip SOUTHOLD NY 11971-0000
Property Address 1 1710 NORTH BAYVIEW ROAD EXT
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 631-765-1112
Tax Map No. section 79.00 block 6 lot 3.002
Cross Street JACOBS LANE
Issue Date: 12/21/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
FF01-
ELIZABETH A.NEVILLE ; S\; Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS : Southold, New York 11971
MARRIAGE OFFICER Fax Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER ' "4 Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER =-4'1 * , os
southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
OPERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 )( or Non-Residential @$25 Application No3 g `I�J��f
Permit No.3/ 5 l{
Owner Name , 1 t yj�lV j�T C' ,¼" PVC,-
Owner Mailing Address 75- 6dgitl/")i'1
�Se 07-171, //? 7/
Owner Property Address / 71 O /V,1L7// 614/✓,2E4o'
g51 J///o - , /Y• Y //9, 7/
Owner Telephone No. - /J/a--
Tax Map No: Section 7 q Block b Lot 3 . OO 2.
Cross Street 1rft c-o,35 A 19'V
Please check each that applies: New Construction
Alteration to Existing System
Residential Non-Residential
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate
building and system; give north arrow and approximate distance in feet from system to building
and closest road. New construction may submit copy of survey with SCHD approval.)
•
Signature of Appli D7eri e
Received by 1214 A ,►��:i
N AT BAY VIEW
, TOWN OF SOUTHOLD
' - SUFFOLK COUNTY, N. Y. ,
1000-79-06-32
, SCALE: 1'=50'
MARCH 29, 2004
SEPTEMBER 9, 2004 (MOM. LOC.)
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A 22' 17' oez. 7¢g'
B 23' 29'
C 37' 34' 703308.
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SUFFOLK CCTY 2 D ..TN ;:C. 7RViCES
goIP 8z . A3 :C Li::RAWLY LY RESIDENCE
aro**, a ¢9e. Date NOV 1 6 21)01.S.Ref.No. /2)C O`k 005-3
SCJ034p2 The sewage disposal and water supply faculties at this location have been
O iV Inspected and/or certified by this Deportment cr other age:dies and found to
1$Oa•
be satisfactory FORA MAXIMUM QF 4.7‘ , BEDROOMS.
OO,
�.0�� Waiter J.Hilbert, .CF'd1'
Office of Wastewater t,ane emenst
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.o���1 TEST HOLE DATA
SEPTIC SYSTEM: FROM MINOR SUBDIVISION FOR
(1) 1000 GALLON SEPTIC TANK MICHAEL WEINSTEIN"
(2) 6' DEEP 8' DIAMETER LEACHING POOLS
I am familiar with the STANDARDS FOR APPROVAL LOAM
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES 4'
and will abide by the conditions set forth therein and on the
permit to construct.
The location of wells and cesspools shown hereon are SAND &GRAVEL
from field observations and or from data obtained from others.
Elevations referenced to an assumed datum.
-(E OF New,
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION 'St-
r0
- OF SECTION 7209 OF THE NEW YORK STATE EDUCA 77ON LAW �1-. ME rC �'f
EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CER77F/CATIONS 14' �' _.,: Z
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF �'.f , ' i L/�. NO. 496
SAID MAP OR COPIES BEAR 7HE IMPRESSED SEAL OF THE SURVEYOR tr. •-*44.-1
- WHOSE SIGNATURE APPEARS HEREON. "ECO IC , ;, P.
"MINORFOR MICHAEL WEINSTEIN" (631) 7• •- 11, 1�1' (. 765-179
- LOT NUMBERS FROM SUBDIVISION o. , , --
■=MONUMENT 230:tr � . 4 1' -4,
AREA=63,902 SQ. FT. SOUTHOL•,`'.L.LM1 . O4-13'