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ELIZABETH A. NEVILLE SII_• y1: Town Hall, 53095 Main Road
TOWN CLERK ; y Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �'�$ Southold, New York 11971
MARRIAGE OFFICER �- y� O�.'�1 Fax (631) 765 6145
RECORDS MANAGEMENT OFFICER 0,( ilig �a 0 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2429 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SPRINCHILL CUSTOM HOMES
Address 1 : 78 GARDEN DRIVE
City St Zip ALBERTSON NY 11507
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. REF #R10-99-0238
Name Of Owner SPRINGHILL CUSTOM HOMES
Mailing Address 1 78 GARDEN DRIVE
City St Zip ALBERTSON NY 11507
Property Address 1 503 MARLENE LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 143.00 block 2 lot 22.001
Cross Street ROUTE 25
Building Permit Number Cross Reference:
Issue Date: 10/13/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
oofilIVIFF04 /) Lc 3—CC
ELIZABETH A. NEVILLE OGy
al
Town Hall, 53095 Main Road
TOWN CLERK Cl, P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 0. .1
Southold, New York 11971
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �y'1101 * �`� ,i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
.I 0.1
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: 10/10/00
Transmitted herewith is a copy of application No. 2519 for a Cesspool/
Septic Tank Construction Permit submitted by:
Springhill Custom Homes
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:
ignature
//, 70
Dated
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OFFICE OF THE TOWN CLERK l.',,,,,"",, '
CAVOLkC
TOWN OF SOUTHOLD �� QG Application No. 2 9
ELIZABETH A.NEVILLE,TOWN CLERK #41y
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971
CP rrt
Alteration
Telephone ,y �Q`�0: • $10.00 - Residential
(516) 765-1801 �l44� ,�' $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE /d//t�/CD
APPLICANT NAME: S6 RiA. 71sc41( C/U&h i. ke.3140-
APPLICANT ADDRESS: DD76) C.9/9/1.zc .01)
/WA s )7
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: s fit,,,,,�V I c.os ,,,., a C.t -rc '
OWNER MAILING ADDRESS: 78 &�L&_
rifb_4Pla vek - - lacri
OWNER PROPERTY ADDRESS: 5"43 14-44.trt¢ ..
/(AcRk- /U-Y.
TELEPHONE NUMBER OF CONTACT PERSON: (9 3) 6r)--)
TAX MAP NO. : Section /Oda Block A/2 Lot 02- ` ZZ,.
CROSS STREET: ticti,t. Rood 0J
BUILDING PERMIT NUMBER CROSS REFERENCE•
Signature of Applicant
RECEIVED BY :
Town erk's Office
7 /70(7
DATE: 1 7Q Q�
MUNICIPAL WATER SUPPLIED TO ALL RESIDENCES ON SIGSBEE ROAD
TEST HOLE DATA
CESSPOLY
SURVEY OF
HOUSE PERFORMED BY: McDONALD GEOSCIENCE
HOUSE RESIDENCE cc)
LOT 94 Es°�`�LOT 95 LOT 96 DESCRIBED PROPERTY
Ltti EXISTING GRADE SITUATE
MMENDED MAP OF MAT77TUCK PARK PROPERTIES, INC, '\\,���. •���i\��i` MA TTI TUCK, TOWN OF SOUTHOLD
sz•T �_ FM# 801 R FILED JAN. 12 1926�oS Guarantees indicated here an shoo run
eRowvL°AwrsANo sw
v SUFFOLK COUNTY, N.Y.
°�. p on�y to the person for wha:•n the survey
S� CESSPOtt 3
ZZ G FD is prepared, and on his beh_i' to the
N 2039' 1 ' W 75.0' the company, Govern.ents t Aoencv,
ens n9 sti nee, It helisted h teen, and SURVEYED FOR MICHAEL R. ZAHRA
PROPOSED
to the assignees of the lendir; institution.
CM
p Guarantees are not transferat.ie to & SPRINGHILL CUSTOM HOMES, INC.
so,TO CESSPOOL ,dditional institutions or s..bsaouent cwnea♦ i
��/V F-- PALE SR°MN FINE SAND SP
s�
ZONING : R40
.ncurhorized ulterction or rdaiG.on to th0 io
141- 46' TO CESSPOOL
survey is a v;claticn of Section 7209 of TAX MAP N0.
sem+ _� 'he New York State Education Law. 1000-143-02-22.1
80'TO CESSPOOL � ' 15.2'
nom_ WATER IN PALE BROW SAND 5?
17'
TEST /9)1111111111%. SURVEYED 25 OCTOBER, 1999
HOLE SUFFOLK COUNTY DEPT. OF HEALTH SVC.
SCALE 1"=20'
eMOOD& BLOCK C -. . rr 1 r AREA= 10,875.00 SF
Nor Nouse OR
i TY u :=. RTV=3T O HEALTH SERVICES
N/F STK STK N/F ALES
1
NOLAN SET SET RESIDENCE F ? i C }':'t' i T:iiC t:N FORA 0.2497 ACRES
VACANT LAND � y a nFo� � q NOTE.• ALL RESIDENCES SERVICED BY MUNICIPAL
lz
L` 6-42.`t���HSaw .r 1\ � 1 Z.3 aWATER UNLESS SHOWN OTHERWISE
SEP
PROPOSED ':.OVER_ .`• . t.�.. 1 -
't, GUARANTEED TO
I FOR MA IIIP.4OF yS 'ROOMS
WOOD LINE 3 BEDROOM EXPIRES THREE E YT/!ZS FROM DAM OF APPROVAL MICHAEL R. ZAHRA
SPRINGHILL CUSTOM HOMES, INC.
~ N PREMIUM NATIONAL BANK
3 RES. ^/o �/►/v tw�+p it L P4 y/•+i i%,& TO OF SOUTHOLD
15' (N
0 C:21
�`1 Copies of this survey
127 ro+t,4 1-0 STK 0 STK '� the Land Sc eyo•s n� '4t beo5ha
SET 0 SET ----7 1 v 't se^I char
� � 10 34' 4 ._I---±,J k J �.. : �. ,.� `�) not be tens -c _. t �,
J Q. P y L:;:. it <iit .�i'riGs3 apt. a
01 ul PROPOSED QRO 1 o -. SURVEYED BY
ct
SEPTIC
V) I I TANK Z M
SDR 18 TYPE P E j3 STANLEY J. ISAKSEN, JR.
`
Tin - ' sn UNDER DRIVEWAY
PROPOSED CESSPOOLS W/ P.O. BOX 294
cc
---.7-- l TRAFIC BEARING SLAB
a.
&CI COVER TO RADE = NEW SUFFOLK, NY 11956
FD PROPOSED FD Q
CM I 50%EXPANSION CM 516j7_34—5835 /
.1,t,,?�. o S 20' 39' 10" E 75.0' 77E= 1503.36' )0f //��
�Q W M og W M %6',� REV. 08/28/00 RELOCATE SANITARY ��� ��
le- 0 4� REV.' 04/11/00 RELOCATE SANITARY& will. ICENS 6 L'NO SURVE fR
� MA RL ENE e LANE P REV: 12/19/99 SHOW WATER/CESSPOOLS OF ADJACENT OWNERS
5 y° �,co ADD 507'EXPANSION TO SAN. SYSTEM. NYS LIC. NO. 4,9273
99C836E
4.'4 1 & \ MUNICIPAL WATER SUPPLIED TO ALL RESIDENCES ON MAINE LANE
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