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Home My WebLink AboutMeyer, Kenneth � of° ELIZABETH A. NEVILLE �� osi 0 o y� Town Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICSFax(631) 765-6145 MARRIAGE OFFICER :��,i/'� v �1�, RECORDS MANAGEMENT OFFICER 'if $ � Telephone (631) 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. 2374 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : SCHEMBRI HOMES INC Address 1 : 2042 NORTH COUNTRY ROAD City St Zip WADING RIVER NY 11192 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 #R10-99-0188 Name Of Owner MEYER, KENNETH & CARYL Mailing Address 1 PO BOX 1 238 City St Zip HOBE SOUND FL 33475 Property Address 1 630 THE CRESCENT City St Zip EAS7 NIARiNO NY 11939 Tax Map No. section 30.00 block 2 lot 30.000 Cross Street THE CROSS WAY Building Permit Number Cross Reference: Issue Date: 7/27/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) •a ,„ co•11 0004 0-73- ELIZABETH A. NEVILLE ��= G'y ; Town Hall, 530954 3095 ain Road TOWN CLERK ` P.O. Box 1179 H Z v, n� Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ; � Fax (631) 765-6145 MARRIAGE OFFICER .fail. �1 RECORDS MANAGEMENT OFFICER � '/Ql ib ,1� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: July 25, 2000 Transmitted herewith is a copy of application No. 2463 for a Cesspool/ Septic Tank Construction Permit submitted by: Schembri Homes Inc. for Mr. & Mrs. Meyer 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 recormendations: APPROVE DISAPPROVE Comments: Signature r1/z( I be) Dated L 1 OFFICE OF THE TOWN CLERK ,,,'" "- Town of Southold .''1,af fitirp'- Judith T. Terry, Town Clerk 0 -v. Application No. (�,'� Town Hall, 53095 Main Road Z If . Construction ✓ P. O. Box 1179 m . Southold, New York 11971 Alteration - Telephone ,,� ' 'Q '� $10.00 - Residential ✓ (516) 765-1801 = ©1 ��'� � � ,, $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—___WD� - APPLICANT NAME: G*.:r 'ryl,Bi€/ , j4 'S �t APPLICANT ADDRESS: g-p j.e....e~ eijY 49 "--V // 7f,:z _ ____ SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION -------------------------- LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATI N : .1 • OWNER OF PROPERTY : 444-� __- G -- OWNER MAILING ADDRESS: T- 1 a2J� ___ " ` OWNER PROPERTY ADDRESS: -;►1,tr C.4e6-Se&_ _-��%',:.� 11484 , -,467AIS mss'= " ,t;4) TELEPHONE NUMBER OF CONTACT PERSON : TAX MAP NO. : Section -/000 Block- '30-- O.? Lot 30 -_ CROSS STREET : 6 - _eee9..9S id.-1-/ - --- BUILDING PERMIT NUMBER CROSS REFERE E: 1/ f / rfts d__ _-__- A .---_____---- I!nature o Applicant RECEIVED BY : ----2S ' ____ _____________ Tow Clerk's Office DATE: 7 ._.-- �-^. c_ I am familiar with the STANDARDS FOR APPRCVAL _ - - • r AND CONSTRUCTION OF SUBSURFACE SEWAGE SURVEY OF PROPERTY DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by the conditions set forth therein and on theNix - permit to construct. AT EAST MARION The location of wells and cesspools shown hereon are TO1PN OF SOUTHOLD from field observations and or data obtained from others. Elevations ore referenced to on assumed datum SUFFOLK COUNTY, NEW YORK 1000-30-02-30 Lot numbers refer to Mop of Pebble Beach Farms .` SCALE: 1'=40' a. filed in the Suffolk County Clerk's Office ori Jun 11, N ./� �p AUG. 31, 1999 1975 as File No 6266. I'� °fid / to, „.„,,,.. '� oc, tArs =n SUFFOLK COUNTY DEPARTMENT OF KA ;7i iV ICES IP" tiPERMIT rR?Pr7.1.l�. ' 74 t , ; r 1C , .-fi�V ,2 � � GATE,$"/S�- -:".7:', ss° �c APPROVED �� •�-= f: 1� Wit c 1T,Z ��d t FOR :1;:',1011 GI OOHS (() N PT , EXPIRES THREE YEARS FROM DATE OF APPROVAL �� +'4 .---(11)\* � Pr � • k ti � ti 1Os „ 4* ,At 'fes Z\�` F°Ci'r'' '1 SWio te, ` .\DQE NEWYO,p 0 y �xP�_,t. tee I 4 % c 3 p2' . ,,,,r,...., ,,,-4-1, It TY, (`'. : . L w „.. X11. NO. 49618 \\ ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION 'E CONIC S -''.''.'`'-- '5•e OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP (516 765 -AND COPIES THEREOF ONLY IF 1. P. 0. BOX 909I a 20,78320,783SAIR AIM OR COMES DEAR THE MIPRESSEO SEAL OF THE SURVEYOR WHOSE S16MiAWOE APPEARS HEREON. 1230 TRAVELER STREET SOU THOLD, N.Y. 11971 199'++ 2' �1 - y.