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Home My WebLink AboutGreenbriar Homes Inc (5)ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER o��S�FFO(,�coG N x Oy�• O�� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-6145 Telephone (516) 765-1800 SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2088 R Residential X Non -Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : GREENBRIAR HOMES INC Address 1: 59 HAWXHURST ROAD City St Zip COLD SPRING HARBOR NY 11724 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 #1110-99-0094 Name Of Owner GREENBRIAR HOMES INC ------------- ---------------- Mailing Address 1 59 HAWXHURST ROAD ------------------------------ ----------------------- ------ City St Zip COLD SPRING HARBOR NY 11724 -------------------- -- ---------- Property Address 1 HARVEST LANE ------------------------------ ------------------------------ City St Zip MATTITUCK NY 11952 -------------------- ------------ Tax Map No. section 120.00 block 3 lot 8.001 Cross Street ALDRICH LANE ------------------------------ Building Permit Number Cross Reference: Issue Date: 6/18/99 ---------------------------------- Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) O��SUF FO(,��oG ELIZABETH A. NEVILLE TOWN CLERK o COD x REGISTRAR, OF VITAL STATISTICS � n1 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER ti�iJol ��0� 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 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-6145 Telephone (516) 765-1800 DATED . May 26, 1999 ,� ao� Transmitted herewith is a copy of application No. 2176 for a Cesspool/ Septic Tank Construction Permit submitted by: Greenbriar Homes Inc 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: Signatide Dated I OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ELIZABETH A. NEVILLE, TOWN CLERK P.O. BOX 1179 sOUTHOLD, NEW YORK 11971 Telephone (516) 765-1801 Permit No. Fee $ TOWN OF SOUTHOLD Application No. C� / 69 Construction Alteration $10.00 -Residential $25.00 -Non-Residential SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL DATE �r APPLICANT NAME:. APPLICANT ADDRESS: --5-19 192VAs Gfl�� sP�i�✓�' f�f��.�a2 icy /��-� SEPTIC /CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ��Si/�yC�o�% DF �S•Sf'f�� 5,�,yTiG GDS /V�GrJ Oi✓� �f�in.c.5�/-a!�/�l�i�✓G LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: i40(awv; OWNER MAILING ADDRESS: OWNER PROPERTY ADDRESS: /r%/s �/�,'!�'T L,.4-n✓✓sG ri29�/�� TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO.: Section _ /,20 Block 2 Lot Y, l CROSS STREET: !��.%/L'l� �i✓� BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Applicant RECEIVED BY: Town Clerk's Office DATE: , 16 JOB No. FRMV-8 TAX I.D. No. 1000_] a 'f F' 1-r y 1 i t"I" 1 Q Ail 9= 16 LOT 21 VACANT a �.�a��,TF RES , I0 WELL REAR YARD N 70019'30" E 125.00' M It PROPOSED WELL z o 0 O 110 :� I 1vV LOT 7 .� J LO OC RES.." W% REI I AR lu D 11 0 r r� .e;' d 71 y C7 r S T- S `li Q M zTIE 295.00 r A 97'4 TAX I.D. No. 1000_] a 'f F' 1-r y 1 i t"I" 1 Q Ail 9= 16 LOT 21 VACANT a �.�a��,TF RES , I0 WELL REAR YARD N 70019'30" E 125.00' M It PROPOSED WELL z o 0 O 110 :� I 1vV 27' SEPTIC LP FF 100.5 GAR 99.0 58' 40' PROPOSED INGLE FAMILY 0 60' 1 S 70019'30" W 125.000' 0 0 M 1 98.2 R=25.00 L=36.67 97.6 HARVEST LANE [ 50'1 98.o u LOT 9 OCC RES WELL REAR YARD ELEVATION IN ASSUMED DATUM LOT 45 LOT 44 FILE MAP No. 8808 9/1/89 Unauthorized alteration or addition to this document is a violation of Section 7209 of the New York State Education Law. 0 F : LOT OT O 8 Certifications indicated hereon shall run only to the person for whom it is prepared SURVEY and on his behalf to the Title Company, Governmental Agency and Lending Institution uent wnerson,andtotheassigneesofthelendinginstitutionsor MAP OF FARMVEU ASSOCIATES subsequent owners. Copies of this document not bearing the professional's inked seal or embossed seal shall The or be shownheeonfr MATTITUCK TOWN OF SOUTHOLD The offsets [ or dimensions ]shown hereon from structures to the property lines are , for a specific purpose and use and therefore are not intended to guide the erection of SUFFOLK COUNTY, NEW YO R K fences, retaining walls, pools, planting areas, addition to buildings or any other construction The existence of right of ways and/or easements of record, if any, not shown are SURVEY DATE: 4/28/99 SCALE: " 50' not guaranteed — CERTIFIED ONLY TO: )II NEI, y� GREENBRIAR HOME¢ DESTIN G.GRAF L-1 77' LAND SURVEYOR By DESTIN G. GRAF N.Y.S. LIC No. 50067 At 73 Woodlawn Road 1, Rocky Point, N.Y. 11778 /.cam 516-821-3442 LOT 7 OCC RES WELL REAR YARD D r C7 r zTIE 295.00 r A 97'4 27' SEPTIC LP FF 100.5 GAR 99.0 58' 40' PROPOSED INGLE FAMILY 0 60' 1 S 70019'30" W 125.000' 0 0 M 1 98.2 R=25.00 L=36.67 97.6 HARVEST LANE [ 50'1 98.o u LOT 9 OCC RES WELL REAR YARD ELEVATION IN ASSUMED DATUM LOT 45 LOT 44 FILE MAP No. 8808 9/1/89 Unauthorized alteration or addition to this document is a violation of Section 7209 of the New York State Education Law. 0 F : LOT OT O 8 Certifications indicated hereon shall run only to the person for whom it is prepared SURVEY and on his behalf to the Title Company, Governmental Agency and Lending Institution uent wnerson,andtotheassigneesofthelendinginstitutionsor MAP OF FARMVEU ASSOCIATES subsequent owners. Copies of this document not bearing the professional's inked seal or embossed seal shall The or be shownheeonfr MATTITUCK TOWN OF SOUTHOLD The offsets [ or dimensions ]shown hereon from structures to the property lines are , for a specific purpose and use and therefore are not intended to guide the erection of SUFFOLK COUNTY, NEW YO R K fences, retaining walls, pools, planting areas, addition to buildings or any other construction The existence of right of ways and/or easements of record, if any, not shown are SURVEY DATE: 4/28/99 SCALE: " 50' not guaranteed — CERTIFIED ONLY TO: )II NEI, y� GREENBRIAR HOME¢ DESTIN G.GRAF L-1 77' LAND SURVEYOR By DESTIN G. GRAF N.Y.S. LIC No. 50067 At 73 Woodlawn Road 1, Rocky Point, N.Y. 11778 /.cam 516-821-3442