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ELIZABETH A.NEVILLE ��'Z` y�,`�� Town Hall, 53095 Main Road
TOWN CLERK p .'� P.O. Box 1179
ti Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS 1.1.•
r•
MARRIAGE OFFICER
*. 1 Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER `‘y�Jo �0�/1�� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER = 4i , .d
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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. 2101 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PHD CORPORATION
Address 1 : 1 GATEWAY DRIVE
City St Zip WADING RIVER NY 11792
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 #R10-95-0143
Name Of Owner SOO, PETER & VIVIEN
Mailing Address 1 7 OLD FIELD ROAD
City St Zip SETAUKET NY 11733
Property Address 1 265 CEDAR POINT DRIVE EAST
City St Zip SOUTHOLD NY 11971
Tax Map No. section 90.00 block 3 lot 9.000
Cross Street BEACH ROAD
Building Permit Number Cross Reference:
Issue Date: 7/01/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
al I
ELIZABETH A.NE 7 2 = yam►`.` Town Hall, 53095 Main Road
TOWN CLERK i o !� P.O. Box 1179
REGISTRAR OF VITAL ST4TISTICS BLDG.DE.VIN ',� Southold, New York 11971
MARRIAGE OFFICE& TOWN OF S S. ���a+' Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER L� o ha' iI Telephone (516) 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: June 22, 1999
Transmitted herewith is a copy of application No. 2189 for a Cesspool/
Septic Tank Construction Permit submitted by:
PHD Homes Corp for Peter & Vivien Soo •
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:
gnature
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OFFICE OF THE TOWN CLERK ,' ��FFOCk�► - _
TOWN OF SOUTHOLD
►" QG . Application No.(91.?
ELIZABETH A.NEV ,TOWN CLERK is
O
P.O.BOX 1179 Construction 1../
SOUTHOLD,NEW YORK 11971 o rn
Alteration
Telephone ,� �Q�'*/ • $10.00 -Residential
(516) 765-1801 '. 41 1 �,.'' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
RErrilllrn
APPLICATION• JUN 2 2 1999
for I own Clerk Soutnoid
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE 1.uor 21, (gg j
APPLICANT NAME: PAD 4041)e-S CoRPoRA-TIDO
APPLICANT ADDRESS: I Gf4- 1 -) L IUB
tc.)/41)10G RU , tUy Wig 2_
SEPTIC ✓ CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION RtSID��JT11'-.
tw-sj TIr WASTE &IsiEY1 FOR 3-ga/POO Y1 RIM Ly TREE U 'O
Pe Svffoi.‹. cry. DEPT. o1= Hi✓ LTH Ref. NO. 2ID-95-oi43
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: P rE'R £ vi VIE N S O 0
OWNER MAILING ADDRESS: 7 OLD F,EL_D RD, S E T AUKETI N`>'
II133
OWNER PROPERTY ADDRESS: 265' C FDRl14 POINT DRIVE £/957
, ovTfto�-Dz /VY /1790
TELEPHONE NUMBER OF CONTACT PERSON: 5-/e7 9Z9- 3-688
TAX MAP NO. : Section /0 Block O 3 Lot 0 9
CROSS STREET: 8E1644 ROAD (C 'DA 12 6E4164 Pont))
BUILDING PERMIT NUMBER CROSS REFERENCE:
'_- -
INF igna re o App cant
RECEIVED B A ' ""i�
o n Clerk's Office •
DATE: `-ar -A,CL�'
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24 ..6 : CAV 0,TION II\,.�PECTION REQUIRED
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d ` 4%%%� / :Y HEA H DEPARTMENT ;'
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SURVEY OF �°
LOT 65 ��'� 1....... ,,,› . • . x • ,)t aw�aRv�cs
• , aimarm.oreammitaiowirmA ,:
MAP OF .
CEDAR BEACH PARK . jO91997 ,'id-- aN3
FILE No. 90 FILED DECEMBER 20, 192716w O dtb• if Jr: + E
SITUATED AT Approved in accordance wiih eofd of Revir • A 61011 ' ' 01, 1111111100011. 1
BAYVIEW .�,. :�,,,,�I,•:>;�,, r:,� }, /...-2-121.1_5'6,._______ !!!>»>0i1l1+Ai>f100wDA1R0IAl1>R0VI1I. :f
TOWN OF SOUTHOLD •
• 4 PREPARED IN AOCORDANCE WITH THE MINIMUM
SUFFOLK COUNTY, NEW YORK ?Er„>i �: ,�«� ADOPTED
S.C. TAX No. 1000-90-03-09 JAN 12 1999 '"°SUCH USE "THE" YORK SATE LAND
SCALE 1 "=20' 1
NOVEMBER 3, 1998 CERTIFIED TO: /
NOV. 19, 1998 REVISED PROPOSED HOUSE LOCATION PETER S00
DEC. 18, 1998 ADDED PUBLIC WATER VIVIEN SO0 c.,*' "e.LAN'`'G
AREA = 14.745.94 sq. ft. sus r-c;it' '0� a�,,�T3 T^icr!oi.� c.:.r ll j X4.
40 4-PHa1 _ay4,At to -
ao TUE LINE) 0.338 ac. • ez.
S.C.D.H.S. REFERENCE No. R10-95-143 .........i........... :-'� ' 'a N.Y.S. Lic. No. 49668
UNAUTHORIZED ALTERATION
O 4966'• pQ�
LEGEND �c 7209 THtS oF�nAiE VIOLATION
YORK TATE �-E .0
EDUCATION Jos of- A. Ingegno
ES N` 'U SURVEY MOP
SNOTO OR Land Surveyor
W4PROPOSED EXPANSION POOL THE LAND SURVEYOR'S INKED SOL OR
•.•••. EMBOSSED SEK SHAD. NOT BE CONSIDERED
TO BE A VMJD TRUE COM.
ONS INDICATED HEREON SMALL RUN
PROPOSED LEACHING POOL waC°cIS PVI1�TO THE PE WHOM SURVEY
DILE OO AMP No am NM WOLF AGENCY AND THE Title Surveys — Subdivisions — Site Plans — Construction Layout
UNOING admit ION Imo teem, Aral'
r�� PROPOSED SEPTIC TANK INSTI-
TUTION. A>! ► +DCERTIFICATIONS APE NOT� PHONE (516)727-2090 Fox (516)722-5093
THE EXISTENCE Of RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS
AND/OR EASEMENTS OF RECORD, IF One Union Square P.O. Box 1931
ANY, NOT SHOWN ARE NOT GUARANTEED. Aqueboque, New York 11931 Riverhead, New York 11901
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