HomeMy WebLinkAboutInland Homes Inc (9) ti
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ELIZABETH A.NEVjILLE .Z.� Gy �� Town Hall, 53095 Main Road
TOWN CLERK c Y P.O. Box 1179
N x Nq Southold, New York 11971
REGISTRAR OF VITAL STATISTICSPri vc5 'y Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER #\. r Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER 4 14f 4
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2008 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : INLAND HOMES INC
Address 1 : PO BOX 117
City St Zip MATTITUCK NY 11952
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 #R10-98-0181
Name Of Owner INLAND HOMES INC
Mailing Address 1 PO BOX 117
City St Zip MATTITUCK NY 11952
Property Address 1 SOUNDVIEW AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 50.00 block 4 lot 9.000
Cross Street LIGHTHOUSE ROAD
Building Permit Number Cross Reference:
Issue Date: 2/18/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
02007
••<,OFFOL,j'
ELIZABETH A.NEVILLE .��� �l/y�' Town Hall, 53095 Main Road
TOWN CLERK �� = 1 P.O. Box 1179
t u Z ‘ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS 4 . �'� Fax (516) 765-1823
`
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER '1,, 44,1
0- 0Telephone (516) 765-1800
FRE I•11 • ► 0 : u : • OFFigER Qi * *a-fie
r, so
-}' ; ;1 OFFICE OF THE TOWN CLERK
JAN�6 _�� TOWN OF SOUTHOLD
P.I.r r;` '_ T
1
TOr,`.rtt of . ' jfho 1 T n Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 26, 1999
Transmitted herewith is a copy of application No. 2077 for a Cesspool/
Septic Tank Construction Permit submitted by:
Inland 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:re
APPROVE
DISAPPROVE
Comments:
ignatu4r2A__ ,
(. ...t ‘ .Eg
Dated
1
OFFICE OF THE TOWN CLERK c.0F�(,� ''•
Town of Southold � (4.1 Application No. (G77
Judith T . Terry, Town Clerk
Town Hall , 53095 Main Road $10.00 - Residential
P. O. Box 1179 ui $25.00 - Non -Residential
Southold, New York 11971 OLO �O�'•�`
Telephone 1
(516) 765- 1801 n
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CoNsr/?(oG 7-1 /C.)
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATE 1/25/99
OWNER NAME : #Inland Homes Inc .
OWNER MAILING ADDRESS:PO _Box 112,Mattituck3N.Y.3_11952
OWNER PROPERTY ADDRESS : Sound view ave. ,Southold
OWNER TELEPHONE NUMBER : 298-9696 -------_ �— -------,----
TAX MAP NO. : Section 50 Block 04 Lot 09
CROSS STREET :of
ofLighthouse rd. and Sound veiw ave.
TYPE OF SYSTEM : Septic Tank IL New aExisting
Cesspool ## New i# Existing
Residential ## Non-Residential
I S A/ 6<) s L s r e yri
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to building and closest road. )
Oa
AIL
'S gnature -21-1':^pplicant — –
RECEIVED BY :
T wn Clerk's Office
DATE : JG
-vow —mime
, SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES i
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION ea,l4/45i.,,� PE ,,• };•) .APPROVAL OFCORs"Ii+UCTIONFOR A i
OF SECTION 7209 OF THE AEW YORK STATE EDUCATION LAaI FAMILY RESIDEN ONLY
EXCEPT AS PER SECTION 7209-SUBDIVISION 2.ALL CE'RTFICA S 'lite a
HEREON ARE VALV FOR THE MAP AAD COPES THEREOF OILY F Syl/_Js`�M of �` �/
SAM)MAP OR COPES BEAR THE IMPRESSED SEAL OF TIE SURVEYOR 8 �y a . ` w• N' ,A[w LI•. O'O
II/HOSE SIGNATURE APPEARS HEREON. 66/ dO.,�►".9 y l� h/�I' Hs;
ADDITIONALLY To COMPLY KITH SAID LAW TIE TERM ALTERED B r' '44I �° A�L i
no l� AP?1ttr�iT.' __..
MUST BE USED BY ANY AND ALL SURVEYORS U77U2ING A COPY 4,9434Y0 �Q
OF ANOTHER SURVEYORS MAP TERMS SUCH AS 9VSPECTEO'AND �� ns FOR MAXIMUM OF_*t s 1 s MS
BROUGHT-To-DATE'ARE NOT IN COMPLIANCE WITH THE LAW.
/
EXPIRES THREE YEARS FROM DA"" ' APPRO
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sandy/Pam • , e • 0 /
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Brown loamy
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and
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sand SP
40' _
EXCAVATION INSPECTION REQUIRED
FOR SANITARY SYSTEM
BY HEALTH DEPARTMENT
ELEVATIONS ARE REFERENCED
TO AN ASS(AED DATUM.
SURVEY OF PROPERTY
I am familiar with the STANDARDS FOR APPROVAL AT SOUTHOLD
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL abide thFOR conditions SINGLE
et forth *wain and on RESIDENCESIke
TOWN OF SOUTHOLD
permit le construct. SUFFOLK COUNTY, N Y.
1000 - 50 - 04 - 09
SCALE: 1" = 30'
NOV. 11, 1998
The locations of wells and cesspools • A.tOV 11,shown hereon are from field observations c-i� �N..n. �"
and or from dole obtained from others. 57 X40
161/
44 a • . S. LIC. N0. 496/8
P-"" . I
? ,�; P.C.
1✓l• • w _
. P. O. -•
1230 STREET
AREA = 18,589 sq. ft. SOUTHOLD, N.Y. 11971
.
98 - 345