HomeMy WebLinkAboutER Yankee Homes ELIZABETH A.NEVILLE %4=, "0--ATown Hall, 53095 Main Road
TOWN CLERK CD - P.O. Box 1179
t �� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS . Fax(631) 765-6145
MARRIAGE OFFICER °� = �i/
RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800
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FREEDOM OF INFORMATION OFFICER ,���� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2772 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : E R YANKE HOMES INC
Address 1 : 75 WAMPUM WAY
City St Zip SOUTHOLD NY 11971
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 #R10-02-0055
Name Of Owner E R YANKE HOMES INC
Mailing Address 1 75 WAMPUM WAY
City St Zip SOUTHOLD NY 11971
Property Address 1 LIGHTHOUSE ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 54.00 block 3 lot 26.009
Cross Street OLD NORTH ROAD
Building Permit Number Cross Reference:
Issue Date: 3/21/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
- ofFo = a 772,
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ELIZABETH A.NEVILLE tt 4� , y�; Town Hall, 53095 Main Road
TOWN CLERK % 1 % P.O. Box 1179
o , $ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ® Fax (631) 765-6145
MARRIAGE OFFICER `� ew l��1�,
RECORDS MANAGEMENT OFFICER �__�®� gNE ��®/ii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �������,,i" southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
f/U;'
TO: Southold Town Building Department ' ; ' AR 3 ®
FROM: Linda J. Cooper, Southold Town Clerk's Office !TDCi'c,---- '--�
TOWN Ic c
- r"OLD
DATED: March 12, 2002 - ,.•
Transmitted herewith is a copy of application No. 2870 for a Cesspool/Septic Tank Construction
Permit submitted by:
E.R. Yanke 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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
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7 i 4.,,.,,a..1" 4
Signature
9140,te t-C; 2-e02_
Dated
OFFICE OF THE TOWN CLERK I ,
oRlo O[�
TOWN OF SOUTHOLD �►®G Application No.7 X7SOUTHOLD �'"
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 ;°� ` Construction
SOUTHOLD,NEW YORK 11971 v r41Alteration
®�� , $10.00 - Residential
Telephone � 1%
(516) 765-1801 _ • $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee •$
DATE 5/J;2/002.•..
APPLICANT NAME: DE / \i9//A' "le /,/C
APPLICANT ADDRESS: 7,5- GAM/4p1//`J Lc.)/9 > SO 07-A 49 1V,///r 77
' SEPTIC )c„ CESSPOOL �(
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
.5-47377c- S YST171 F0/Z 'JI 'd f-7/0 05 •
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: /. �j�/ M /rji&/'/.s /A/c
OWNER MAILING ADDRESS: 7,5— Gr..9/9/'9pVM 1d 5007#8.kO
OWNER PROPERTY ADDRESS: 40- ,/1�f7/ /TO,(��� lam• CD
,t..i 6- /7 o ,,sa xi? (i7j / �!y
TELEPHONE NUMBER OF CONTACT PERSON: 6-3/- p -///p2-
TAX MAP NO. : Section ,51 Block 0s Lot 2..6, 9'
CROSS STREET : $'? ,• /
� �it Al-17 ,/ i?-T1/ / O
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
Signatur f Applicant
LLhAA-e--
RECEIVED BY : M J
Town Clerk's Office
DATE:
i.►" !1' !�
Q s
c ANY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLATION
f / OF SECTION 7209 OF THE NEW YORK STATE EVOCATION LAW
- Zc+ EXCEPT AS PER SECTION 7209 - SUBDIVISION 2. ALL CERTIFICATIONS
o TYE `3f T ' HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF
SUFFOLK COUNTY�3EPA �Nab1�T � HEALTH e�V1��5 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
PERPv11T FOR APPROVALOF CONSTRUCTION Fork A t !L WHOSE SIGNATURE APPEARS HEREON.
1N LT F'N� LY RE RESIDENCE ONLY f, .\ ` ADDITIONALLY TO COMPLY WITH SAID LAW TERM ' ALTERED BY '
MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY
c%i, cp Syr OF ANOTHER SURVEYOR'S MA TERMS SUCH ' INSPECTED ' AND
BROUGHT - TO DATE " ARE NOT IN COMPLIANCE WITH THE LAW.
D AT r;:3.61',•:. ).710._ .---- _,i1--o. -___01).E..s- . ..--,,
��'' 4� / am familiar with the STANDARDS FOR APPROVAL
Ai' b? jJs�:? - �0• G F Y AND CONSTRUCTION OF SUBSURFACE SEWAGE
FOn iv3A��trduFt t� _ ,bEF�ROC1�A�s
•
<� DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
�yQ� 4 �� 2c and will abide by /he conditions set forth therein and on the
EXPIRES THREE YEARS FROM DATE OF APPROVAL ,, permit to construct.
PLEASE NOTE ;� -moo "� 9� WAMPUM\ •
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• Minimum distance be _ ''-n we / voa ���,�
The locations of wells and cesspools and cesspool is to • 150 f t. ° �
shown hereon 'are from field observations '
and or from data obtained from others. �ptAi egti z•-•4P . SURVEY OF .PROPERTY
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X A T oiUTHOLD
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TOWN OF SOUTHOLD
�c 4 �� SUFFOLK COUNTY, NY.
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O o 5• ' ‘41 LOT NUMBERS ARE REFERENCED TO 'MINOR // `���� A � o
o_ SUED VISION FOR LIGHTHOUSE ROAD 26, LIMITED ! /�'� -" Y.S l NO. 49618
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0 LIABILITY COMPANY,FILED IN THE OFFICE OF THE - a ,„'r.i - '� , ' '
�, SUFFOLK COUNTY CLERK AS MAP NO. 10656 {,
y I) 765 - 1797
I63/J 765 iii'-'1) •
Q\\ - P. 0. BOX 90'
1230 TRAVELER STREET h
EVATIONS ARE REFERENCED TO .4N ASSUMED DA Mitt • AREA = Z�JB acres SOUTHOLD, N.Y. 11971
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