HomeMy WebLinkAboutTintle ,e, �oSUFFot,��o •
ELIZABETH A.NEVILLE ,� h0 G1 Town Hall, 53095 Main Road
TOWN CLERK d P.O. Box 1179
ti Z Southold New York 11971
REGISTRAR OF VITAL STATISTICS i '
MARRIAGE OFFICER L �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER `�y`'/Ql ��0.•• Telephone (631) 765-1800
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. 3075 R Residential x Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : LYNCH HOMES DEVELOPMENT CORP
Address 1: 321 COUNTY ROAD 39A
City St Zip SOUTHAMPTON NY 11968
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR ONE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-02-0092
Name Of Owner TINTLE, WILLIAM & CARRIE
Mailing Address 1 PO BOX 4130
City St Zip EAST HAMPTON NY 11937
Property Address 1 170 HOMESTEAD WAY
City St Zip GREENPORT NY 11944
Tax Map No. section 40.00 block 2 lot 17.000
Cross Street HOMESTEAD WAY
Building Permit Number Cross Reference:
Issue Date: 9/08/03 Elizabeth A. Neville
Southold Town clerk
(TOWN SEAL)
OF Fat it
ELIZABETH A.NEVILLE tli° y�; Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS V, Southold, New York 11971
- MARRIAGE OFFICER0• - Fax..(631).765-6145
RECORDS MANAGEMENT OFFICER �AfANN- 1 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER --741 * • 010 southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
'/Residential @ $10 or Non-Residential @$25 Application No. 20
tfflPermit No.
Applicant Name (�1 /h7'f e0/ )D . (,,t) r.
Applicant Mailing Address 3 Z/ U ie 3c A- L ,A /`C9(pj7
Septic Tank Cesspool
Brief Descrip ion ofProposed Con micction or Alteration�Jf O,d W elk(�1
_.2;, I L� fit a(- p"l r ;i I L'; -'_i ,� ,.,+.
Location of Proposed Construction/Alteration:
Owner of Property: 7 1/ /,,/ ' / r t
- Owner Mailing Address: Pc i 4'/3d
nJ r ff/fm/�7`O c� ,U Y //F,3 7
Owner Property Address: / 7o /9 o p c JT-[A,7) te)fifY
Name and phone number of contact person Siem C,+' lynch I hnie0133a35,3
Tax Map No: Section Q(V . Block Q• Lot 01
Cross Street ttfk.vf' .
NOTE: LOCATION MAP MUST BE SUBMl 'TED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH
TH DEPARTMENT APPROVAL
` • - 03
Signa + e of Applicant - P ate
Received by: c
.s .,� . -
I
'4`` 8.) Survey for:
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES i ,
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A . \_o�Q g�SD,,e) � 6 WILLIAM TINTLE �c
,\ w l is
SINGLE FAMILY RESIDENCE ONLY I, Yo \ l°�00 k.\N sxG a. CARRIE TINTLE
�',r (� c _ ��tSSP�� ,, o Lot 89, "Eastern Shores, Section 2"
�� DATE(I it. 2 ,`H REF O.l�� a. ). C'•� � �� 7 At
\'kt APPROVED , , '
.71 k 1 a$ Q Greenport
Op k. ,�oket� O 0 X31 • Q
\ SII / FOR MAXIMUM OF _ 13�DRC3MLA,0 ppb\-,D �5 E�- -�.-fl Town of
/ \ Southold
wl .
�� EXPIRES T REE YEARS FROM DATE OF A:�c's�+ 4'A! N n 0
tri ° �, Suffolk County, New York
f, 0 7 S.C.T.M.: 1000-040.00-02.00-017.000
M.1%..,...--i i--.L.Ck e 1.-,\,..r 1..4. c';'.N (( lz....r(rvc0 oe
.OZ • \ O 0 ,t 30 0 30
. Oss9 0 �"O� \'Qvo''''• (.°
SCALE:1'=30'
-X SII
ss� M \\\ ,_5`�" 01 .n NOTES:
\ (- \ �f�� / / \ n
1. AREA = 20,250 S.F.
\ N \���'\`..........?;.7..v.....
ss i^ �� osE° k.. °� 2. ■ = MONUMENT FOUND, • = PIPE FOUND.
O0
\ c7� \\_ ?�-.I- P�Nov`p,4,51 �� 3. SUBDIVISION MAP EASTERN SHORES, SECTION 2"
s. 9�% `F, Cr0 �;�� ' �� 6d ��BEo� � QRo 6��o PR° \s\C0 FILED�� COUNTY ON THE OFFICE
110,01965 AS F THE LFIRE NO. 4426K OF 0LK
L� '� n• Ii
a ,...1..., ° 4. ELEVATIONS SHOWN HEREON ARE REFERENCED
i \ __"50e i� aTO APPROXIMATE N.G.V. DATUM (MSL 1929).
\ II / ^ \\ i'/ \\ CJS
N \ \ / �/ \\ i'/ \\ 0
on \ y \��p,'f \ \\ SEPT 19, 2002 INDICATED WELL
°s4To°N \\ \ DATE: FEB, 25, 2002
-ali.. \ pg°P \ \\ ��N o JOB NO:2002-062
O / al 416 9
\ / \\ 2 E\-��9•
CERTIFIED TO:
c
0 \ \\\ L' /�'� \\ \ O 00' WILLIAM TINTLE & CARRIE TINTLE
o \ \\ ��' \\ \15
\ \y7 \\ \ / --- 19�
\ \ -- E\
'9,
TEST HOLE DATA Z \ O Z v of P
,oE Pv\
FROM FILED MAP �� IS
6.°
S C/1 ..----/ \\\
TEST HOLE #2 \ E\ ,.a p
EL=16.0 0.0 ^1:7 -- ( 4....) ' lk- )
. n � ....• `�, -��
VI
&LOAM \\ / �/ N��ii 044SOIL
asjNik 1 Ince \ DAVID H. FOX N.Y,S.L,S. #50234
3.0 \ rn--1 \ � � —�� FOX LAND SURVEYING
\ PO BOX 224
\i X60 �� SPEONK, N.Y. 11972
SAND & E\ Wok te) \ (631) 325-2902
GRAVEL CO WI"
b\`G
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY
°We\��n9 IS A VIOLATION OFSECTON 7209 OF THE NEW YORK STATE
• EDUCATION LAW COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL
G.W. 14.0 ' SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY
EL=2.0 \ •
\ CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE
PERSON FOR WHOW. THE SURVEY IS PREPARED AND ON HIS
:---- \ DTI`\ I BEHALF TO THE TITLE CCMPANY, GOVERNMENTAL AGENCY
1 AND LENDING INSTITUTION LISTED HEREON AND TO RIE
�f00 ASSIGNEES THE LENDING INSTIOCERTIFICATIONS
ARE NOT TRANSFERABLE TO AODIDITIONANAL INSTTJ T';JNS I
OR SUBSEQUENT OWNERS
Iv '
DWG: 2002-062