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HomeMy WebLinkAboutLandmark Prop of Suffolk SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4487-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner LANCHARK PROP OF SUFFOLK, LTD. ------------- ---------------- mailing Address 1 475 ROUTE 25A ------------------------------ Mailing Address 2 ------------------------------ _ City St zip ROCKY POI T NY 11778-0000 -------------------- -- ---------- Property Address 1 590 LAUREL COURT ------------------------------ Property Address 2 ------------------------------ City St zip LAUREL NY 11948-0000 -------------------- -- ---------- Owner Telephone No. 631-744-5900 Tax Map No. section 126.00 block 13 lot 5.000 Cross Street LAUREL TRAIL ------------------------------ ------------------ --------------- Issue --------------------------------------------------------------- Issue Date: 10/19/15 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) i M CCG ELIZABETH A.NEVILLE a r y`p Town Hall, 53095 Main Road w TOWN CLERK H g P.O. Box 1179 u.- F REGISTRAR OF VITAL STATISTICS O Southold, New York 11971 MARRIAGE OFFICER '1ijJO app Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net { OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT i APPLICATION I{j OPERATION PERMIT i I CESSPOOL or SEPTIC TANK Residential @ $10 v or Non-Residential @ $25 Application No. Permit No. ' ` - p 3$9�s Owner Name L a Q ©T k 4�4 Owner Mailing Address 475 R 0,L�+ PD-1 n+ io _q 1 (--7'-)Y Owner Property Address -5 a- rd d r_�. Owner Telephone No. [Il�'� 7 7 `7 _ ,5_90 0 X f a Tax Map No: 10o0 Section /01 �p Block Lot 1 Cross Street Lj Please check each that applies: New Construction Alteration to Exis 'ng System Residential Non-Residential NOTE:=' eOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate i building and system; give north arrow and approximate distance in feet from system to building and closest road. New construction may submit copy su ey with SCHD approval.) Si ature of Applicant Date Received by: I LAUREL TRAIL o .100 C, \ � �3ir• — ,�41 W � . 100 00. 19 AVR COURT ,00p3 PUnV>Y ? > 98 .82 C 99 / c C 99.84' LOAM o FDG. 99 0; TH#2 4� R� 75. O' _ 7� + 3 r I. � + p. O2 + 1 ti3 \ 1e S + m 00 Dir � SAND o TC 10 05+, GRAVEL 00 O a! B. CURB ao \ oUl e O o m j0a 4"LP. BRICK _ \ a �• + W 3 on � Q�vTC p3. `V Q 1 ti 51 6, o v= 01 1 W S.T. 32 G 15.91:) 9.5' \ r 'o cV o O 47 BRI O 0 11.6; R.p� N GARAGE N TEST HOLE #2 2S,4• ory� 0 00 co 12.6' AS SHOWN ON MAP by C6 8.1 c� OF LAUREL LINKS A. 9.3 `t FILED NOV. 23, 2001 2 STORY FRAME Tc 103.38 B.B. CURB FILE No. 10712 �' DWELLING TC 103.08 zg 00 F.F. EL. 105.1 WOOD BSMT. N G.F. EL 103.1 11.5' STEPS 04 EGRESS N A.C. O 38.5' 3.6+- �(V orev — m BSMT. e Q ° WOOD cD °' �,St EGRESS, roti' 2N otiti+ R STEPS R . x 1 STORY 8' DIA. \ co 12 KFT. DRYWELL 0 0„ o�N o +,°ti LOT No. 17 \ - " 29,484 S.F. + 44N 5E x ?RAIL \ + CERTIFIED TO: 10' ►MDE GOLF -- TRA1L .00 _ LANDMARK PROPERTIES OF SUFFOLK, ,LTD CHICAGO TITLE INSURANCE SERVICES, LLC — — L-Z� 943 F NEW y P\ �N H.eF '9.f- ����� 10•X10 � cc_ � GOLF COURSE `OPEN SPACE ``���bac THE EXISTENCE OF R/ OF ) AND/OR EASEMENTS 0 A OR ANY, NOT SHOWN ARE 0 GUARANTEED. 'p ,�, A o. 0498 UNAUTHOR/ZED ALTERA770N TO THIS SURVEY IS A VIOLA77ON OF SEC71ON 7209 OF 77-IE NEW YORK STA 72= EDUCA77ON LAW. COPIES OF 7HIS SURVEY MAP NOT BEAR/NG �) pO�4� 7HE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID 7RUE COPY. GUARAN7FES INDICA71=D HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM 7HE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE 777LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INS777U77ON LIS7ED HEREON, AND TO THE ASSIGNEES OF THE LENDING IN177- 7UT70N, GUARANTEES ARE NOT 7RANSFERABLE. SURVEY OF: LOT No. 17 MAP OF LAUREL LINKS KENNETH H. BECKMAN, L.S. nLED NOV. 23, 2001- AS 10712 SITUATED IN: MATT/TUCK Surveying and Land Planning 1814 Middle Country Road TOWN OF: SOUTHOLD Suite D Ridge, N.Y. 11961 SUFFOLK COUNTY, NEW YORK (631) 345-9427 FAX (631) 345-9429 DATE: 11/9/2012 JOB NO. 812-14640 SCALE: 1" — 30' DIST. SEC. BLK. LOT UPDATE SURVEY 10/9/2015 S.C.T.M. NO. 1000 126 13 5 FINAL SURVEY 9/15/2015 B15-16980 FOUNDATION LOCATION 7/10/2014 B14-16064 REV. DWELLING 3/31/2014 B14-15818 • o�oSUFFoc�oo ELIZABETH A.NEVILLE,MMC �y� l/� Town Hall,53095 Main Road TOWN CLERK o P.O.Box 1179 CA § Southold,New York 11971 REGISTRAR OF VITAL STATISTICS O Fax(631)765-6145 MARRIAGE OFFICER `► � Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 9, 2014 Landmark Properties 475 Route 25A Rocky Point,NY 11778 RE: 1000-126.-13-5 Dear Sir/Madam: Enclosed herewith is the Construction, Alteration or Modification Permit for a Septic Tank/Cesspool System for which you applied. AFTER the system is installed but prior to being used, an OPERATION PERMIT IS REQUIRED. The operation Permit is issued by the Southold Town Clerk's Office. The fee is Ten Dollars ($10.00) for a residential system and twenty-five dollars ($25.00) for a non- residential system. Your check should be made payable to the "Southold Town Clerk". An application form is enclosed. Please 'complete the requested information and return the application, proper fee, and LOCATION MAP (map must indicate the location of the cesspool(s)/septic tank(s), giving approximate distances in feet from any buildings to the pools and distances between the pools. Should you have any questions concerning this matter, please do not hesitate to contact this office. V truly ywrs, Carol Hy ell Account Clerk Enclosures o��gUFFO(�-�O ELIZABETH A.NEVILLE,MMC h� G.j, Town Hall,53095 Main Road TOWN CLERK c P.O.Box 1179 COD 2 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 5 ® Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ��l `Q►a www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SQJ RID VASTBMTER Cl SPOCAL PERM T CCNSTR JCTI CN CR ALTERATI CN PERM T SEPTI C TAW or CESSPCCL Per mi t W. 4239 R Resi dent i al X Wn-Rbsi dent i al Fee $ 10. 00 Sept i c X Cesspool PERM T I SSLED TO Narre : LANCMW PRCPERrl ES Address 1: 475 ROUTE 25A O t y St Z p ROCKY PCI NT NY 11778 Descr i pt on of Pr oposed Const r uct i on or AJ t er at i on SAN TAR,Y SYSTEM FCR SI NME FAM LY DVE-1-1 M APPRC)JED AS SIBM TTED AND AS APPRO JED BY THE SLFFCLK OCIJNTY DEPARTMENT CF HEALTH SEW CES. FI WL APPROVAL RECD RED FROM THE SLFFCLK OC1Wl Y HEALTH DEPARTMENT. FEF #R10-14-0032 Narre Cf Omer LANA PRCPERTI ES -- --------------------------- Nbi I i ng Addr ess 1 475 ROUTE 25A ------------------------------ ---------------------------- - O ----------------------------------------------------------- O t y St Zip ROCKY PCI NT NY 11778 -------------------- -- ---------- Pr oper t y Address 1 590 LALREL OCURT ------------------------------ ------------------------------ CI t y St Zi p MATTI TUCK NY 11952 -------------------- -- ---------- Tax Ntp W. sect i on 126. 00 block 13 1 of 5. 000 ------ --- ------ Cr oss St r eet LAUREL- TPA L ------------------------------- Bui I di ng Per rri t Number Or oss Ref er ence: h 91 ----- ---------- ------------------------- I -- --------- I ssue Dat e: 6/ 10/ 14 8 i zabet h A Nevi I I e -------- Sout hol d Town d erk