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HomeMy WebLinkAboutCarlson (2) SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4365-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner LYNNE CARLSON ------------------------------ Mailing Address 1 18 SOUND ROAD ------------------------------ Mailing Address 2 ------------------------------ City St Zip GREENPORT NY 11944-0000 -------------------- -- ---------- Property Address 1 SAME AS ABOVE ------------------------------ Property Address 2 ------------------------------ City St Zip 00000-0000 Owner Telephone No. 631-477-4220 ------------ Tax Map No. section 35.00 block 1 lot 17.000 ------ --- ------ Cross Street ROUTE 48/ROUTE 25 ------------------------------ ---------------------------------- Issue Date: 12/06/07 Elizabeth A. Neville ------ Southold Town Clerk (TOWN SEAL) �OSUFFot�-c ELIZABETH A. NEVILLE �� Town Hall, 53095 Main Road TOWN CLERK � = P.O. Box 1179 REGISTRAR OF VITAL STATISTICS O Southold, New York 11971 MARRIAGE OFFICER '1ijf o!`� Fax (631) 765-61.45 RECORDS MANAGEMENT OFFICER o! `�►� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF TIIE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 /or Non-Residential @$25 Application No. I�� Permit No. 3�J Owner Name ��++ Owner Mailing Addr ss IS �7et1,uDA� Owner Property AddressQ-yy.D Owner Telephone No. Tax Map No: Section Block 11Lot Cross Street L' of Please check each that applies: New Construction / Alteration to Exists ystem 6&C*"_._k Residential V Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distance in feet from system to building and closest road. New construction may submit copy of survey with SCHD approval.) ills d&&.g%4jE rt­e �b 7 Si *ae f Applicant Date Received by: 1 a'I(O a COASTLINE CESSPOOL & DRAIN SERVICE 4225 Bridge Lane Cutchogue,L.I.,N.Y. 11935 631-734-6585 SCCA Lic. #168-LW NYS DEC#1A-600 200Z Re: 720e4/e Upon inspection of the septic system at the above-captioned address, the following was found: • ( x Gallon Septic Tank NEVI • x I ZZ Leaching pools N E W • Piping and tee condition: tsi Fw • Current system capacity: >` • Condition of system: If you need additional information or have any questions, please feel free to contact me. Thank you, 2 of O O William W. Park President 38, 34 :tlp O T � � �yor� LOT 22 `h LOT 24 N/F NSF ZORN JEM REALTY CO. _ FND S27'4_7'30"E _ - - 70.00' 007 10.1FRAME (r I SHED a I r 16.0' �. ` 10.2' _\ . 00 WLO 7 r s g ,8 LOT 16 CD 00 NSF NSF N M HEINS SINCLAIR N V- W 13.0' 10.2' WOOD o DECK 20.0' 4- 1-1/2 1-1/2 STORYA OFRAME HOUSE f 33.0' 10.2' ASPH o Owv 00 I GO 0i ci 70.0_0' 313.21' rN27*31'20"W ®p ASPH SOUK® ROAD 11 CERTIFIED TO: I LYNNE CARLSON INDYMAC MORTGAGE HOLDINGS INC. FIDELITY NATIONAL TITLE INSURANCE COMPANY No. FNT9922969 field aan: P,Q*t Na: LCT AREA - F►1H p`5C s9-03 LYNNE CARLSON I — Dra.nBr. Ora•' Nana, !I in n7R+ q PP'I-T fMH CARLSpN.DWG ELIZABETH A.NEVILLE OrjF sUuryOl Q Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER �� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER COUNTI,� 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. 3591 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : LYNNE CARLSON Address 1: 18 SOUND ROAD City St Zip GREENPORT NY 11944 Descripton of Proposed Construction or Alteration -REPLACE EXISTING BLOCK POOL TO PRECAST (1000 GLS SEPTIC & 8 X 12 OVERFLOW POOL) -MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES Name Of Owner LYNNE CARLSON ------------------------------ Mailing Address 1 18 SOUND ROAD ------------------------------ ------------------------------ City St Zip GREENPORT NY 11944 -------------------- -- ---------- Property Address 1 340 SOUND ROAD ------------------------------ ------------------------------ City St Zip GREENPORT NY 11944 -------------------- -- ---------- Tax Map No. section 35.00 block 1 lot 1.700 ------ --- ------ Cross Street ROUTE 48/ROUTE 25 ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 10/26/07 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL)