HomeMy WebLinkAboutMartz, Theodore C ELIZABETH A. NEVILLE · TOWN CLERK
REGISTHAE OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
EREF~DOM OF INrORMA~{O~ O~l~R
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
JA~] ~ 7 ~ ~ ~ ~OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
" S~ou~i~uildi'
TO.'""- ......... g Departme
n nt
FROM:
Linda J. Cooper, Southold Town Clerk's Office
DATED: January 27, 2005
Transmitted herewith is a copy of application No. 3430 for a Cesspool/Septic Tank Construction
Permit submitted by:
Theodore C. Martz, Jr.
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 thc 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
Signature
ELIZABETH A. NEVILLE
TOWN CLEHK
REGISTHAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (6~1) 76b-6145
Telephone (631) 765-1800
southo]dtown.nort hfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10
Applicant Name
XX or Non-Residential ~ $25__
Application No. 3q30
Permit No.
Applicant Mailing Address
145 _R~.~,, ~
M~llo~ ~ 12.949
Septic Tank or Cesspool XX
Brief'Description of Proposed Construction or ·Alteration_
Location of Proposed Construction/Alteration: 480 Ru~.h R:ad, Matt±tuck,
Owner of Property: l:ar~tcc:P3~ I~'uam
Owner Mailing Address:
12Pir~W~, P]aoe Dix Hills, NY 11746
Owner Property Address: 480 ~t~ ~
Name and phone number of contact person
Tax Map No: Section 106
Cross Street ntml~a~ ~
T. Martz Jr. 878-8443
Block 05 Lot 033
NOTE: LOCATION MAP MUST BE SUBMITTED WITH~t
CONSTRUCTION REQUIRES SURVEY WlTH~
Received by: .~5~L~- Signature of~pli~
LICATION. NEW
~IENT APPROVAL
Ol/25/o5
Date
S.C:T. kI. NO. DISTRICT: 1OO0 SECTION: 106 BLOCK: 5 LOT(S): ,33
J
M~ OF ~PTAIN KIDD ESTATES
S87° 1 I'00"E 100.00'
4' C~NLINK FENCE 0,9'S L
EL 52.4
POST
~ 52.5
~ ~ D~LUNGS
. W/PUBLIC WATER
o ~ ~50'
DWELLINGS ~ PROP. ELW. 5 ] .3
W/PUBLIC WATER ~ DECK DR B~
EL(53.0) - 55.0' EL(53.0)
b PROPOSED 2 SW. 3.5'
H F~ME
~ EL(53.5) · MTH G~l
GAUGE FFL EL (55.5) '
20.0' ~
EL(52.0: ~ ~ 35,0' ~ EL(52.0)
Ng7° 11 '00"W 100.00'
EXI~ING WATER ~IN
CL ~.9 CL ~.24 CL ~.22
RUTH (s0') ROAD
22'~ ASPHALT PAVEMENT - TOWN MAINTAINED
D~LLIN~ V~T DWELLING
~ W/PUBLIC WATER 100' W/PUBLIC WATER
AREA: 12,500 S.F OR 0.29 ACRES C~WnON O~rU~: _~S~_ .................
MAP NOr ~EA~INC ~E LAND SUR~YOR'S EM~SSEO SEAL SHALL NOr 8E CONSIDERED TO 8E ~ VALID ~UE COP~ CUARAN~ES /NDICA~D HEREON SHALL RUN
ONLY TO ~E PERSON FO~ ~OM ~E SURLY IS PREPARED AND ON HIS ~EHALF TO ~E ~E COMPAN~ GO~RNMENTAL A~NCY AND LENDING INS~
ZIS~D HEREON, AND TO THE ASSI~EES OF ~E LENDING /NS~, GUA~AN~ES ARE NOT ~AN~ERASLE.
THE OFFSETS OR DIMENSI~S SHO~ HERE~ ~OM ~E PR~ERTY LINES TO ~E S~UC~RES ARE FOR A SPECIFIC PURPOSE AND USE ~EREFORE ~EY ARE
NOT IN~NDED TO 'MONUMENT ~E PROPERTY LINES OR TO GUIDE ~E EREC~ OF FENCES, ADDI~ONAL S~UC~RES ~ AND O~ER IMPRO~MENTS. EASEMEN~
AND/O~ SUBSURFACE S~U~RES RECEDED OR UNREC~DED ARE NOT GUARAN~ED UNLESS PH~CALL Y &~DENT ON ~E PREMISES Ar ~E nME OF SURLY
su~Y OF: DESCRIBED PROPER~ CERTIFIED TO: THEODORE C. MARTZ JR.
MAP OF:
FILED:
SI~ATED AT: MATTITUCK
TO~ OF: SOUTHOLD ~ M. WOY~ L.S.
SUFFOLK
COUNTY,
YOrk
~ P.O. Box 3, MatUtuok, ~ York, 11952
FILE.
24-
06
SCALE:
DA~:
SEPT
29,
2004