HomeMy WebLinkAboutWaldman, Howard
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMEN'l'OF:f'IC1'lR
FREEDOM OF INFORMATiQ~ OFFICER
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Town Hall, 530915 Main Road
P,O, Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork,net
OFFICE OF THE TOWN CLERK
, TOWN OF SOUTHOLD
To:L;.,~i~~~~~:2ilding Department
(lRR - 5
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FROM:
Linda], Cooper, Southold Town Clerk's Office
DATED:
Transmitted herewith is a copy of application No. 3579 for a Cesspool/Septic Tank Constmction or
Alteration Permit submitted by:
Howard Waldman -by Pat Moore
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], Cooper
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I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
/
DISAPPROVE
Comments:
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Dated
.
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 530915 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown,northfork,net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $1 0 X or Non-Residential @ $25 _
Application No, 65"E,
Permit No.
Applicant Name How/P/Vd c- WCt-ldl'Yl~,6<1 Lf: $~
Applicant Mailing Address '-/7(..0 ~drorl c!c-- ,'~
I?.eC ~ ;'-"-( I ( 9 S -g
Septic Tank ~or Cesspool_
BriefDeS~c 'ption of Proposed Constmction or Alteration
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Location of Proposed ConstmctionlAlteration:
Owner of Property: f{ c>U) OJ. r( {;" .? )c.Li cI /Jf Cl41..?
Owner Mailing Address: 41 (p 0 ..J:.d fa ri AI.;"/' Ie { a.p..J
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Owner Property Address:
Name and phone number of contact person
Tax Map No: Section Cj f
Cross Street
Block 3
Lot / 1 2-
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVE~TH DEPARTMENT APPROVAL
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Signature of Applicant Date
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RESIDENCE
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SURVEY OF
LOTS 1 & 2
IN
MAP OF ARROWHEAD COVE
IND IAN
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SITUATE
PECON/C, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
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SURVEYED FOR: HOWARD E, WALDMAN
LOT 1
GUARANTEES INDICA.TED HERE ON SHALL RUN
ONL Y TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHAlF TO THE
TmE COMPANY, GOVERNMENTAL AGENCY,
LENDING INSTITUTION, IF LISTED HEREON, AND
TO THE ASSfGNEES OF THE LENDING INSTITUTION.
GUARANTEES ARE NOT TRANSFERABLE TO
MJDIT10NAL /NSTfTUTlONS OR SUBSEQUENT OWNERS.
UNAUTHORIZEDAL TERAnON OR ADDITION TO THIS
SURVEY /$ A \.'1OVl nON OF SECTION 7209 OF
THE NEW YORK STATE EDUCATION LAW.
COPIES OF THIS SURwn'MAP NOT BEARING
THE LAND SURVEYORS EMBOSSED SEAL SHALL
NOT BE CONSIDERED TO BE A VALID TRUE
COPY.
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EXISTING HOUSE TO BE . J....8..3
DEMOLISHED UPONCONPL8/ON 0 . - .
OF NEW RESfOENCE AND AU. .
CESSPOOLS ARE TO EMP11EO AND 0
BACKFILLED WITH CLEAN 1M TER/A!.. -
ALSO, THE WATER SERVICE IS 10
BE DISCONNECTliD.
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STRUCTURE QH...o..w:ENT PIJlCEL
O.8'MRPROPERTYUNE:
RESIDENCE
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LOll Thf#1000-098-0J-OOl
RESIDENCE
LOT 2 Thf,,OOO-098-0J-002
PROPOSED
DRfVEWAY 0'
1tSTHOLf PROPOS([)
320' ,,'"
PROPOSED
PROPOS(ll 2 - BEDROOM
UNE SE/l'II1CE
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3, 28 JULY 05 AOO NOTE ON OEMOLlSHING EXIST, HOUSE,
2, 5 APRIL 05 REVISE PROP, HOUSE LOCATION, SHOW PROP, GARAGE BAPR05
1. 28 MARCH 05 SHOW PROPOSEO RES" TEST HOLE, AOJ WELLS & CESSPOOLS,
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GUARANTEED TO:
HOWARD E. WALDMAN
ELEVATIONS TAKEN FROM
EAST ENO TOPO MAPS ON
FILE IN THE SUFFOLK COUNTY
DEPT, OF PUBLIC WORKS,
IN 1929 NGVO,
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FM# 3810
DATE FILED JUNE 20, 1963
TM# SEE SURVEY MAP
TEST HOLE OONE BY
McOONALD GEOSCIENCE
ON 3/18/05
ORIGINAL GROUNO
BROWN SILTY SAND
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SURVEYED: 17 MARCH 1999
SCALE 1"~ 50'
AREA ~ 46,029 S,F, 80TH PARCELS
OR
1,057 ACRES
SURVEYED BY
STANLEY J, ISAKSEN, JR.
P.O, B X 294
NEW FFOLK, N. y,
631- 34-5835