HomeMy WebLinkAboutKulick, Larry
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ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MAN:AGEMENT OFFICER
rFREEDO]VI OF-iNFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
sou tholdtown. northfor k. net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTH OLD
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TO: Southold Town Building Department
FROM:
Michelle L. Martocchia, Southold Town Clerk's Office
DATED:
November 27,2006
RE:
Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 3651
Construction/Alteration Permit submitted by:
for a Cesspool/Septic Tank
Larry B. & Joan M. Kulick
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
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I have reviewed the application and locati map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
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Dated
.
EUZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
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.~ Town Hall. 53095 Main Roll'
P.O. Box Il79
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765.1800
sou tholdtown. northfor k.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 ~r Non-Residential @ $25 _
Application N2l.oS \
Permit No.
Applicant Name
L"~~y 4. "'AJJ> 'Z4N # ~/r<:~
Applicant Mailing Address 00'/ 7btt'G~ CT #.4<<AI'AQQ? AJ'V 1'1'76
Septic Tank ,/ or Cesspool~
Brief Description of Proposed Construction or Alteration
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Location of Proposed Construction! Alteration:
Owner Property Address:
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Owner of Property:
Owner Mailing Address:
L".t"y .<!J' );1,/re:L
Block~:J Lot
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55
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PUBLIC WA TER
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BROWN a.A YEY SA/tD sc
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BY McDONALD GEOSCIENCE.
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AREA-26,253 SO. FT.
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ANY AL TfRA nON OR ADDtnON TO THIS SURVEY IS A 'v10LA nON
OF SECTION 72090F THE NEW YORK STA TE EDUCA nON LA w.
EXCEPT AS PER SEcnON 7209-SUBDI'v1SION 2. ALL CERTlFfCA nONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
WHOSE SIGNA TURE ApPEARS HEREON.
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STREE'1'
DIRT ROAD.
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SURVEY OF PROJbERPiy:n,
AT LAUGHIN(jOOwrAtpERI/:58
TO WN OF S(}!!JlN:J.tJf-;DsERv/CU
SUFFOLK coONtY';SIN:\'fP. MGH
1000-87-03-53
SCALE: 1"-30'
MARCH 13, 2006
APRIL 10, 2006 {lesl hole}
Mo. 17 'Zoo(, """" . .
_ ,.j,!:!, on, HEAlnl 5 . RVICES
--- , 'i'l D~PARTMENT 0
, SUFFOLK COUN CONSTRUCTION FOR A
PERMIT FOR APPROVAL OF :i
"'''II'V RESIDENCE ONI.:
SINGLE Cn.' ~
~H.s.REF 10.
DATEl).
APPROVE . ~-. BEi)R NS
FOR M MUM OF AppROVAL
S FR M DATE ..
EXPIRES TREE YEAR
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Abandonment of existing sanitary system must be in
eomformance with depaji)t requirement Submit
completed form WWM- as proof.
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PROPOSED GRAllE
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PROPOSED SEWAGE DISPOSAL SYSTEM 6 POOLS
WITH ClEAN t:A/iD 3' COLLAR- /250 GAt. PRECAST
CONCRETE SEPTIC TANK-BOTTOM OF LEACHING
POOLS TO BE 2' ABOVE GROUND WA TER
SEPTIC SYSTEM CROSS SECTION
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ELEVATIONS ARE REFERENCED TO NGVD.
PECONlC UR
(631) 765-5020
P. O. BOX 909
1230 TRA VELER STREET
SOUTHOLD, N. Y. 11971
06-130
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