HomeMy WebLinkAboutHamilton, Jeremy & Lauren
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFIgE)l
FREEDOM OF INFORMATION~FlCER
--. ...., ,
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown. northf ark. net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:'
.:...-~
Southold Town Building Department
FROM:
Michelle L. Martocchia, Southold Town Clerk's Office
DATED:
February 20, 2007
RE:
Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 3667 for a Cesspool/Septic Tank
Construction/Alteration Pemlit submitted by:
A2nieszka Drozdowska
Please review the application and location map and advise if this office may issue the permit.
Please complete the foml below and return it to me. Thank you.
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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: ~~~.~j;;~ ~~4,
Si~~-
t?3hJ ft 7
Dated f '
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
~esidential @ $10 or 0 Non-Residential @ $25 Septic Tank 0 or Cesspool 0
Application No. 3laia / Permit No.
Applicant Name: tv~0\t::'Y.lCA U~C'7}:'>t'>!l~A-
Applicant Mailing Address: Y. (). P")O y <::.J 6
N\'\-\T\ ,L'(' \;, /-.. '\ ,~/ II<?S <./'J .
Briefdescription of Prop sed Construction or Alteration: liVl/rTiOI..J II) FJr1c.....T11 y, ('CT. F)..
(f17DrTIC5D np Dr: u) dl oj;.> T"LtJtX. if iTI1(JUF//) 1.. 1'-i1:K:. f2r!1-l2ll&t::: .
Location of Proposed ConstructioniAlteration:
Owner of Property: 2\EREN"1 & I.-~(W.f'...."") ~N \ L.TCJ/.. ")
Owner Mailing Address: \ 5 ,?;C; '21\ \?.\V A v['- el,f:--
"1A-TTln](l)'\' ;:J,y IIg~-2
I I
Property Address: t S n""l ??l-jZ.K ,A-DF,l... 'I "\i="
~TTIT(JC'j-(,' A:Xr 1/'9~~
Name and Telephone No. of Contact Person: I2x"'Jl -!}9 K - / / ,-9.~
Tax Map No.: lOW Section: i..;L ":> Block: ,2 ~ Lot:. ~
Nearest Cros,s Street: ~f're..e.J+',nn't-A- '~<'GrD
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL.
~u:e.~ ~ .)_ ~x~olc,;:;.\L")_';-(1-07
Si a ture of Applicant Date
ReceivedbY~A~!:) '<-fl.-O\U)
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SURVEY OF PROPERTY
SIlVA TE: MA TTllUGK
TO}I'.IN: SOUTHOLD
SUFFOLK GOUNrr, NY
o
N
W+E
S
closest neighbOr'ing
septic
SURVEYED 08-2-'-02
AMENDED 11-08-06, 01-10-200-'
SUFFOLK COUNTY DEPT. OF HEALTH
SERVICES REF It RIO - 06 - 0103
SUFFOLK COUNTY TAX It
1000-123-2-31
USKIU'lIlV TO:
J~ _"Imn
X--
(\-.-.--..... ....... LaDd TIde 'h-T...IIICO O-"r""1'
BSBC MaIlpjJe Co.I"'".....
d Noll'l or Formerl4 of:
Alfr~~n Bar-iotti 4- Sh\('le~ 13ariotti
DY'lellinq
septic 15-0+
Land NoV'l Or" Former Ilj of:
Gor-don J, Hass
D\I'lel\ing
Septic:. 150t-
DiI'lel\ing
100.00'
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SUFrOLK COU~\lTY D:?j\~T:,;=:ti. OF :';:::.__', '];:::::VICES
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SJNGl.E rAf,~E..Y RESE:').:~.;~~:: -" (
------_ ISO' TO SEPT\~_-----
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EXISTlNcS I"ELL TO
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EXISTINcS SEPTIC. TO
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SGOHS STANDAADS
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MONUMENT FOUND
EXISTING SEPTIC SYSTEM TO BE
ABANDONED IN AGGORDANCE HITH
5GDHS STANDARDS.
vou:mt 100' +
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ELEVATIONS REFERENCE SUFFOLK
COUNTY TOPO MAPS
AREA = 2SpQO S.F. or 0.5-' ACRE
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GRAPHIC SGALE
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I'EI.L
JOHN C. EHLERS LAND SURVEYOR
6 EAST MAIN STREET N. Y.S. UC. NO. 50202
RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8281 REF.\\Compaqserver\pros\02\02 269 updated 09-28
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