HomeMy WebLinkAboutPapa, Vincent & Maureen
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR 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 (631) 765-6145
Telephone (631) 765-1800
southoldtown. northfork. net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTH OLD
FEB 2. 3
TO: '. - Southold'Town_~ujlding Department
FRONC' Linda J. Cooper, Southold Town Clerk's Office
DATED: February 22,2007
Transmitted herewith is a copy of application No. 3669 for a Cesspool/Septic Tank Construction
Permit submitted by:
Vincent & Maureen Papa
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 forn1 below and return it to me.
Linda J. Cooper
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J have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
/
DISAPPROVE
Comments:
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Signature
I) 3/-J.h 7
Dated' /
SOUTHOLD W ASTEW A TER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
1l!l:Residential@$IO or 0 Non-Residential @$25 Septic Tank OorCesspool 0
Application No. ololoC\. Permit No.
Applicant Name: Vlt~ e~A/1 Y- H /HIlLgH N ~ A-II/
Applicant Mailing Address: ..2 a 8'. /(&0 AI N tiF1J <II/A.
C-trN 1t7,e. IE" A-eJl ,. JV, '1' / / 77.-0
Brief description of Prop sed Construction or Alteration: A-o.iJ t TI , jI/
Location of Proposed Construction/Alteration: /) A AA
Owner of Property: V/NCa-,v'r Cll.- /'-14-U/lGn:rAJ r~T
Owner Mailing Address: ~d- S Ke.'\V\e1.l'j (}-
Ce.'\:h(e.<A-L~ vLJ 1(7)-.0
Property Address: I 7 J IS T s r.
LJA-u tl. /;'2....,. tv' 'I' .
Name and Telephone No. of Contact Person:VlIJ C €IJI ;tJ ,f-IIJ {j., 3 V 732' 77'h
/ 2-1,. I tI - 'f. :3 '1' ~
Tax Map No.: Section: Block: t'd f' . Y Lot: / 01/
Nearest Cross Street: 13J2.A-v ~ td
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NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRESSURVEY~HEALTH.D P NT APPROVAL.
I~O Sig re of Applicant
Received by: I
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UNAUTHORIZED AllERAT>ON OR A.DDITION
TOTHISSIJRVl:l !::.A\I10L,o,TIONOF
SECTION 1209 (If THE NEW ~()R~ STA!"l
rDUCArhJN LAW
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SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
PERMIT FOR ApPROVAL OF CONSTRUCTION FOR A
SINGLE FAMiLY RESiDENCE AND
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.~ APPROVED
TOTAL MUM BEDROOMS
~IREs THREE YEARS FROM DATE OF APPROVAL
/" TEST HrnF DA TA
~~ndo , ent o~ existing sanitary s:t'tem mU8t~-~;~~4 ~r :::: :: \~
~~fonn~ce with departm~nt requirement Submit ~'~'1' , .
lo~etedfonn WWl\.{- O~ as p~or. ! ' !
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SURVEY OF
LOT:-' 9~J &. 100
S(!!lDIVISIOV MAP OF PROPERTY OF
C;r;CJI{(;]: [ TlTTHILl. '" OTHER~
.,'Fr'T/(JN ONE
FILE Nu 861 FILED JANUARY 15, 1929
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."iTI'A7'f-.'iJ 117'
M:\TTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-126-10-9.3
1000-126-10-9.4
SCALE 1 "~40'
JUNE 30. 1995 SURVEY LOT 100 & HEALTH DEPT. DATA
D[C[MR(R 1~' 2U(i2AODrD LOT 99
:)L't Mi'ifF.:' 27 r':-'(J:-' R[VIc:,rr-; Gtl!IDINC f.NVElm'l-
AII(;UST ;< 2006 ADDeD PROPOSED ADDITION
'\; ,/1 M8U< ('. 200t'. R[Vi':::.[[J AS PER ":CD.HS INCOMPI [II NCHIC!:
>'C)( ;:,;rv~SLLj pr~Ch)s[D SEPT!( :-,"STEM Tt-j A ~)-F_) BEDROOM
'-1:AI~;E
.6.REA = 20.086.11 sq. If
0.461 oc
CER'f'lFIED TO
VINCENT PAPA
liQIE.;;;.'_
1 ELEVATIONS SHOWN THUS,.:.u "'~E RErEPENC(D TO AN N.G.V.O. 1929 OATUl.I.
2. TEST HOLE DUG IlY IolcOONALD GEOSCIENCE ON JUNE 23, 1995.
3. ZONING USE DISTRICT: 11-40
.04. Io4INllolUW SEPTIC TANK CAPACITIES FOR A 5-6 9E0R001ol HOUSE IS \,500 GAllONS
5. WIHIWUt.l lLACHUfG SYS1EW FOR A. 5-6 8€OROOW HOUSE IS oKlO 3<1 ft SlOEWAU AREA
2 POOLS: s' 01A.. J( 8' DEEP .
\PRoposm 'lITUltE SO" EXPAHSIO,.. POOL
PROPOSED If OIA. )( 8. DEEP LEACHING POOL
[~ PflOPOSED l,!>OO CAlLO'" SEPTIC T ANI(
{, THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FI;>Qt.l FIELD
09SERVA.TIONS AND/OR DATA OBTAINED FROM OTHERS
7 DUSTING SEPTIC SlSlEIol STRUCTURES SHAll BE PUWPED, CLEAN ANO BACK.-
rLlLEO WITH ClLAN SAND, IN ACCORDANCE WiTH S.C.D.H.S. STANDARDS.
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COPlfS OF THIS SUR\I[f MAP i'<OT BE.ARINC
THE LAND SURv[YOR.:; INkED SEAl OR
EMBOSSED SEAl SHALL NOT BE CONSIDERED
TO BE A IIAUf) TRUf CON
Jos ph A. Ingegno
Land Surveyor
'~ERTIFI(;ATlON5 IN('ICATED HEREON SHAl.L RvN
ONL f TO THE PERSON rOR WHOM THE SUR\lEY
15 PREPI\RED AND ON HIS BEHAlf TO Tl1[
TITLE COI.lPANf. GCM:RNMENT.... ....cENCi .0.1<0_
LENDING INSTITUTION liSTED HEREON, AND
TO mE ASSIGNEES Of TH[ LENOlNC INSTI-
TUTION CERTiFiCATIONS ARE ~T TRANSfERABll
Till!! SurveyS" SuvdiYI51cms - Site Plans - Con5/ructlon Layout
PHONE (631 )727-2090
Fox (6j1)n7~1727
THE ElClSTENCf OF RIGHT Of WAYS
AND/OR EASEWENTS or RECORD. IF
ANY. NOT SHOWN "RE NOT GUARANTEED.
OFFICES lOCATED AT
-"22 ROANOKE AV[NUf
RIV(RH[A[). New ior~ 11901
M),IUNG ADDR[SS
P.O Box 1931
Rivemead, New York 11901-0965