HomeMy WebLinkAboutHurtado, John L Sr
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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
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
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OFrICE OF THE TOWN CLERK
j! TOWN OF SOUTH OLD
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TO: L--=-"S0\:ithold Town Building Department
FROM:
Michelle 1. Martocchia, Southold Town Clerk's Office
DATED:
June 21, 2007
RE:
Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 3718 for a Cesspool/Septic Tank
Construction/Alteration Permit submitted by:
John L. Hurtado Jr.
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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1 have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
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Comments:
DlSAPPROVE
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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, 53095 Main ReI
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
Boutholdtown.northfor k. ne
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $1O~ or Non-Residential@$25_
Application No3 7/ g
Permit No.
Applicant Name JDIN '-. H()((1MO SR..
Applicant Mailing Address f. o. /j 0 ~ /7;25
/ JOU(flfo,j,J/J ,1/'( 1/77/
Septic Tank ..I or Cesspool_ '
Brief Description of Proposed Construction or Alteration ~ (j)</
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Location of Proposed Construction/Alteration:
Owner of Property: 'JOJl'; L. Ht/((1flJo )j(.
Owner Mailing Address: /. 0 - 13 r) X ( ? J 6
S oc! (If fr;J,I-~ Y Y /I f 7 !
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Owner Property Address: t<ejJ F).u/)/ /&.A~
50tl1Ro~.;V y //17/
Name and phone number of contact person ffi riA/" L , 11t!,;t:z4.r.Jo 5/. '1,{ S- V.<'c>
Tax Map No: Section 7'1 Block (/:J Lot "1,;'
Cross Street NOl--1/1 &-;VI{y jlc)AD
NOTE: LOCATION MAP MUST BE SUBl\fiTTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURvEY WITH HEALTH DEPARTMENT APPROVAL
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NOTES
i(EA = 65,442 SQ. FT.
. "FOREST6ROOK AT 6AYVIE~" FILED IN -
C.LERK OF S~FFOLK C~NTY ON
LE NO. 1111'1.
. N.6.V. DAWM IM.S.L. 1'12'1)
Young dG' Young
400 Ostrander Avenue, Riverhead., New York 11901
631-727-2303
Howard 11'. Young, Land Surveyor
Thomas C. Wolpert, ProfesBiona! Engineer
Robert C. Tast, Architect
Rona!d E. Pfuh~ Landscape Architect
D01J.fJ!as E. Adams, ProfesBiona! Engineer
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SURVEYOR'S CERTIFICA
. I'€ HERESY CERTIFY TO HURTADO
INC. THAT THIS S~RVEY ~S Pl<EPARE
~ITH THE CODE OF PRAC.TICE FOR LA
6Y THE NE~ YORK STATE ASSOCIATION ....
LAND ~RVEYOF1.5. , ..
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PLOT PLAN
HURTADO DEVElOPMENT INC.
LOT 9 "FORESTSROOK AT SAYVIEV'I"
At SGl~vleJi'l, TaJi'ln aP Southald
SuPPalk. Caunt~1 NeJi'l Yark.
c.ount~ Tax Mop o;.tdct 1000 Section 1'1 Block 02 Lot 1.0
I BUU..DIN6 PERMIT Pl..OT PLAN
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MAP PREPARED
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SCAL...E= 1"=50'
JOe NO. 2006-00'1'1
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