HomeMy WebLinkAboutSantiago, Jaime
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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
sou tholdtown. northfor k. net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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TO:
Southold Town Building Department
FROM:
Lynda M, Bolm, Southold Town Clerk's Office
DATED:
August 7, 2007
Transmitted herewith is a copy of application No. 3733 for a Cesspool/Septic Tank Construction
Permit submitted by:
James V. Zizzi Contracting
Please review the application and location map and advise ifthe 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.
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I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
/
DISAPPROVE
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Comments: 4~'r~~~~~
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Signat~re/ . /
013/6 B /07
Dated' F
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT 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
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SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential@ $10 Vor Non-Residential@$25_
Application No.3? 6 '3
Permit No.
ApplicantName ~U'\\~e_s V. 2t"7-7-:. i . 6--NTvl-+c\r l-\~}
Applicant Mailing Address--3> O.1S D X :f;t: /5 'S I
q d If) ~ \}., e... \-j; -(, ,\~. $ ~
Septic Tank_or Cesspool_
Brief Description of Propp sed Construction or Alteration---l <:;,11" vr
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Location of Proposed Construction! Alteration:
ownerofProperty:~~~ ~~~~~.~
Owner Mailing Address:. ... v "'t- ('" ~
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Owner Property Address: 3.7 . . $- tr . I,' \>' ~
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Name and phone number of contact person . . ~ /' ~ i. ~ I, 5 ~ - 't G 7 c..
Tax Map No: Section _1 \ l Block ~ Lot -4- L
l'J v\-- <; ~ [A-u.. ~ () l t\I T 1\ t\ .
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEP ARTMENT APPROVAL
~~~~
Signature 0 pplicant
S\"'I'il~
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Cross Street
09-0307
Date
Received by:
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SURVEY OF
LOTS 20 & 21
JUP OF
SECTION A
NASSAU POINT CLUB PROPERTIES. INC.
nu: No. 7"5 1ILED00l'0IIO'" UIlI
SITUATED AT
NASSAU POINT
TOWN Of" SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.c. TAX No. 1000-111-09-4.1
SCALE l~"'SO'
OCTOBER 5, 2006
ou:n&R 10. 200e_SfI'E PIN<
'--"0. =.lDOEIl__1oIWi 0PI81.Uf1'
FUlRIWl'l'2.2<XRlI'EWSUIsm:1'\JI'I
IlllIOIW'Il'l3,.7Jl(r1I11M:lE1lSllE:1Vtl
Ju..y~.3k2llll~1;@.rnh1l.S.~.2007
AREA=82.0215.2.1sq.(t.
rn>"'lOC) 1.683Qc.
TEST HOLE DATA
nEST HaL we BI ,""""""n -~- oN ~ 26; =7J
r.RRTrTi'lRD TO-
JAIla: A. SANTtIoGO
NANCYSAHTLI.GO
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=
1. Eln'ATlOttS AR'E REFtRrNCED TO PI.G.V.C. 1929 DATI1loI
EXISTING ELEVATIONS ARE SHOWN THUS:.....
r~=DC:r~~U~~ES AR~[S=WHTH:~S;- -- ~-- --
F.... _ .-""'"
.....--""""
...__<$"""'"
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IS _,...""-...
...._""""'<SlIllL
2..lollHIWUW SEPTlCTAHICCAPACmESfORA5 BEDIlOOII HOUSE IS l,OOl:lGALLDHS..
1 TANK; a' DIA. 5' UOUID DEPTH
3. I.IINlllUW lLACHING sYSTtlll fOR A 5 BEDROOIol HOUSE ts .t.Oll ~q fl SIDEWALL AREA.
lJ>OOl;16'DEEP.6'dl<l.
(&z..PIIOPO&l)EllP.AHSIOltPOOL
Z7j1
@I'IIOPOSEOt.EACHIMlip(lOL
WI'IlOf'OSEllSU'1lCTAHIC
4. THE LOCATlON Of WEU.S AHD C6SPOOLS SHOWN HEREON ARE fROIII mUl
OBSERV.l.T10HS ANDloR DATA OSTAINED fROW OTllEl!S.
S. EXISTIMGSEFTlCsYSTEW STRUCTURES SHALL 9E. PUIoIPUI CLLAN
AHDREIlOVED,INACCOROAHCEWlTIlS.C.D.H.S.STA.NDAROS.
$.,lHISP1lOPERTYISIlOTACOASTAl-ZONEloIAHAGEloIENTAREA..
SUPFOLKCOUNTYDEPARTMENTOF REALm SERVICES
PERMIT FOR APPROVAL OF CONSTRUcnON FORA
SINGLE FAMILY RESIDENCE ONLY
DATE JUL 3020 7 . 1</0- D7 - DoJ:;2.
APPRoVED
FOR 0 :> BEDROOMS
EXPIRES 1HRBB YEARS FROM DATE OF APPROVAL
UNAUTHORIZED ALTERATION OR ADDmDN
TO THIS SURVEY IS A VIOLATION OF
SECTlDN 7209 OF THE NEW YORK STATE
EOUCATION LAW.
COPIES OF 11-IIS SURVEY MAP NOT SEARING
11-IE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VAUO TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHAlL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEi"J,LF TO THE
TITLE COMPANY,GOVERNMENTAL AGENCY AND
LENDING INSTITUTION USTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI-
TUTION. CERTIflC,l,llONS ARE NOT TRANSFERABLE.
N.Y.S. Lie. No. 50467
Nathan aft Corwin III
Land Surveyor
Title Surveys - Subdivisions - Site' Plans - Construction Layout
PHONE (631)727-2090
Fax (631)727-1727
THE EXISTENCE OF RIGHT OF WAYS
AND/OR EASEMENTS or RECORD. IF
ANY. NOT SHOWN ARE NOT GUARANTEED.
MAILING ADDRESS
P.O. Box 1931
Riverhead, New York 11901-0965
OFFICES LOGA TED A r
322 Roanoke Avenue
Riverhead, New York 11901