HomeMy WebLinkAboutChiaffitelli, Christopher
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ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER,
FREEDOM9F INFORMATION QFFICER
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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
southoldtown.northforknet
OFFICE OF THE TOWN CLERK
TOWN OF SOUTH OLD
TO:
Southold Town Building Department
FROM:
Michelle 1. Martocchia, Southold Town Clerk's Of1ice
DATED:
September 12, 2007
RE:
Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 3740 for a Cesspool/Septic Tank
Construction/Alteration Permit submitted by:
Courtney Merinl!er for Christopher Chiaffitelli
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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APPROVE
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I have reviewed the application and location map of the project cited above and make the following
recommendations:
DISAPPROVE
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Signature
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Comments:
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Telephone
{516} 765-1801
Application N;QlyO
Construction .......
Alteration
$10.00 -Residential.......
$25.00 - Non-Residential
OmCEOFTIIE TOWN CLERK
TOWNOFSOUlllOLD
EUZABETlI A, NEVIUll, TOWN CLERK
P,O, BOX 1179
SOUTI/OLIJ, NEW YORK 11971
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.,
Fee '$ k")-OD
DATE~OOO7
APPLICANT NAME: C.hri~+n?\1e..-- eh \ 0- ff'i +-elJ i } COu.r+Y1~ Ner,~v
APPLICANT ADDRESS: 2. 2. Har-\-nn F4~
t? 7 "c...k..Q.J..0~ l\l VJ' (151 ()
SEPTIC~CESSPOOL____
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
New 5\n<jle ~M~ll.f '" ()Yv-.f='
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: C'r!Y'""[<t:,h-(p,",pr ChiD.t:i kill'
OWNER MAILING ADDRESS: 2"2 Horton Pt-u.€_
1=. I2.cr ~ r. l.....>~ LI j....) L/ j I ~l '?(
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OWNER PROPERTY ADDRESS:~L\..rni:> 29s- 'Pc...r/cl)/ev0 ~Vl~
(JrleVl+-- N'j
TELEPHONE NUMBER OF CONTACT PERSON: CYlQ.,!;)topl-'\er_ 5lL:>-S't't-.251(p
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J,:) Block 0 ~ Lot 1 '--/. ..:::>
TAX MAP NO.: Section
CROSS STREET:~\u..VY\ b
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Lu.. n P
BUILDING PERMIT NUMBER CROSS REFERENCE:
RECEIVED B~ r:rn n"lfy"2i~ 9\,
. - ~~ ClerK'sOlfice
DATE: 9 J I'd-I 0 '7
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McDONALD GEOSCIENCE'
SEPTfMBCR 15, 2006
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588' 4-30 W
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STA TE OF NEW YORK
(VACANT)
PROPOSED 5EPnC SYSTEM
(FOUR BEDROOMS)
[7J 1.000 GALLON SEPnC TANK
[J] 4' DEEP )( 8' DIAMETER LEACHING POOLS
CLEVA nONS ReFERENCEO TO N.G. v.o.
FLOOD ZONE FROM FLOOD INSURANCE RA TE MAP
MAP NUMBER J610JC0088 G MAY 4, 1998
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AREA-52,235 SO. FT.
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SURVEY OF PROPERTY
A T ORIENT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. y:
1000-15-08-14.5
SCALE' 1'=50'
SEPTEMBER 20, 2Q06
OCTOBER lJ, 2006 (REVISION)
OCTOBER 24, 2006 (PROP.HSE.)
OC TOBER JO. 2006 (SEP TIC GRADING PLAN)
Ff5.f!J 13, 2.c>o7 (r<:vl ;'10">:>.'
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F1NISHfD CRA-DC [L. 10.8
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PROPOSED SEPTIC SYSTEM
(J) 8 FT. D/A.X 4 FT. DEEP PRECAST CONCRETE LEACHING POOLS
(1) 1.000 GALLON SEPnC TANK.
TO BE BUILT TO SUFFOLK COUNTY DEPARTMENT OF
HEAL TH SERVICES SPECIFICA nONS.
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I om familiar with the STANDARDS FOR APPROVAL
A.VD CONSTRUCnON OF SUBSURFACE SEWAGE
D,SPOSAL SYSTE:MS FOR SINGLE FAMlL Y RESIDENCES
and will abide by the conditions set forth therein and on the
pe--mit to construct,
Th'! location of wells and ct!sspools shown hereon are
from field observations and or from data obtained from others,
AN'" ALTeRAnON OR ADOlnON TO THIS SUR~Y IS A \lfOLAnON
OF 5FcnON nag OF THE NEW 'rtlRK srA rE EWCA nON LA It(
t.\lO.r .....,). rt,.1(' ~CC',,\W -'~QJI-!J,lJDCAI~$t"w ~. .....LL Ct.-^oW1CA 1/\.WS
NnEON ARF VALID FOR THIS MAP AND coPies T>lEf/eOF ONL Y IF
SA',7 MAP OR COPIES BEAR THE IMPRESseo ScAL OF THe SUR'tf:'IOR
K+l\JS€ SIGNA TURE APPE;ARS H€H€ON.
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