HomeMy WebLinkAboutZoitas, Thomas & Andrew
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEME;Nr OFFICER
FREEDOM OF INFO~l'l OFFICER
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Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (630 765-1800
southoldtown.northfork.net
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'.9FFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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TO:
Southold Town Building Department
FROM:
Michelle 1. Martocchia, Southold Town Clerk's Office
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DATED:
February 4,2008
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No. 3776 for a Cesspool/Septic Tank Construction
Permit submitted by:
Pat Moore for Thomas & Andrew Zoitas
Please review the application and location map and advise if this office may issue the pern1it.
Please complete the form below and return it to me. Thank you.
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I have reviewed the application and location map ofthe project cited above and make the following
recommendations:
APPROVE
/
DISAPPROVE
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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 Road
P.O. Box 11 79
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
sou thold town. northfork. net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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SOUTHOLD W ASTEW ATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$1OlL.. or Non-Residential @$25_
Application No. 31llo
Permit No.
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Applicant Name '-{vT / . . /'C:--
Applicant Mailing Address .57020 /770//1 ~ Rei
fVl/hole) /l;Y /1?7/
Septic Tank_or Cesspool~
Brief Description of Proposed Construction or Alteration
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Location of Proposed Construction/Alteration:
Owner of Property: 7huall/S 7- An:I/'rw Zo~ fa s
Owner Mailing Address: 38"- 'II /0 5r/et>-I- /0/1')
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Owner Property Address:
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Block I
Name and phone number of contact person
Tax Map No: /000 Section '/ D
Cross Street 1//0.-4 12r7oc:l
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEAL TH DEPARTMENT APPROVAL
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~~ Slgna~e of Applicant I / Date
Received by: ' / V 0 b \G~ ()114/~
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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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DATE f}~D 7 H.S. o. ~o --121
APPROVED ~
TOTAL MUM BEDROOMS
EXPIRES THREE YEARS FROM DATE
I am familiar with Ihe STANDARDS FOR APPROVAL
AND CONS TRUC Tf ON OF SUBSURFACE SEWAGE
DfSPOSAL SYSTEMS FOR SfNGLE FAMfL Y RESIDENCES
and will abide by Ihe conditions sel forfh Iherein and on fhe
permit 10 conslrucl,
BROItN etA l'EY SAND $C .
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INSPECTION REQUiRED
EXCAV~~~~ANITARY SYSTEM
BY HEALTH DEPARTMENT
1'" OWNER
KACE U LLC
PO BOX 67
GREENPORT,
1/944
N.Y.
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SURVEY OF PROPERTY
AT ARSHAMOMOQUE
-TOWN OF SOUTHOLD
SUFFOLK COUNTY, NY
7000 - 40 - 07 - 07
SCALE: 7" = 40'
JAN. 77, 2003
March 29, 2005
MAY 18, 2006(lUIdlllonsJ
c/<Jiy ~ ~o07 (revij/;'l]~
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TEST HOLE
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SEPTIC SYSTEM (I BEDROOMS)
I -I(JOOGAL. SEPTIC TANK
I -LEACHING POOL 8.,.IZ'DEEP
WITH 3' SAND COLLAR EXCAVATE
A 10' HOLE TO SAND SW
BACKFILL WITH SAND SW
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IrA 7IiR 1/ BROItN <;LA l'EY SAND SC
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CROSS SECTION
SEPTIC SYSTEM
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AREA = 49,887 sq, ft or l7457
ac. to tie line
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'ECONlC S OR
(63IJ 765 - 5020 FA
P. O. BOX 909
1230 TRA VELER STREET
SOUTHOLD, N. Y. /197/
ANY AL TalA TION OR ADDITION TO THIS SURVEY IS A VIOLA TlON
OF SECTION 7209 OF THE NEW YORK STA TE EDllCA TlON LA W.
EXCEPT AS PER SECTION 7209 - SIJBDIV/SION 2. ALL CERTIFICA TlONS
lGEai ~ VALl) FOR THIS MAP AND COPIES THEREOF ON/.. Y IF
SAD MAP OR COPES BEAR THE ~ SEAL OF THE SURVEYOR
WHOSE: SIGNA TURE APPEARS HEREON.
ADDITIONALLY TO COMPLY WITH SAD LAW TERM' ALTERED BY ,r, ! t'I~: :':~I~\nO -I ~ns
MUST BE USED BY ANY AND ALL SUlVEYORS UTILIZING A copy CONTOUR U,. ~,1? :jfiROM
OF.ANOTHER SURVEYQR'S MAP. TERMS SUCH 'INSPECTED' AND THE: FIVE EA re '-TOWNS
'BROUGHT - TO - DATE' ARE NOT IN COMPLIANCE WITH THE LAW. TOPOGRAPHIC MAPS
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