HomeMy WebLinkAboutCastaldi, Robert & Dianne
,
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRlAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTH OLD
TO: Southold Town Building Department \ "\
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FROM: Carol Hydell, Southold Town Clerk's Office \
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DATED: March 6, 2008 .~....
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RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 3786 for a Cesspool/Septic Tank Construction
Permit submitted by:
Mark Schwartz for Castaldi
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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I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
V"
DISAPPROVE
Commoo" ~.w~';:Y ~-V~~
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Signature;' /
03/07/0 E>
Dated I /
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.~.Town Hall, 53095 Main Roa.
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
sou thold town. northfork. net
EUZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
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Pl-th.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential@$IOK or Non-Residential@$25_
ApplIcation No
Pennit No ~ '780--
Applicant Name tI1/ftZL f(~ re-
Applicant Mailing Address j'>11$<< q J) Cv7C- t/z76 vIE
119Jr
Septic Tank~or CesspoolL
Brief Description of Proposed Construction or Alteration DE,,41 Q 1 AI' EA.../ /jP", JE
Location of Proposed Construction! Alteration:
Owner of Property: eafJuzrt/ D~A/.c CAJ~OI
Owner Mailing Address: I (p Cs,el'tCc. L "f-;ve:-
CYi./'7?4e i>~dv~ Y II 771
Owner Property Address: e ,) z. iT /V IT! S .r -1-(./ r' g,.v/ ~
Vv TC---t#a. c-C
Name and phone number of contact person
Tax Map No: /o{)O Section I / I' Block ()-f.-
Cross Street
Lot _~ / Z-
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY H ARTMENT APPROVAL
Received by:
Il C UNTY DEPA:<1:.}\:NT OF HEALTH E.
SUFFOL" 0 . ~_",)"",';'nu~,'ON FORA
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DATE -;;];.~( lof of_ JtS.
APPR~
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REVISIU>lS,
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HEALTljOCPT,10l11lllT
NO.
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\ NEIGHBORING
\ HOUSE
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. TOWN OF e.OUTI-l~LD
e.UFFOLK COUNTY, NEllI YORK
S',C. TAX No. IOOO-ne-ot-12
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tJi .'~~UU; BEDROOff:S
tiREE. YE"RS FROM DAiE OF At' ROVAl
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om!onnancewil'"j-. ~ "". "y.o."m mU3t be in
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omp eled fonn \VV7',~ ...., ',';'..~~';;f'it .)ubmit
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EXISTING SEPTIC SYSTEM
TO BE LOCATED. REMOVED
AND FILL IN WITH CLEAN SAND
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NEIGHBORING HOUSE
HAVE PUBLIC WATER
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- l' TO TOP Of' BANK
133.3'
104.4' TO TOP Of' BANK
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:;"ALLElllNEW 8E
TO Bl RAJSEl)TOEL 24
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LOGATICIIlT08E:totI'lJIMEDwI
OWNEflJNSTAlJ.INPITIl[l.CI\ffGlWlE
EXISTING ~
(REMOVE) ~
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LOT c.ovrRAGr
1~':M1".'1SCJ.FT'1
,...ALLOTGllVtRIoA, lUX
DEStAIPT1ON, AREA: LOTcovtRAGE.
PllOfIOSDLMIlG!lPolU: U'U.6SQ. tt. '1.n .
1'llClPOS[DUlAQ[!IPACE: IOUSQ.tt. us
SCII(EN[D-INIIOllCJl: 151.'1so.FT. 0.51
WVEll[DfIOllCH[S: SU.'1SQ.tt. 0.'lX
DUllS: '1'USQ.tt. 2.fiI
PROPOSED ~
SITE PLAN
SCALE: 1" - 30'-0'
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DRAWN: 11M 1115
SGAl..[: 1M = 30'
JOB-:
FebruClry 05, 2001
SHEET NUMBER:
NEIGHBORING HOUSE
HAVE PUBUC WATER
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HOUSE
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EXmING6IoMGE: m.oSQ.FT.
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ExCAVATIO --
Fi N INSPE""'" ---
OR SA.. '-'.ON /i:""
By H "../TARY By ...QUIRED
EAl..TH DEPA_STEM
""MENT
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