HomeMy WebLinkAboutKapetanos, John ~~F s0ujy
ELIZABETH A. NEVILLE ol
oy~ Town Hall, 6309b Main Road
TOWN CLERK o
~
~ ~ P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER G ~ Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER %~ ~ ~~
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~ Telephone (831) 765-1800
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COU'M'~ southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD _,_ -~_ ,~~I
P I ~.. I1
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To: ~ ~ ; MF~Y 2
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FROM: Lynda M. Bohn, Southold Town Clerk's Office ~ ~
DATED: May 20, 2008
Transmitted herewith is a copy of application No. 3880 for aCesspool/Septic Tank Construction
Permit submitted by:
James V. DeLucca for Kapetanos
Please review the application and location map and advise if the 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.
Lynda M. Bohn
1 have reviewed the application and location map of the project cited above and make the following
recommendations: /
APPROVE r//
DISAPPROVE
Comments:
®~.,~ / o s
Dated
' _ gUFFO(,~
ELIZABETH A. NEVILLE c
~
h~0 ~G
~
TOWN CLERK Y~
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REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER yj.
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RECORDS MANAGEMENT OFFICER A.
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FREEDOM OF INFORMATION OFFICER '~ ~ ~
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Lot
Residential @ $10!~ or Non-Residential @ $25 _ Application No. ~ ~
Pemlit No.
Applicant Name~~'$ y '
l~v'~~N~~o'. ~/.
Septic Tank_or Cesspool
A9 ~AN~ ~,5ds7
or Alteration
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%0..4 p ~'
Location of Proposed Construc6on/Alteration:
Owner of Property:,
Owner Mailing Address: 7..-O~ sU SS£X ~Q ,
Owner Property
Name and phone number of contact person itw1E
Tax Map No: Section `Q ~ Block
Cross Street C E/~ r8 Q (7Q Z
NOTE: LOCATION MAP MUST BE
CONSTRUCTION REQUIRES SURVE}~
gnature of
Received by:
~~
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6146
Telephone (631) 765-1800
southoldtown.northfork.net
~631~ 7~~ ~6/J
KITH APPLICATION. NEW
DEPARTMENT APPROVAL
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SURVEY OF !'
LOT 134 & P/0 LOT 154
BLOCK 1>
MAP OF
CAPTAIN KIDD ESTATES
FILE No. 1672 FILED JANUARY 19, 1949
SITUATED AT
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-106-02-43.1
SCALE 1"=30'
MAY 4, 2004
JUNE 27, 2005 ADDED BOARD OF HEALTH DEPARTMENT
DECEMBER 7, 2005 ADDED NOTE No. 5
AREA = 17,916.46 sq. ft.
0.411 Oc.
NOTgS:
1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
E%IStINC ELEVATIONS ARE SHOWN THUS:
2. MRRIAUM SEPTIC TANK CAPACITIES FOR 5 BEDROOM HOUSE IS 1,300 GALLONS.
1 TANK; R' DIA. 3' LIQUID DEPTN
3. MINIMUM LEACHING SYSTEM FORS BEDROOM HOUSE IS 400 aq ff SIDEWALL AREA.
1 P~~OO{O~L,,; 16' DEEP, 8' dia.
pgOCO PROPOSED E%PANSpN POOL
~O~O®OO~'' PROPOSFn LEAG7RI6 POOL
0 PROPOSED SEPTIC TANK
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4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
OBSERVATIONS AND/OR DATA OBTAINED fROM OTHERS.
S. THIS PROPERTY IS SHOWN AS THE NORTHERLY LOT ON: PROPOSED SET-OFF
MAP Of PROPERTY SURVEYED fOR ERVIN t OERTRUDE IAPAURH AND ROSALIE
OOWAN AT CAPTAIN KR)D ESTATES. THE SET-OFF MAP WAS XPPROV.ED. BY THE
T OF HEATH SCRVK:ES IN A Li,TFER DATEQ
70 COWEN - SUED ISION' }83{. -
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