HomeMy WebLinkAboutMartz, Theodore C Jr
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
southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Septic Tank_or Cesspool_
Brief Description of Proposed Const ctio~~n .
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Location of Propose Constructi n/ It ation: 0 ~ ~
Owner of Property: { . (j .
Owner Mailing Address: I
Name and phone number of contact perso
Tax Map No: ~tion 'e/o Block 3
Cross Street :.:':::~..hJ ~
NOTE: LOCATION MAP MUST BE SUB
CONSTRUCTION REQUIRES SURVEY WI
/
Residential @ $10_ or
\
Applicant Name
Applicant Mailing Address
Owner Property Address:
Received by:
3g/f
Non-Residential@$
~~C
\4
Lot 40
Signature of Applicant
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
southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
Southold Town Building Department
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FROM:
Carol Hydell, Southold Town Clerk's Office
DATED:
June 20, 2008
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No. 3811 for a Cesspool/Septic Tank Construction
Permit submitted by:
Theodore C. Martz. Jr.
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" ~~;;;.P:rr~~_~--Y'/d
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Dated / /
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LOT 16
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S.C. T.IA.NO.: DISTRICT:' 1000 SECTION: 106
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BLOCK: 7
LOT(S): 40
.)
DWELL ~BlIC WATER
:2 ' ;
- .
LOT d~
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LOT 8
DWELL PUBLIC WATER
'-
,
J~' 71039'20" E
CONe.
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121.25'
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WIRE FENCE aSN
o/t-T~is CONC.
0.. "w MON.
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EL 55.0
EL 53.2
EXCAVATION INSPECTION REQUIRED
FOR SANITARY SYSTEM
BY HEALTH DEPARTMENT
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! SUFI" ;L.: .:.J,jNTY DEP"RTMENT OF HEAL 111 SERVICES
i'ERMlT I10R APPROVAL OFCONSTRUcnON FOR A
SINGLE FAMILY RESIDENCE ONLY
DATE ~/~~/o HSRBF.NO./flo-o7- ~p
I APPROVED _~ r r
, /
; FOR MAXIMUM OF ~BEDROOMS
I EXPIRES TIlREE YEARS FROM DATE OF AFPROV AL
I
VACANT
LOT 15
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LOT 17
COVERED PORC~
20.0' .
EL(55.0)
ELEV. 54.'
OR BROWN
NDY LOAM "
BROWN
LOAMY SAND 2.2'
LOAMY SAND 4.5'
PALE
BROWN
MEDIUM
TO
~ COARSE
SAND
WITH
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0
~ . NO WATER 17'
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1:> PROPOSED
~ 2 STY. FRAME
W/CELLAR
FFL EL (57.0)
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GARAGE .;
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97..30'
MAP
_.t.AON
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i'Y
TC 49.97 U.P.
S 7103920" W
121 2/::' UP #15
. Vrc 52.25 <u, "
CONC. CURB
EX'ISTING WATER MAIN
CL 50,36ST ANLEY
(50')
ROAD
CL 52.32
35':1: ASPHALTIC CONC. PAVEMENT
DWELL PUBLIC WATER
VACANT
DWELL PUBLIC WATER
AREA: 20.006 S.F. OR 0.46 ACRES
THe WA fER SUPPL Y, KElLS AND CeSSPOOL
LOCA nONS SHOWN ARe FROM FIELD OBSE:RVA nONS
AND OR DATA OBTAINeD FROM OTHeRS.
CLeVA nON DA TUM: ___~~~I:!.~~Q_______________
UNAUTHORIZeD AL TE:RA TlON OR ADDITION TO THIS SURVCY IS A VIOLA TlON OF SeCTION 7209 OF THe NeW YORK STA TE: E:DUCA TlON LA W COPieS OF THIS SURVCY
MAP NOT BeARING THe LAND SURVCYOR'S eMBOSSeD SeAL SHALL NOT Be CONS/DeRE:D TO Be A VALID TRUe COf'Y. GUARANTE:eS INDICA TE:D HeReON SHALL RUN
ONL Y TO THe PeRSON FOR WHOM THe SURVCY IS PRePARE:D AND ON HIS BeHALF TO THe TITLe COMPANY, GOVCRNMeNTAL AGeNCY AND LeNDING INSTITUTION
LlSTE:D HeReON. AND TO THe ASS/GNeeS OF THe LeNDING INSTITUTION, GUARANTeES ARe NOT TRANSFeRABLe.
THe OFFSeTS OR DIMeNSIONS SHOWN HeRE:ON FROM THe PROPeRTY LINeS TO THe STRUCTUReS ARe FOR A SPeClf'iC PURPOSe AND USe THeReFORe THeY ARe
NOT INTE:NDE:D TO MONUMeNT THe PROPeRTY LINeS OR TO GUIDe THe eReCTION OF FeNCeS, ADDITIONAL STRUCTUReS OR AND OTHeR IMPROVCMeNTS. eASeMeNTS
AND/OR SUBSURFACe STRUenJReS ReCORDE:D OR UNReCORDE:D ARe NOT GUARANTeE:D UNLeSS PHYSICALL Y eVIDeNT ON THe PReMISeS A T THe TIMe OF SURVCY
SURVEY OF: LOT 16
MAP OF: SUNSET KNOLLS
FILED: APRIL 9, 1970 AS #5448
SITUATED AT: MATTI TUCK
TOWN OF: SOUTHOLD
SUFFOLK COUNTY. NEW YORK
CERTIFIED TO: THEODORE C. MARTZ JR.
ABSOLUTE ABSTRACT INC.'
FIDElITY NATIONAL TITLE INSURANCE CO.;
N. Y. S. lIC NO. 50227
KENNETH M. WOYCHUK L.S.
Land Surveyin, and Deap
P.O. BOlt 3, Mattituck, New York, 11952
PHONl! (1131) 2811-1688 FAX (1131) 21111-1688
maJnlaJnJDI the recorda of Robert J. Hennnl,
.
FILE # 27-37 SCALE: 1"=30' DATE: MAY 7, 2007
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