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Home My WebLink AboutHallenbeck, Geoffrey R IIIELIZABETH A. NEVILLE, RMC, CMC TOWN CLERK REGISTRAR OF VITAL STATISTICS 1V,_ARRI~OE 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 southoldtowm north fork.net TO: FROM: OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Southold Town Building Department Carol Hydell, Southold Town Clerk's Office AUG 2 0 2009 BLDG. DEPI. TOWN OF $OUTHOLO DATED: August 19, 2009 Transmitted herewith is a copy of application No. 3890 for a Cesspool/Septic Tank Construction Permit submitted by: Calabrese for Geoffrey Hallenbeck III 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. I have reviewed the application and location map of the project cited above and make the following recommendations: ~ APPROVE DISAPPROVE Comments: Signature Dated '& Er ,IT,&BETH A. TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMEIqT OFFICER FREEDOM OF IN'FORMATION 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 Residential ~ $10 or Non-Residential @ $25 Application No. ~0~0 Permit No. Applicant Name I~l v g/~ Iff C~'~ L/'~[~/l.~'ff6r S~ticrT~ or Cesspool / B~efDescfiption of Proposed Cons~ction or ~te~tion ~ -~mt~ Location of Proposed Construction/Alteration: Owner of Property: G~mqr~o.{~y ,~. t~c6~e.c--c/<:It~'As ~v~r~ oF~ f~e.~ ~.. ~ ~m,~ ~ ~n~ O~er M~g Ad.ess: 2700 ~P ~ Rona O~erPropc~Ad~ess: [0~0 ~oo~ ~UE. Nme ~d phone n~ber of con~t pemon T~ Map No: Section /~ Block 0{ ~t 0~.~ CrossS~eet F~cTo&y A~e~o< NOTE: LOCATION ~ ~ST BE S~TTED wITH ~PLICATION. ~W CONSTRUCTION ~QU~S S~Y ~H HE~TH DEP~T~NT ~PROV~ Received by: (~/~ignature o f Applicant Date WELL ,-o~e' :E YELL 150% ++ N OLD o TE*ST HOLE SOUND 0 CESSPOOL WELL o SURVCr' OF DESCRIBED PROPERTY SITUATE MATTITUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: JOHN CALABRESE JOANNE CALABRESE TM# 1000-142-01-003.2 .T 09 SHOW ADJACENT OWNER LOT LINES, SHOW RELOCATED PROPOSED SEPTIC TANK. WELL A VENUE RESIDENCE 0 CESSPOOL WELL 0 CESSPOOL RESIDENCE WELL NOTE: ELEVATIONS SHOWN HEREON ARE IN 1988 NGVD. SURVEYED: 15 JUNE 2009 SCALE I'= 40' AREA = 10,007 S.F, OR 0,229 ACRES SURVEYED BY STANLEY J, ISAKSEN, JR. P.O. BOX 294 NEW SU~'-OLK. N.Y. 11956 .~,N¥.5 bc: N6.~273 09R1731-1 TEST HOLE BY McDONALD GEOSClENCE, SOUTHOLD, N,¥. DATED JUNE 19, 2009 ORIGINAL GROUND EL 2.3.8 --~'AR.K, BROWN LOAM OL BROWN SIL~ SAND SM PALE BROWN FINE SAND SP 17' NO WATER ENCOUNTERED FOR SCDH$ USE ONLY WELL RESIDENCE CESSPOOL WELL ~50'+ N OLD SURVEY OF DESCRIBED PROPERTY SITUATE MATrITUCK, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. GUARANTEED TO: JOHN CALABRESE JOANNNE CALABRESE SURVEYED FOR: JOHN CALABRESE JOANNE CALABRESE TM~ 1000-142-01-003,2 1, 21 JULY og SHOW ADJACENT OWNER LOT LINES, SHOW RELOCATED PROPOSED SEPTI