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Home My WebLink AboutCSICSAK, EUGENE A-- FRANK A. KUJAWSKI, JR., President *~-ALBERT J. KRUPSKI, JR., Vice-President JOHN M. BREDEMEYER, III JOHN L. BEDNOSKI, JR. HENRY P. SMITH BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 728 Southold, New York 11971 ' February 24, 1989 TELEPHONE f516) 765-1892 Mr. Eugene A. Csicsak P.O. Box 429 Mattituck, New York 11952 Re: Inspection request by Eugene Csicsak at property located at Lake View Avenue, Peconic, N.Y., Tax Map Number 1000-68-03-10. Dear Mr. Csicsak, Please be advised that the Board of Trustees inspected the above referenced proper~y and it was determined that the project proposed is out of our jurisdiction. This determination is only a determination rendered by this Board. Any other approvals that may be applicable are required prior to the commencement of the project. Thank you for your courtesy:and cooperation in this matter. Very truly yours, : Frank A. Kujawski, Jr. President Board of Town Trustees FAK:jmr cc: Bldg. Dep't. Board of Appeals D.E.C., Stony Brook S.C. Dept. of Health Services WWM-042 (Rev . 8/88) SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES BUREAU OF WASTEWATER MANAGEMENT SUFFOLK COUNTY CENTER R/VERHEAD, NEW YORK 11901 516-548-3312 NOTICE OF INCOMPLETE APPLICATION - RESIDENTTAL H .S. REFERENCE NO.: ~'~ ~ /~--- OPERTY LOCAT~ION : /~//~ ~ ~/~ ~e s:~eys' lot our ro osed mewa ' " _ _ .; _~ ; Y . P p ge disposal ~d water supply syst~s have be~ reviewed ~ the, ~olA~g wzll be required prior to further process~g of the applicati~ for appr~a! t~ c~at~ct. PLUME RR~N A COPY OF ~I8 FO~ WtT~ ~ RESCISSION, ~ N.Y.S- Dept. of Env. Gons. [ ] S~er Distr~ct Appr~al [ ] SEQ~ Detestation .~ T~ Wetlands/Dra~aEe [ ] S .C .D .H .S. Vector Control [ ] Other II. SURVEY DATA AND INFORMATION Three prints of survey original s~amp & signature App[icatio~ Fee:$ Name. a~dress, phone no. Statement signed by auolicant Indicate square footage of lot S.C. Tax Map Number req'd Surrounding property - Retaining walt must be designeo oy P.E. or R.A. [with measurements~ of o~_driveway location on [ndlcate any surface waters within 300' of plot; snow wetlands limit as flagged oy N¥SDEC and/or Town Show area for 50% disposal system Show test borgng and Test boring ~na~equate See Remarks below Grading plan showing FURTHER INFORMATION MAY BE REQUT~Rh / / Date Prepared ~ By_ ~ ~ Applicant Notified by Mail ~ Person J8-1146..8/88 SURVEY OF PP~PER T Y A T PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000 - 68 - 03 - 10 Scale 1" = 30' Dec. 19, 1988 AREA = 42,930sq. ft or O. 9855acres TO ,TIE LINE ££EVATIONS ARE REFERENCED TO /V~I,~G.D.. N/O/F RONALD RO17'iMAN \ / AUTUMN LAKE ,'~'8- 737 .... ; EUG~N~ A. CS~CSAK Box 429 MATTITUCK, NEW yORK 11952 February 10, 1989 telmen' Inclosed is a check for $ 25.00 for an inspection see if the following lot falls into your jurisdiction. 1000 68 03 10 lot is on Lake View Ave. Peconic. Yours truly, SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY DATE HS REF. NO APPROVED for such use by The New York Sidle Land DWELLING SURVEY OF PR©PERTY " A T PECONIC TOWN OF SOUTHOLD .AUTUMN SUFFOLK COUNTY, N.Y. / %~f' 1000 - 68 ff 03 ~ I0 ,_. Scale ~ = o /~ . ,~ ~c~,~ / ~ -- 1988 ~ ~° ~ Dec. 19, ~. ~ ~,~ ..o~ LAKE ~.s. tic. ~o. 4~ or 0.9855acres I "RS. 'C. TO ,TIE t'~ I , '.:88- 737' ,'