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Home My WebLink AboutKeitt a OF SO��yo ELIZABETH A.NEVILLE ,`O l0 Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 REGISTRAR,OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER G • Fax (631) 765-6145 RECORDS AGEMENT OFFICER FREEDOM OF INFORMATION OFFICER �OIyCQU � a s utholdtownTelephone snor hfork.n31) et OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3588 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : COASTLINE CESSPOOL Address 1: 4225 BRIDGE LANE City St Zip CUTCHOGUE NY 11935 Descripton of Proposed Construction or Alteration -CHANGING OUT 2 BLOCK CESSPOOLS WITH (1) 1000 GALLON TANK & (1) 8 X 12 LEACHING POOL -MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES Name Of Owner JOHN KEITT ------------------------------ Mailing Address 1 320 EAST 57TH ST, APT 15E ------------------------------ ------------------------------ City St Zip NEW YORK NY 10022 -------------------- -- ---------- Property Address 1 280 BASIN ROAD ------------------------------ ------------------------------ City St Zip SOUTHOLD NY 11971 -------------------- -- ---------- Tax Map No. section 81.00 block 1 lot 1.900 ------ --- ------ Cross Street OLD PARADISE POINT ROAD ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 10/26/07 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) �pF SO(/Ty ELIZABETH A.NEVILLE O� �� Town Hall, 53095 Main Road TOWN CLERK P.O, Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 N MARRIAGE OFFICER Fax(631) 765-6145 G Q RECORDS MANAGEMENT OFFICER �� Telephone(631) 765-1800 FREEDOM OF INFORMATIPtLO CER Olij'C�U southoldtown.northfork.net OFFICE OF THE TOWN CLERK i SU TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Michelle L. Martocchia, Southold Town Clerk's Office DATED: September 27, 2007 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 3745 for a Cesspool/Septic Tank Construction/Alteration Permit submitted by: Coastline Cesspool for John Kitt 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. I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: F i Signature co))/-2 S-/'077 Dated 117 «EU 08:33 FA-X 631 765 6145 SGUTBOLU TI)WN, ;.LERK C oal p. rill�� • r. Town Ball, :3095 Main Road F(:L.IZ"E T]H A.NEZn1L LE � 'TOWN C LE]RE: � r P O-Box 1179 �011t�701:j�New York 11971rtECISTRAR OF VITAL STATIS�i1Co t� '� MARRIAGE d F'ICt I2 m� Fax(6311 '765-6145 65-1800 MCORDS MANAGEMENT OFFICER �� ' �� Telephone n.no hfork.n FnrSDOM OF INFORMATION OFFIPEIR so.xtholdtown.northfork.net O'F'FI(,E ,OI, THE T("%'`IN CLERK T OWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTER-kTION PERMIT CESSPOOL or SEPTIC TANS: Residential �r'X10 —iZ or ��O[7-F?E31Cl�i?!1:11 (?S�5 ApplicIlion Tc Pon-nit No.� ApplicantNainc— Applic alt flailing Address_—a) - 1 G_— No1 r�� . -6-436 3e C> 1n t�aa _ - Sepuc Tank J or Cesspool_- Brief Description ofPropo.,e-,,1 Construcdon or Alterationqm Location of Proposed ConstrictioiI/Alteration: Owncr of -- Owner Mailing Address;___ Saw�-a 1�� K-I Aa----,D�> Owner PropertyAddress:,0 �_ Name and plione number,of contact person_ � � ��_ �� " 1,S3 9 Tax Map No: Section B1oek I.ot Cross Street ] -- fit Gr ► - �---- ----- NOTE: LOC_:A.TION 1\,IAI' MUST BE SUBIa'IIT-I'ED ',AIT I ATPLIC;ATION. NEW COIaS'TRlr.TCTION RLQTTI P, S STJR VI b' ��'IT HEAT PARTNIE 1'APPROVAL Sl�plature of Applicant Date Received WOOD BULKHEAD APPARENT HIGH WATER MARK I ALONG BULKHEAD 5 0.O Q 9 Zr) NI WOOD 13ULKHFAD , WOOD BULKHEAD N s� ENCE I 03F y�0 0.6'E WOOD BULKHEAD 20.2' ;o EAD v D D K nI 32' �Q z 3 INGROUND POOL / v zo z ati z 3 Z SLATE WALK _3 G C) ui L) caw oa 1yOOD �� Lao o z° S7EI'S 186, X31 N �� 3� SCREENED WOOD/g y � WOOD T1EEWALLSLATE 7- PORCH ` FENCE 16NCE16720 22.5' PLANTER ° 0.6'W. POOar WOOD DECK 168' ---- 94' o4113-1 �;F rCN � Q ICE FENC & 2 STORY FRAME HOUSE N 5 GALJ CL O B4'' O� 57 a wo' WANDO w GPS v 13.1 F S, LA C 16.4'22.5' v n CONC, p FENCE r o E` v i.i w v 22 0' a _! 41.7' 3 o I BAY D yE4 y wo20 6 TANK VALVE WINDOW ma O v O w O 90 I SLATEROOFSTOOOP Z P \ h I SLA WALK q p D D p D 3N Iwcq P¢ D I P n o P 3 0 � J I D P R j D -03 I I D P 3 N (7 v m v 3 I D D p Do