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Home My WebLink AboutEuers ` ELIZABETH A.NEVILLE OrjF S��TyOI Town Hall,53095 Main Road � O TOWN CLERK P.O.Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER G Q Fax(631) 765-6145 RECORDS FREEDOM OF INFORMA ION OFFICER �AGEMENT OFFICEROl��'�UNTI, Telephone (631) 765-1800 southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3599 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : MICHAEL EUERS Address 1: PO BOX 274 City St Zip CUTCHOGUE NY 11935 Descripton of Proposed Construction or Alteration -REPLACING OLD CEMENT BLOCK SEPTIC SYSTEM WITH PRECAST SEPTIC TANKS THAT MEETS HEALTH DEPT. STANDARDS -MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES Name Of Owner MICHAEL & KELLY EUERS ------------------------------ Mailing Address 1 PO BOX 274 ------------------------------ ------------------------------ City St Zip CUTCHOGUE NY 11935 -------------------- -- ---------- Property Address 1 725 SCHOOLHOUSE ROAD ------------------------------ ------------------------------ City St Zip CUTCHOGUE NY 11935 -------------------- -- ---------- Tax Map No. section 102.00 block 1 lot 2.500 ------ --- ------ Cross Street DEPOT LANE ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 11/01/07 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) �pF SO(/T�, ELIZABETH A.NEVILLE � Ol0 Town Hall, 53095 Main Road TOWN CLERK P.O.Box 1179 REGISTRAR,OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER �r Fax(631) 765-6145 G Q RECORDS MANAGEMENT OFFICER �� Telephone(631) 765-1800 FREEDOM OF INFORMATION-OFFICER `+UM'� southoldtown.northfork.net r \OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: ', outhold Town Building Department FROM'� Michelle Martocchia, Southold Town Clerk's Office DATED: October 5, 2007 Transmitted herewith is a copy of application No. 3751 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Michael Euers 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. Michelle Martocchia I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE V DISAPPROVE Comments: Signature Dated ELIZABETH A.NEVILLE �`Z` Gy Town Hall, 53095 Main Road TOWN CLERK p P.O. Box 1179 Southold, New York 11971 REGISTRAR,OF VITAL STATISTICS MARRIAGE OFFICER • Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER O'� 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.!� n9Permit No. q Applicant Name MiLi Applicant Mailing Address Q• D Cir-, 93,S- Septic Tank24—or Cesspool X7 7 Brief Description of Proposed Construction or Alteration N r. l/4elL) Ck t 7C f e is U S 6 APos Location of Proposed Constructi n/AIteration: Owner of Property: Owner Mailing Address: P,0. C Gi %G1 D6 t P , /H Owner Property Address: W Sc/i oa� p als/G Cot %Cl oG(te r�Y /m5- Name and phone number of contact person /"/icbe� �yPIZ s 7,3 Y_'-74-72 Tax Map No: Section /0 celBlock / Lot &POCross Street 1 Ne, NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPR V .moo Signature of Applicant Date Received by: Dt�/I J w 4 N/F GRA TTAN N 46 57' 30" E 100.0, `D au \LiQa�D � GJn i f� co o UPR riot) 0— = - .__ vit– NIF MCCAFFERTY f \ i? Z NSF Q0"o `r DIA CUN r LaLAR �f Cif 7s' y FNr JJ� If' 19La N I STORY — '; WOOD FRAME T, RESIDENCE oTW"E' Q 285 f0 B' 26.7'PLANTER �Ll ++ CONC mc, ' Lo 4 2 Fa cm cu cfr TIE— 351.70' S 46' 57' 30" W 100.0' SCHOOL HOUSE ROAD SURVEY of W MAR NO. DESCRIBED PROPERTY 1000-102-01-25 MTUA7E SURVEYED 08 DECEMBER, 2000 GUARMO OKYY�To WEPERSO FOR KW pESURNEY CUTCHOG'UE, TOWN OF SOUTHOLD SCALE 1'=20' Ts PREPARED.AND ON hVS T#NALF ro THE AREA= 15,000 SF IME COMPANY i�rO MMM COWRNMOTAL ANO SUFFOLK COUNTY, N. Y. OR To AfE AMMYEES of THE LDS M mavwnoy• 0.344 ACRES GUARANTEES ARE NOT TRIWgERRAME TO AoanoNAL rNsnTuncfys aR sL QUENT o4wo l SURVEYED FOR MICHAEL A. EVERS UNAUTNLLQ/gD ALIMI)OY pffl AMIlay To TNrs SUQVtY/S A NOUnC OP SECTTOW 7209 of THE NEw I& sTATE EoucADON uw SURVEYED BY COMES of THIS SURD£Y NAP NOT BEARTNC THE LAND SURWYORS SAVO Ep SEAL SNAG• STANLEY J ISAKSEN, JR. NOT BE cONS+OEAw TO BE A VALID TRUE COPYP.D. BOX 2-4 . NEW,Shite-FD,t:,;7 1':-68_56 GUARANTEED TO 63 J3 35 MICHAa A. £VERS _ SAFE HARBOR 777LE AGENCY, LTD. - FIRST AMERICAN 777LE INS Co., OF NY LICE fJE ,; .4r7r7'T EYOR SUFFOLK COUNTY FEDERAL CREDIT UNION NYS LIC. Iv ..--4J273 /7,1,013-111 TOTAL P.01