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Home My WebLink AboutGatz, Walter o�oSUFFoc,��oG ELIZABETH A.NEVILLE _� 'y� Town Hall,53095 Main Road TOWN CLERK o - P.O. Box 1179 CIO Southold,New York 11971 REGISTRAR.OF VITAL STATISTICS Is MARRIAGE OFFICER ,fi �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �Ql �a� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER 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. 3184 R Residential X Non-Residential Fee $ 10.00 Septic x Cesspool PERMIT ISSUED TO: Name : WALTER GATZ Address 1: PO BOX 45 City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR ONE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-04-0070 Name Of Owner GATZ, WALTER ------------------------------ Mailing Address 1 PO BOX 45 ------------------------------ ------------------------------ City St Zip MATTITUCK NY 11952 -------------------- -- ---------- Property Address 1 6568 SOUND AVENUE ------------------------------ ------------------------------ City St Zip MATTITUCK NY 11952 -------------------- -- ---------- Tax Map No. section 113.00 block 7 lot 22.000 Cross Street COX NECK ROAD ------------------------------ Building Permit Number Cross Reference: ---------------------------------- issue Date: 9/01/04 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) 31�q ELIZABETH A. NEVILLE _� Gy� Town Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 H Southold, New York 11971 REGISTRAR OF VITAL STATISTICS � � MARRIAGE OFFICER �i �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ��l �a� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net JUN - 2 2U OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: June 2, 2004 Transmitted herewith is a copy of application No. 3325 for a Cesspool/Septic Tank Construction Permit submitted by: Walter & Marilyn Gatz 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. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Signature Dated . 1 ELIZABETH A.NEVILLE h`1`� QG�f. Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 CA Z Southold, New York 11971 REGISTRAR.OF VITAL STATISTICS v. Al MARRIAGE OFFICER Oy �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �f O Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER O'� �a 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.3 �� //�JM Permit No. Applicant Name UQ1TLeY Applicant Mailing Address 10-4Q• 60y, �5, MQ?�i7�tx.,�, /U.✓. /19�� fieptic Tank or Cesspool 'Brief Description of Proposed Construction or Alteration_ New heme. Location of Proposed Construction/Alteration: Owner of Property: (,t #eY , IvQri to Owner Mailing Address: f-LI• (so'y' 45 Owner Property Address: �,SQcs &—*Jd M422t uG ol.. Name and phone number of contact person 6;4� Tax Map No: Section Block _ Lot ` Cross Street rOX Ve-c-K- R04 CL NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUI7SURH H TH DEP NT APPROVAL plicant Date Received by: `J �-' ,)� V, Of �OOGa GPS° \ 0'pF O\ �N Ly / . � ao• 9 0-1\ ' 0 '��' ��a�• � -q N IL n\ ' a 60 / � ' ,`,, •oo, Som \\ 0 e9 J Z O� �9�0 O � .N 1 O Ner �L o sp Lott � 40 Of 3Ov Y� o I Of °SAO J c c O Of' ' O or , OrUf r MENT 5ET =MONUMENT FOUND Q. =5TAKE 5ET .=STAKE FOUND G=CHIMNEY Ro=ROOF OVER 5=5TOOF CE=CELLAR ENTRANCE N Young & Young a >0 400 Ostrander Avenue, Riverhead, New York 11901 6-11 631-727-2303 Howard W. Young, Land Surveyor Thomas C. Wolpert, Professional Engineer Robert C. Tast, Architect Ronald E. Pfuhl, Landscape Architect Douglas E. Adams, Professional Engineer T- A�— T'�'11 Es ,.rJ L`+..t'dax.tiev Q.l.'ZS :>�. L k,. i _.6 S,o ..3�l�up. r�gq��T�,+ A �,o`fiJi`V'•.✓'Ls'i1BJ�.11�./1`1 1'ORA 01 MMES TY '".MiZS FROM DATE OF APPROVAL Z�g gzw E ?cQWWo NOTE <00L.0O 1=0 N= is AREA = 6.0254 ACRES ' MRS • LOT NUMBERS REFER TO MINOR SUDIVISION — "GREEN � uu N U PASTURES" • VERTICAL DATUM = N.G.V. DATUM (M.S.L. Ig2q) 0 _'" gB�d SURVEYOR'S CERTIFICATION $nz FMARILYN REBY CERTIFY TO WALTER GATZ & GATZ THAT THIS SURVEY WAS PREPARED IN u ACCORDANCE WITH THE CODE OF PRACTICE FOR LAND Eqj SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. 2� IP � Y 0 HOWARD K YOUNG, N.Y.S. L.S. NO. 458gB BLAND SURVEI' FOR HEZ NALTER GATZ F MARILIN GAhig TZ. . ilia At Mottitvck, Town of Southold Suffolk County, New York