The URL can be used to link to this page

Home My WebLink AboutGatz, Walter (2) O��gUFFO[�-c �G ELIZABETH A.NEVILLE y� Town Hall, 53095 Main Road TOWN CLERK y Z P.O. Box 1179 REGISTRAR OF VITAL STATISTICS O Southold, New York 11971 MARRIAGE OFFICERy • �� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER l �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. 3248 N Residential Nor:-Residential X Fee $ 250.00 Septic X Cesspool - PERMIT ISSUED TO: Name : GATZ. WALTER & MARILYN f4ddress 1: P 0 BOX 45 City St Zip MATTITUCK NY 1:1952 Descripton of Proposed Construction or Alteration CONSTRUCT AGRICULTURAL BARN AND STORAGE BUILDING FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT ALSO INCLUDES LOT 121-1-4.7 Name Of Owner GATZ, WALTER & MARILYN ------------------------------ r,ailing Address 1 P 0 BOX 45 ------------------------------ ------------------------------ city St Zip MATTITUCK NY -11952 -------------------- -- ---------- Property Address 1 SOUND AVE ------------------------------ ------------------------------ ' St Zip MATTITUCK NY 11952 -------------------- -- ---------- ax Map No. section 121.00 block 1 lot 406 ------ --- ------ Cross Street COX NECK ROAD ------------------------------ Building Permit Number Cross Reference: ---------------------------------- issue Date: 1/26/05 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) �O �G ELIZABETH A. NEVILLE y1 Town Hall, 53095 Main Road TOWN CLERK tCzi� Z P.O. Box 1179 REGISTRAR OF VITAL STATISTICSO Southold, New York 11971 MARRIAGE OFFICER y • �� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER ��l �a Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: October 28, 2004 Transmitted herewith is a copy of application No. 3390 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 // .2-00 5� Dated . f r �OgUf F0(,�C' ELIZABETH A.NEVILLE O Orz Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS y, Southold, New York 11971 MARRIAGE OFFICER Oy ��` Fax(631) 765-6145 RECORDS MANAGEMENT OFFICERTelephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER �'� �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. 5,-3_?O Permit No. Applicant Name Walter Gatz and Marilyn Gatz Applicant Mailing Address P.O. Box 45, Mattituck, NY 11952 Septic Tank X or Cesspool X Brief Description of Proposed Construction or Alteration Construct agricultural barn and storage building Location of Proposed Construction/Alteration: Owner of Property: Walter Gatz and Marilyn Gatz p Y� Owner Mailing Address: P.O. Box 45, Mattituck, NY 11952 Owner Property Address: Sound Ave. , Mattituck, NY 11952 Name and phone number of contact person Walter Gatz or Marilyn Ga6tz Tax Map No: Section 121 Block Ol Lot p/oand4.7 Cross Street Cox Neck Road NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION W CONSTRUCTION REQUIRES SURVEY WITH HE TH DEP MENT AP ROV Signature of icant ate Act. �l�` 2004 Walter Gatz /arilyn Gatz Received by: +3'1.86 1.65 +42.23 y ?i +43.02 +37.64 \1011- 1- yy +42.8 0� 1a(\\y p Ow 43.43 r� p �' 10 i i 3 s 0 o � 3 Lot 3 N PROPOSED SANITARY SYSTEM O \\ 0. ' 1,200 GAL. SEPTIC TANK d e 350 5.F.S.W.A. WITH 5096 / \ EXPANSION / 4 i i / \ s� / GP i, TEST HOLE ( PROPOSED PRIVATE WELL r (pfflGe) , ST ti X010 I PROPOSED ViATE 4� R SERVICE +46.9 O +47.63O ip iA +50.04 �O� �/ 4"1.22 F F E�ZAAe) •' / 47.31 (yt0r09 +45.45 O' J 50.03 49.44+ / o f. SOD NGir c� 41.74 0 (IP O J , O n48.b4- 48.47 . 5 49.251 o �� ne YA°\z Ot m Loa TEST HOLE DATA \ 8-19-04 EL�48.4 DARK 0.0' \ ni BROWN ti' Young & Young 400 Ostrander Avenue, Riverhead, New York t190t 901 631-727-2303 5 w Howard ff. Young, Land Surveyor � �� 'i Thomas C. Wolpert, Professional Engineer ` Robert C. Tast, Architect -I Ronald E. Pfuhl, Landscape Arahategt . • was� Douglas E. Adams, Professional Engineer WATER LINE(S) MUST 8E INSPECTED BY THE SUFFOLK COUNTY DEPT. OF HEALTH SERVICES. CALL 852-2097, 48 HOURS IN ADVANCE, TO SCHEDULE INSPECTION(S). 1 W 4119 i floor Suffolk County Department of Health Services Approval for Constriction-Other Than Single Famfly Reference No.C/O 10 "!.(.CSO Design Flow Project d �bZ�e�en ��Zul� S These plans �for general conformance County Department of Health Services standards,,relating to water Supply and sewage disposal. Regardless of any omissions, inconsistencies or lack of detail, construction is required to be in accordance with the attached permit conditions and applicable S standards,unless speciEcally waived by the Department.This approval i expires 3 years from the approv , or a ed. s OCT 212004 � �. XAS pprov ate — lies SITE DATA TOTAL AREA = 5.0041 ACRES • ZONING LOE DISTRIOT AGRICULTURAL-CONSERVATION • VERTICAL DATUM = N.G.V. DATUM (M.S.L. 1929) • LOT NUMBERS SHOWN HEREON ARE REFERENCE TO MINOR I SUBDIVISION "GREEN PASTURES" 0 I ENGINEER'S OERTI F1 CATI ON i • HEREBY CERTIFY THAT THE WATER 5UPPLY(5) AND/OR k SEWAGE D15P05AL 5Y57EM(5) FOR TH15 PROJECT WERE DESIGNED 15Y ME OR UNDER MY DIRECTION. BA5E17) UPON A CAREFUL AND THOROUGH STUDY OF THE 50IL,51TE AND GROUNDWATER CONDITIONS, ALL LOTS, A5 PROPOS • CONFORM TO THE SUFFOLK COUNTY DEPART 5ERVICE5 CONSTRUCTION 5TANDARD5 INE DATE. 8 c � i Mida HOWARD W. YOUNG, N.Y.S. L.5. NO, 455cl 814�nJ 1 THOMAS C. WOLPERT, N.Y.5. P.E. NO. bi48 SURVEYOR'S CERTIFICATION ; p a . NE W. CYC �y HOWARD W. YOUNG, N.Y.S. L.5. NO. 45893 L4 y el:�SFDLAtyD APPLICANT 1� WALTER CGATZ � 1800 SOUND AVENUE s MATTITUCK, NEA YORK 11,152 c