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ELIZABETH A. NEVILLE �� Gy�` Town Hall, 53095 Main Road
TOWN CLERK y Z Q P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �1.1z) Pry
Southold, New York 11971
MARRIAGE OFFICER
` Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER .OI * *D-010Telephone (631) 765 1800
FREEDOM OF INFORMATION OFFICER „,s" 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. 3272 R Residential x Non-Residential
Fee $ 100.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : GOROS, ALEX
Address 1: 201-20 23 AVE
City St Zip BAYSIDE NY 11360
Descripton of Proposed Construction or Alteration
PROPSED NEW SINGLE FAMILY HOUSE
FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name of Owner GOROS, ALEX
Mailing Address 1 201-20 23 AVE
City St Zip BAYSIDE NY 11360
property Address 1 2230 CEDAR DRIVE
City St Zip EAST MARION NY 11939
- ax Map No. section 220.00 block 5 lot 16
cross Street WILLOW DRIVE
Building Permit Number Cross Reference:
Issue Date: 1/27/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
,, _ 32.-7 ,1
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ELIZABETH A.NEVILLE ���,j� Gy�` Town Hall, 53095 Main Road
TOWN CLERK t y Z $ P.O. Box 1179
REGISTRAR OF VITAL STATISTICS :Oy A. of
Southold, New York 11971
'MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER _�O,j * �a0''�� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ..,.,'• southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
38 1 3 r.'sf-7 TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 22, 2004
Transmitted herewith is a copy of application No. 3415 for a Cesspool/Septic Tank Construction
Permit submitted by:
Alex Goros
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: _ - — 411111111111./ .mac
41
Signature
01/3/ors--
Dated
1 /3 as-"Dated
ELIZABETH A.NEVILLE ,'� ts; Town Hall,63095 Main Road
TOWN CLERK N. P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ; Fax(631)785;8146
MARRIAGE OFFICER C �
RECORDS MANAGEMENT OFFICER I ,� Telephone(681)765-1800
. FREEDOM OF INFORMATION OFFICER ,,�,,�' eoutholdtown.northfork.net
OFFICE OF THE TOWN CLERK
' TOWN OF SOUTHOLD
•
SOUTHOLD WASTEWATER DISTRICT
APPL[CATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 X or Non-Residential @$25 Application No. 341 S
Permit No.
Applicant Name ALEX GOROS
Applicant Mailing Address 201 -20 2 3 AVE, BAYSIDE N.Y. 1 1 3 6 0
Septic Tank_ or Cesspool
Brief Description of Proposed Construction or Alteration PROPOSED NEW ONE
FAMILY HOUSE
Location of Proposed Construction/Alteration:
Owner of Property: ALEX GOROS
Owner mailing Address: 201 -20 23 AVE, BAYSIDE N.Y. 1 1 360
Owner property Address: 2230 CEDAR DRIVE EAST MARION, N.Y.
11939
Name and phone number of contact person ( 71 8) 729-4100
Tax Map No: 1 0 0 0 Section 0 2 2 Block 0 5 Lot 1 6
Cross Street WILLOW DRIVE
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION, NEW
CONSTRUCTION REQUIRES SURcTr HEAL ' DEPARTMENT APPROVAL
Jcv...29/0
,;;, of • .plir t Date
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Received b e' -
LOT 18 -
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SURVEY OF PROPERTY % k \ i
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SUFFOLK COUNTY7NEW YORK ...›. \\ PROP' 0 i cc, , Ili
1000-22-05-16 \wELL
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SCALE: 1"=40' cs‘ -al.
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JULY I, 2004 %3`.. \ I I , CO
TREE 30 * / 93
36' \ 44 n
July /4, 2004 (contours) I GLi
cc:, = EVERGREEN ( CEDAR) MON"
. 51 -i
NDI 1 36.
0 - DECIDUOUS 1 e
, IN 84 a5 7,
3ei3.0 i 50" W eL
I 16.5......._,........_____ _
SUFF0,1,7'„:";011I-Fre`r;77),k2.:174yiElri!..'),P17-3ALTI-1 SERVICES
pER fy-- 1,:*1- -,,,,.,,' 1 ' -•,:a. -...)1`:'K:',C,,a— -_--',':'21-iTOrt7 FOR A
;'4,',',7'7.re.. „,...,-,,, •?,1 Arflr_Dr.,-C,' 3 NI,.,Y
ii.... .....u.d...o..me:g..........me................ 34 36 9 WU
C'13* 150 fr * LOT
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APPRCA. L' NiimaSeN\A._____
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AREA = 40,090 sq. ft
3 p
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EXPMES THREE trEA.RIFROM DATE OF APPROVAL
• . .
- ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION 4øF Neiv A.
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. 41444P 10.iwe),. N
EXCEPT AS PER SECTION 7209 - SUODIVISION 2. ALL CERTIFICATIONS
I am familiar with the STANDARDS FOR APPROVAL HEREON ARE VALID FOR THIS MAP MD COPIES THEREOF ONLY IF
AND CONSTRUCTION OF SUBSURFACE SEWAGE SAID MAP. OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR * *
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES WHOSE SIGNATURE APPEARS HEREC*I -'91.t.'
( 1 '' ' ' P
and will abide by the conditions set forth therein and on the ADDITIONALLY TO COMPLY WITH SAID LAW TERM ' ALTERED BY ' 1 a 4A . :1.,,_!. of N.Y.S. LIC. NO. 49618
permit to construct. MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY A.Ik leo,
,
OF ANOTHER SURVEYORS MAP. TERMS 44.pi_ 7 INSPECTED ' AND It_", 4 t ••17/4 iRS, P.C.
The locations of wells and cesspools • BROUGHT - TO - DATE ' ARE NOT IN ilrUANCE WITH THE LAW. 7-140: ,- 'L-,s.. 11.1.;;; 0 FAX (631) 765 - 1797
shown hereon are from field observations . P. ,:, i.4.4.,j
and or from data obtained from others. LOT NUMBERS REFER TO IIIGHPOIVT AT eAST MARION0SECTION ONE' 1230 - • ELER STREET
FILED IN THE SUFFOLK COUNTY CLERICS16PRCE ON JAN. 111984 AS FILE NO. 7680.
ELEVATIONS'ARE REFERENCED SOUTHOLD, N.Y. 11971
TO AN ASSUMED DATUM.
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04 — 217
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