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ELIZABETH A. NEVILLE � 0 1 Town Hall, 53095 Main Road
TOWN CLERK y 2 $ P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ‘‘‘‘6 � Southold, New York 11971
MARRIAGE OFFICER # �, ,i. •$+ Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER 191 * $, ITelephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ....go 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. 3282 R Residential x Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : BONAGURA, ANTHONY & BARBARA
Address 1: P 0 BOX 661
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
N/D
FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name of owner BONAGURA, ANTHONY & BARBARA
Mailing Address 1 P 0 BOX 661
City St Zip MATTITUCK NY 11952
Property Address 1 900 HOLBROOK LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 113.00 block 6 lot 11.000
Cross Street MILLER ROAD
Building Permit Number Cross Reference:
Issue Date: 2/10/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
32 8R
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ELIZABETH A. NEVILLE jt= y1 Town Hall, 53095 Main Road
TOWN CLERK vis Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 471$ Southold, New York 11971
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER .. O( * 40le Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,.••" southoldtown.northfork.net
JAN 2 4 OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 24, 2005
Transmitted herewith is a copy of application No. 3426 for a Cesspool/Septic Tank Construction
Permit submitted by:
Barbara & Anthony Bonagura
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:
/1-40'4‘.
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Signature
VVS--
Dated
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• ELIZABETH A.NEVILLE :$4 4„
; Town Hall,53096 Main Road
TOWN CLIME P.O.Box 1179
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER N'" 18 i Fax(631)7654145
RECORDS MANAGEMENT OFFICER **--'1** Telephone(681) 765-1800
FREEDOM OF INFORMATION OFFICER * #1.1 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 ®$25St-0c
Application No.
Permit No.
Applicant Name
Applicant Mailing Address f c C) k-))4: to C
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: CrO t-t & h t.1 Y
Owner Mailing Address: P. I
Owner Property Address: q C 40( r ,
MCfkc.iC +`11/41 1i '3
:sca 1.3 ),
Name and phone number of contact person e•- 5?)4\,,,io&- - L 5 --
Tax Map No: Section Ii 3 Block (1.7 Lot II
Cross Street (11 II (1-D NOTE: LOCATION LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
12-4
(:\
I Signature of Applicant Date
Received
•
LANE ) N/F C I BSON
EXIST. RES.
SURVEYED FOR "BONAGJRA RESIDENCE" (PUBLIG HATER)
SITUATE: MATTITUCK, TOWN OF SOUTHOLD, SUFFOLK COUNTY, N.Y. RIGHT OF WAY
LOT: 15 DESCRIBED
MAP OF: SUFF. CO. TAX MAP:
DIST. 1000, SEG. 113, BLK. b, LOT II
A
LOT AREA 30,g1q S.F. _ /-•d41 _ _
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V- I o �'I /
1
0 1 I I I I / �\ N
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' I I I I I TEST floLt LOCATION I I 336.25'
I I I r I 7 _ .� --L- -- _ _ 1
NI :221:.122:4i(DEEDED) - "-
(ACTUAL)\I
11.1•110 iMm 401.1•10.1•M..1110101.. WIEM .Mm
I rfIIMI•..SIMI•...... 4M=. �. - ( I I
NOMMO / y
I 1 LIN of - I g•.,� �". � �e � I r ,-t — -a--� I 1
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15' SIDE YAK) SETBACK 'Ly,,,,,,,............... N
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EXIST. RES.
(PU5LIG rR INN 2O'T ) \ TAKEN FROM A SURA V��..„
WILLIAM R SIMMONS, L.S.P.C.
\ \ DATED 08-01-04
CAST IRON FRAME
AND COVER TO GRADE EL. 14.25
E
. % �` SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
20 ��'i..- 2' MAX. PERMIT FOR APPROVAL OF CONSTRuc"Oil FOR A
SANITARY REC IIREMENTSSINGLE FAMILY RESIDENCE OILY 11:75
2000 6AL IO'-0"0 x 5' HEIGHT(4'EFF. DEPTH)
19.01 VF.OF STORAGE REQUIRED °�
PROVIDE(3) 8'-0"Axl'-0" DEEP LEACHING POOLS DATE\�`\� ° fi. REF No. \o-0 -
APPROVED ii\ iti.. l
18" DROP "T"
(IF DIST. POOL) FOR MAXIH"m OF 1 BEDROOMS
EXPIRES THREE 'I'EARS FROM DATE OF APPROVAL
0I:2Q Ii=1 0 —
a OUTLET
®®®D 1 — EL. 11.5 EL. 215
®®® i EL. 11.5
EL. 155
-1.15
®®® ` EL. 145' I
i EL. 13.0 G,
1--
1q
o TO SEPTIC TANK EL. 12.16 TO SEPTIC TANK EL. 12.10 To SEPTIC TANK EL. 12.83
.13
J d 6 10' b 25'-2" b 42'-1" LEACHING
3 MIN. LEACHING LEACHING
— �, — POOL Pool POOL
•
TEST
v ILI 10'-0'm 8'-o10 6'-O"4 8'-O"0
IL in5'-0" HE16HT x T-O" EFF x 7'-0" EFF x 7'-O' EFF BY P
tu
0 4 EFF DEPTH DEPTH DEPTH DEPTH 8-13
w 10' 10' 10'
w
8'd) o..
• X EL. 80 2000 6AL. EL. 5.16 EL. 5.qo EL. 5.83
FOOTING
/ BOTTOM 4 Q Pn 4d� — uqmm ,rim
L MATERIAL z >3 I x z I
EAN SAND, $Q ABOVE GROUND HATER
6.0__ HATER 0155' (EL. -1.15) SEASONAL HIGH
HATER MARK
PER MC DONALD 6E05CIENCE)
6' MIN. PENETRATION
INA VIRGIN STRATA
EACH I N6 POOL. OF SAND AND GRAVEL.
SGHEMATI G SANITARY PROFILE
NEW NTS (N.T.S.)
1