HomeMy WebLinkAboutMoglia, John (4) +�,e%OF SOU7
ELIZABETH A.NEVILLE $01.1l0 Town Hall, 53095 Main Road
TOWN CLERK 41 P.O. Box 1179
REGISTRAR.OF VITAL STATISTICS
H yr Southold, New York 11971
MARRIAGE OFFICER . fI• ' Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER
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RECORDS �, Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ' . �u111�+ ,��� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD TAMSTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3360 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOHN MOGLIN
Address 1: 10 POPLAR STREET
City St Zip SAYVIT,T.R NY 11782
Descripton of Proposed Construction or Alteration
-NEW CONSTRUCTION
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARMENT
Name Of Owner JOHN MOGLIN
Mailing Address 1 10 POPLAR STREET
City St Zip SAYVIT,T F NY 11782
Property Address 1 100 ED'S ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 78.00 block 9 lot 68.000
Cross Street VICTORIA DRIVE
Building Permit Number Cross Reference:
Issue Date: 9/28/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
os°,,rN% SOii-10
ELIZABETH A. NEVILLE I
I Q Z Town Hall, 53095 Main Road
TOWN CLERK � , P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Re N r
Southold, New York 11971
MARRIAGE OFFICER % �Q�1�, Fax (631) 765-6145
RECORDS MANAGEMENTIC `. 'l� 1Ii Telephone (631) 765-1800
FREEDOM OF INFN . `IOI�?O1i�,F C----
ER . COUNI(,\ I1 southoldtown.northfork.net
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k.:'',0 , 8 ,-F QFFICE OF THE TOWN CLERK
"' '• TOWN OF SOUTHOLD
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TO: iit& 1d Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 15, 2005
Transmitted herewith is a copy of application No. 3491 for a Cesspool/Septic Tank Construction
Permit submitted by:
John Moglia
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:
L .
APPROVE
DISAPPROVE
OF
Comments: / ...gm 4- �=
Signature IP
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ELIZABETH A.NEVILLE /it
�4`; Town Hall, 53095 Main Road
TOWN CLERK % a: P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS t, • rrt,,t
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �`�� ��•••� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ... * J ,.'0 southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
•
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
C NSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 or Non-Residential @$25 ApplicationNo3(4 q
Permit No, (6,0
Applicant Name JO mu /t7:70.z /,
Applicant Mailing Address /d A/31-:4n 1/ 2 • 5.717 tin_c Ay
/J72-
Septic Tank /or Cesspool �/�
Brief Description of Proposed Construction or Alteration /V&61 ®A++../-
Location of Proposed Construction/Alteration:
Owner of Property: V0I /1/`/,#-
Owner Mailing Address: �(1 Ate 4A TTX- �7 0i Le,r /./
Owner Property Address: 100 gas it
4,kipai
Name and phone number of contact person /
Tax Map No:JJ'O Section if Block 0 9 Lot F-� 7
Cross Street '1jG-lift. "Dr.
NOTE: LOCATION MAP MUST B SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURV H H T DEPARTMENT APPROVAL
74rOc
Sign tune of Applic t Date
Received by: : ------.
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
' �'V 0..m� 5�L C.'
PERMIT FOR APPROVAL OFCONSTi2UCTION FO Os. off, �' SURVEY OF PROPg f�LK COUNT,
a GLE FAMILY RFSYDENCE ONL A�,e ,yc �' SITUATED AT
DATE % HS REF.NO. • - • - - �- ' C w,�TF BAYVIEW qq SAY 12AM =
` R '� TOWN OF SOUTHOLD
APPROVED �� 'ti`''^• ,� �'' SUFFOLK COUNTY, NEW YORK 4-8
•
FOR MAXIMUM OF „__BEDROOMS ,� Q S.C. TAX No. 1000-78-09-68
EXPIRES THREE YEARS FROM DATE OF APPROV• O "� SCALE 1"=30'
41,6
l � APRIL 21, 2005
•44. ' �,/ AREA = 18,260.00 sq. ft.
• / • .N e , 0.419 ac.
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�� ir ,fpm. TEST HOLE F A Rete C 44T NOTES:
�, V A * •, E`R 1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
-e / l • EXISTING ELEVATIONS ARE SHOWN THUS: .D
J� •
• e • 2. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS.
45
Q/ 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP
�4r� 4 3. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA.
J 4/ '1f 2 POOLS; 6' DEEP, 8' dia.
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• J �4 • • .`' _ c, 3 • e •��i ++ PROPOSED EXPANSION POOL
7 �� �00' � s:•
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/ + : �L7�� 4' o PROPOSED LEACHING POOL
•
e / IcLLIJ PROPOSED SEPTIC TANK
w •.i• 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
OJ�+ J - I,j AN ` . OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
'
/ N/// Gw TEST HOLE DATA
(TEST HOLE DUG BY McDONALD GEOSCIENCE ON MARCH 23, 2005)
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Lam• g .� N.Y.S. Uc. No. 49668
•40 \ UNAUTHORIZED ALIENATION OR ADDITION ` 1,, it •r
l/S O ry0) EDUCATIONc,�.0`' TO09 11*I WW Y'TORK°STALE �"
Fs Ale��j�,C •�z �q GQ'`~ D°`S1�Y�NOTT SorINO Josef A. f �
,sem �C '►'•� 110 , p0 TO T DSOS=SEAL SHALL NOT RE CONSIDEREDLied Surveyor
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. TRKE COMPANY.OCTIERN� AND►ttAL AGENCY D Title Surveys - Subdivisions - 5M Plans - Construction Layout
Lp DWELLING JOHN MOGLIA LENDING RNSRTurnN LRS,TOLD"No
IDELITY NATIONAL TITLE INSURANCE COMPANY TO THE ASSIGN=OF THE LOOM risn-
USES PUBLIC WATER FTurx,N.CERTIFICATIONS ARE NOT TMNSFERAeLE. PHONE (631)727-2090 Fax (631)727-1727
N/O/F OF NEW YORK
THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT AMl.I�ADDRESS
MICHAEL L. REUTER ANY, NOT ARE NOTOR EASEMENTS OF NCO 322 ROANOKE AVENUE P.O. Box 1931
tilt LORRAINE REUTERRNFRHEAD, New York 11901 Rverisod, New York 11901-0965
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