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HomeMy WebLinkAboutClaudio, Janice o��pF SO�j.�,Ol ELIZABETH A.NEVILLE '` O Town Hall, 53095 Main Road TOWN CLERK J� 1� P.O. Box 1179 REGISTRAR OF VITAL STATISTICS �' �r Southold, New York 11971 MARRIAGE OFFICER � • �O� F�(631) 765-6145 RECORDS MANAGEMENT OFFICER l Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �CDU�,�� 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. 3419 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED T0: Name : JANET & BILL CLAUDIO Address 1: 1105 WESTWOOD LANE City St Zip GREENPORT NY 11944 Descripton of Proposed Construction or Alteration -NEW CESSPOOL ' -FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTNIENT Name Of Owner JANICE & BILL CLAUDIO ------------------------------ Mailing Address 1 1105 WESTWOOD LANE ------------------------------ ------------------------------ City St Zip GREENPORT NY 11944 -------------------- -- ---------- Property Address 1 SAME AS ABOVE ------------------------------ ------------------------------ City St Zip 0000 -------------------- -- ---------- Tax Map No. section 35.00 block 3 lot 12.060 ------ --- ------ Cross Street GULL POND LANE ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 4/05/06 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) � �O��OF SO�jyol ELIZABETH A.NEVILLE 4 Town Hall, 53095 Main Road TOWN CLERK � � P.O. Box 1179 REGISTRAR OF VITAL STATISTICS G Q Southold, New York 11971 MARRIAGE OFFICER � � �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �I�COU�'�� Telephone(631) 765-1800 FREEDOM O�dNFORMA'�-F9�OFF��E�t southoldtown.northfork.net � i : � � 3 = _� � OFFICE OF THE TOWN CLERK , " TOWN OF SOUTHOLD j�.�.-- Tt ` � _ � TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: March 13, Z006 Transmitted herewith is a copy of application No. 3572 for a Cesspool/Septic Tank Construction Permit submitted by: Janice & Bill Claudio 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 l�/ DISAPPROVE Comments: ` �'� . Signature 0 3 �y o 6 Dated • �s�FFo��.�, ELIZABETH A.NEVILLE �`1`� �� Town Hall, 53095 Main Road Z`p�C�g� �j � P.O. Box 1179 y Z Southold, New York 11971 R,EGISTRAR OF VITAL STATISTICS v. �1 MARRIAGE OFFICER Oy � �.� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER � � 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 @ $25 Application �� Permit N �� f� � .i -� � Applicant Name ',%G�i�C f �J►�/`� ��Cu��i J Applicant Mailing Address �/0�`" �'U�/l��7� L<,c�i2 �f�C��d�' Septic Tank or Cesspool Brief Description of Proposed Construction or Alteration �� Location of Proposed Construction/Alteration: Owner of Property: ��,�� �- b�� /� ��CGl.tt�i .7 Owner Mailing Address: /l�s� ��°,S�.�c��Q� ��C V� o�NT, �/� �l`�T' Owner Property Address: ��-""''L Name and phone number of contact person �f 77-�//3 �'raC. �06-94�aCc// Tax Map No: Section l�,j�Cjp Block � vc�p Lot��la-b� la_� Cross Street o � /�iO� L���e � xx /� " ��� ��� NOTE: LOCATION MAP MUST BE SiJBMITTED WITH PLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL ------�� � c� /3 0 6 �. Si e of Applicant Date . �/L�'U�l.� �" Received by. l , . _.:. . �. � � .. . ..,. .:.� _ � ._ . .. _ ..: _ . .. .._.. _� , .�.. � _::, ��d . , ' - . �''i � . �'� .. . : . � . . p Np�b�N��►��� S�nitary�qrst�r� n�to be installed - �S/TE DA TA. _ . � . �� i5,9s o ur��d�rdriveu�y. PROP. HSE AND GARAGE= 46/4sq./i � LOT .: �. � ' W ` 1 ' V � � � � PR_QP. TERRACES q J� ; • �� ' F I �r. O ACANT • , . _�' �ECRy4NDA = l�q.f1 � 1� � p0 I 'o �I�h d K = 697sq.fi � N 7B'07'00" E � W °� i f . , �i� ; �_: ' L O T CO VERA GE= 6094/4/,000 2 ,�' �+ae�w � 2 h y � _ /4 ° I �,�. s,, �30,oo• l5 Al� � .8/ r' `�� I � ZONE A E-' � �'.� 'I° � 6 ' , . � �- �v. ZONE �' 0 : ,� (e � 390.73• � �� c��� ,��,� � . 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S 200$(�'evisi�/�,3� GEOSCIEIVCE � • • : • • • T —" DEC. !2, 2005 frevisions) i FQR Xu�4qUM OF � �BI2R Clbqg FL 000 ZONES FROM FIRM 36/03C076 G May 4,1998 F,N F�Q EXPIRES THREE yEpRg FROM DATE ( I CONTOUR LlNES ANO ELEVATIONS.ARE REFERENCED TO N.G.V.D. Q� „ Y A ��►{�Y�1�►� `t /��OD .Sq f f f0 f�Pi ��nP+ ,� �D = PROPOSED ELEVA TION ' � � �� e��� • , i �P.��oF NEy,r '� ANY AL 1'ERA TION OR ADDITION TO TH/S SURVEY /S A VlOLA T/ON /m.''' � G„ �p /ao a�� 5 �1�.M j 0 OF SECT/ON 7209 OF THE NEW YORK S,A TE EDUCA TlON LAW. - � O' � � `�` E � � ' E X C E P T A S P E R S E C T I O N 7�2 0 9 - S U B D l V I S/O N 2. A L L C E R T I F I C A T I O N S �E�s /E' ►a o 0�l ,�i 2.2 � v1sT � �T . • �b � Q� HEREON ARE VALID FOR THIS MAP AND COPIE$ THEREOF ONL Y /F /z•7 s7 � M o� � .:� i� 3}• � � SAlD MAP OR COPIES BEAR THE iMPRESSED SEAL OF THE SURVEYOR 3,� LANDWARD EDGE OF TIDAL WETLANOS 9k WtIOSE SI�VATURE.APPEARS HEREON. � aa� _ AS DELINEATEO BY SUFFOLK � � wAraa ENVIRONMENTAL CONSUL TING, lNG'. ,�' 4 6/8 � CROSSEC TION SEFTIC S YS TEM ON APRIL 20, zoo5 coN�c su v ,�► i am /amilior wiih lhe STANDAROS FOR APPROVAL LOT NUMBERS ARE REFERENCED TO �63/I 765 - 5020 - 1797 AND CONSTRUCTION OF SUBSURFACE SEWAGE � - i5oo� gol. SEPTJC TANK P. 0. BOX 909 0/SPOSAL SYSTEMS FOR SING�E FAMIL Y RESIDENCES 3 - em �EAc�n►c Poo�s s�nE� SUBOlVISION FOR GREGERSEN'S /230 TRAVELER STREET ond will obide by /he cpf�dilfons se! /orlh lhereJn and on lhe � - 80 EXPANSlON L£ACt�NVG PO01_ KEEP LLC SOUTHOLD, N.Y. I1971 mll lo conslruc% " n.! �n� �I