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ELIZABETH A. NEVILLE Town Hall, 53095 Main Road
TOWN CLERK ' P.O. Box 1179
N 2 ,V Southold, New York 11971
REGISTRAR OF VITAL STATISTICS : Fax (516) 765-1823
MARRIAGE OFFICER Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER f�l ��Istr
FREEDOM OF INFORMATION OFFICERJig
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2219 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DONALD MOROCCO
Address 1 : 35 EVERGREEN AVENUE
City St Zip EAST MORICHES NY 11940
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-99-0226
Name Of Owner MCLARTY
Mailing Address 1 548 MIDDLE STREET
City St Zip NORTH BABYLON NY 0000
Property Address 1 1740 ANCHOR LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 4 lot 11 .000
Cross Street CLIPPER DRIVE
Building Permit Number Cross Reference:
Issue Date: 12/28/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
,,
ELIZABETH A.NEVILLE ee y Town Hall, 53095 Main Road
TOWN CLERK p P.O.Box 1179
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REGISTRAR OF VITAL STATISTICS �. 4 Southold, New York 11971
MARRIAGE OFFICER Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER y�J� a0���1 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER = '' * "
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 21, 1999
Transmitted herewith is a copy of application No. 2307 for a Cesspool/
Septic Tank Construction Permit submitted by:
Donald Morocco for McLarty
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.
Thank you.
Linda J. Cooper
* * * * * * * * * *.
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments:
Si ure
Dated
OFFICE OF THE TOWN CLERK '''cJ�`1 DtKeQ
TOWN OF SOUTHOLD la
'� (-41Application No.o2 3 o;�'`'
F.i.I7ABETH A.NEWT.1.F,TOWN CLERK 1
P.O.BOX 1179 44, Construction
•c
SOUTHOLD,NEW YORK 11971 . p t'ri ; Alteration
Telephone 'O,r17) 4,1V.•' $10.00 -Residential
(516) 765-1801 ----NI1i $25.00 -Non-Residential
- -,..o.,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 12- 1IA99
APPLICANT NAME: A)8 f\a_I d no (( 0 C C O C`Iiku.4._ - G�
APPLICANT ADDRESS: -6 5 E v-e.-`3(e___-e_,-\ A v t , \Se-e_
( i-t.1
E. - m o c k es ) -)N.( I o ---_
SEPTIC \ICCESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: I(Y\ ( La_,, 1-7
OWNER MAILING ADDRESS: 6.-Li . 1-4_,
14 , h_ l•
nyo ,(�
OWNER PROPERTY ADDRESS: I`1 Y\ Q.L, v L, .
So wL`..y-L Cy y l y
TELEPHONE NUMBER OF CONTACT PERSON: . f ik is 1 --7??- p 15,
TAX MAP NO. : Section 1 1 Block (4 Lot Il
CROSS STREET: _,wm%_____ . `' ` 1 _ .a a, `
BUILDING PERMIT NUMBER CROSS REFERENCE:
6: - t-ei.,4c_ - 71-4 /-c-42 ,_4
Signatur of Applicant
RECEIVED BY: r(i()/Ctits____
ow Clerk's Office
DATE: l2 / !j
•
r
lam familiar with the STANDARDS FOR APPROVAL ° ^i-.CE—ii,
AND CONSTRUCTION OF SUBSURFACE SEWAGE R, rEo
. t>
DISPOSAL SYSTEMS FAR SINGLE FAMILY RES NOES /? op,/11-it'
fr`
and will abide by the conditions set forth therein cM{y,. 1,, ------------
and 2. ',' T Y
permit to construct O j4 - -''=.r.ZTf C16. . �'MO:44
FERA T 7-',-,
The locations of wells and cesspools DATE-. �= =_.L.L r- ,-:r. -,,n 1 ;;,
shown hereon are from field observations _ _ ti,
and or from data obtained from others. APPROVED 4 L" 0.
FOR MAXIMUM OF B•e • MS
EXPIRES THREE YEARS FROM DATE OF APPROVA1,
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42' CERTIFIED ATO,
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'qr DONALD MOROCCO
rs°' �� r °S. CHERYL MOROCCO
�•� 1' A.. `J COMMONWEALTH LAND TITLE
' Is, i ! INSURANCE COMPANY
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�,o 4A• r� • sA o A P
s,0, .h
p ite F ti" SURVEY OF PROPERTY
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/ 4 /000 e / h.
, o Q.., AT BA YVIEW
1m4� �''� TOWN OF SOUTHOLD
°. �4O \ SUFFOLK COUNTY
���' 1000 - 79 — 4 - lift 1
Y.
SCALE 1" — 40'
OCT.27, 1999
AG.", 2,199 9 ('r.,. 175.4t t 9.
NOTE, LOT NUMBERS REFER TO "MAP OF HARBOR
LIGHTS ESTATES, ONE'FILED IN THE
SUFFOLK COUNT CLERK'S OFFICE ON JUN. 8, 1965 •
AS FILE NO. 4362
ELEVATIONS ARE REFERENCED
TO AN ASSUMED DATLMI.
AREA = 22,000 sq. ft. �` `" rF�,.r
ANY ALTERATION OR ADDITION TO TNS SLRVEr IS A VIOLA TCW
OF SECTION 7209 OF THE Afw YORK STATE EDUCATION LAW P
EXCEPT AS PER SECTION 7209-SIAPYysgy 2. ALL CER197CATIONS .1J .
HEREON ARE VALID FOR TIES MMP AAD COPES THEREOF ONLY F
SAD AMP OR COPES PEAR THE/PTHE A/PRESSED SEAL OF TSURVEYOR ' '; S. LIC. NO. 49618
WHOSE SIGNATURE APPEARS AMOK
ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM ALTERED BY' e C'-SU"'' yt- P.C.
MUT BE l BY ANY AND ALL SU4VEYORS UTLIZNG A COPY (5/•,i. - s. tt•.
OF ANOTHER SURVEYOR'S MAP. TERMS SIAWI AS 1VSPECTED'AND • P. 0. -OXA90.9
"BROUGHT-TO-DATE'ARE NOT IN COMPLIANCE /IMI ITE LAW. 1230 - • - STREET
SOUTHOLD, N.Y. 11971