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ELIZABETH A.NEVILLE i : . * d Town Hall, 53095 Main Road
TOWN CLERK t -� P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ` bto "k= i, Southold, New York 11971
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MARRIAGE OFFICER ��1Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER =__�®, ,ss:�3 t�1.'� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ `2.? �'
OFFICE OF THE TOWN CLERK
SOUTHOLD IVASIREMMICERPHOIRIDSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2608 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : THOMAS GEPPEL JR
Address 1 : C/O SAMUELS & STEELEMAN
City St Zip CUTCHOGUE NY 11935
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 #R10-00-0157
Name Of Owner GEPPEL JR, THOMAS & C. FESTA
Mailing Address 1 25235 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Property Address 1 450 HARBOR VIEW AVENUE
City St Zip MATTITUCK NY 11952
Tax Map No. section 99.00 block 3 lot 21 .003
Cross Street EAST SIDE AVENUE
Building Permit Number Cross Reference:
Issue Date: 6/27/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE / �..A Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS o17 ,t Southold, New York 11971
MARRIAGE OFFICER L O �e Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER = �®� ,ss22,, U�!®•iFax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER t?-i ����
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: June 21, 2001
Transmitted herewith is a copy of application No. 2697 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
Thomas Geppel Jr. & Caroll Festa
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: Maintain required setbacks from adjacent wells,buildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
Signature
Dated
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OFFICE OF TEE TOWN CLERK ,,,'I :••,�/����
TOWN OF SOUTHOLD 'e.•,%`���0��`®a=I Application No. . (,q
Er J7ABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 Z v • rn .;
Alteration(� .W$
,/1--04,.,. Q�'' $10.00 - ResidentialTele hone _ ® , '(631) 765-1800 =- 1 � , $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE (o/&&/c) '
APPLICANT NAME: - (9'L'71 Caf'GN
APPLICANT ADDRESS:C/05jjiyl,(A .* 511/442.e.1 AY J E=(..,
25:23-C /1/10A1/L-- J f 5'`'L�2
SEPTIC CESSPOOL
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: 1ve1MOO c�r -* C__6pLest-Q_ F
OWNER MAILING ADDRESS: •SZ3S Naik_,,e-P/f
, 1ULr 119
OWNER PROPERTY ADDRESS: LiceD U1 cfl 7(-ASL
Ma/1411v r tiU -( //lc�
TELEPHONE NUMBER OF CONTACT PERSON: 731f- LO VCS-
TAX MAP NO. : Section 9 ? Block 3 Lot 21'°61
CROSS STREET: & .± S1 J-AQ •
BUILDING PERMIT NUMBER CROSS REFERENCE:
___
Signature of Applicant
RECEIVED BY: ,
o n Clerk's Office
DATE: CO/ (1it,
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& cEssPO p� SUBDIVISION MAP OF OREGON HEI GH r5
RESIDENCE . 0 STK
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Z—i 00 / I 15 DRIV AY pROPOSE� •
MATTITUCK. , TOWN OF SOU THOL D
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o SUFFOLK COUNTY, N. Y,
Itl DO O / I \ �� \h0
WELL 148' / / 45 O
io - RESIDENCE SURVEYED FOR: THOMAS GEPPEL, Jr.
80' TO CESSPSOL 0 \ `
150____ Po \ CAROL FESTA
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RESIDENCE ;, Q�0 / I PROMANANT 1 PROP SE �- \7 '
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C,I \ o i� PROP. �_ V
PRO CESSPOOL FOR S.C.D.H.S. USE ONLY
I 'ESIDEN � SEPT
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MORE THAN 1.0� I f \ ^�
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RESIDENCE C/1 o tp z_ z �A?
FiN8532, FILED MAY 27, 1988
TEST OLE #1 RESIDENCE J Q F- M o o d =
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FM AS FOUND IN LOT 5 C' ti.
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ORIGINAL GROUND •_ -d
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����� <�,,; �, SURVEYS •
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ELEVA TOINS SHOWN ARE FROM �� ��.; I•
TOPSOIL YED: 23 MAY, 2000 2 ca
EAST END TOPO MAPS ON FILE A T SCALE tri 1"=50' GUARANTEES INDICATED HERE ON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
THE SUFFOLK COUNTY DEPT. OF LOAM AREA =I = IS PREPARED, AND ON HIS BEHALF TO THE .
PUBLIC WORKS, YAPHANK, NY 5 - 88,156 SF TITLE COMPANY GOVERNMENTAL AGENCY,
' OR ,)4 LENDING INSRFURON, IF LISTED HEREON, AND
2.023 3f;ACRES TO THE ASSIGNEES OF THE LENDING INSTTTURON SURVEYED•
•BY
GUARANTEES ARE NOT TRANSFERABLE TO
ADDITIONAL INS T/TUTIONS OR SUBSEQUENT OWNERS STANLEY J. ISAKSEN, JR.
GUARANTEED TO P.O. BOX 294
SAND IUNAUTHORIZED ALTERATION OR ADDITION TU THIS NEW SUFFOLK, NY 11956
THOMAS GEPPEL, Jr, ZONED 'p' R40 SURVEY IS A VIOLA DON OF SECTION 7209 OF 631 . 734-5835
CAROL FES TA I� THE NEW YORK STATE EDUCA RON LAW. Ark?' /"OR
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FIDELITY NATIONAL TI TLE INSURANCE CO,
COPIES OF THIS SURVEY MAP NOT BEARING _ �16' NO WATER .THELAND SURYORS EMBOSSED SEAL SHALLIGEN �� , AND U"NOBE CONSIDERED TO BE A VALID TRUE N YS I . O, 4927,
Y.
, 1 COP
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