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HomeMy WebLinkAboutManzi (4) E ,,,,,,,,,., etWFOLt tko ELIZABETH A.NEVILLE �ti�e Town Hall, 53095 Main Road TOWN CLERK ; O _ P.O. Box 1179 % Ppg � Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ® Fax (631) 765-6145 MARRIAGE OFFICER �i# RECORDS MANAGEMENT OFFICER __"�® 4:„.0 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER .9” OFFICE OF THE TOWN CLERK SOUTHOLDt S g r SAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2692 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : MANZI HOMES INC Address 1 : PO BOX 702 City St Zip ROCKY POINT NY 11778 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 #R10-01-0108 Name Of Owner MANZI HOMES INC Mailing Address 1 PO BOX 702 City St Zip ROCKY POINT NY 11778 Property Address 1 295 PRIVATE ROAD #27 City St Zip SOUTHOLD NY 11971 Tax Map No. section 78.00 block 7 lot 32.004 Cross Street PRIVATE ROAD Building Permit Number Cross Reference: Issue Date: 11/19/01 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) -114 oil' 0004 20 g\ • .„ co ELIZABETH A. NEVILLE t� Town Hall, 53095 Main Road TOWN CLERK ` P.O. Box 1179 REGISTRAR OF VITAL STATISTICS v' Pro Southold, New York 11971 MARRIAGE OFFICER ®,ti �� 1, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER %_70/ I. Telephone (631) 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: November 5, 2001 Transmitted herewith is a copy of application No. 2785 for a Cesspool/Septic Tank CONSTRUCTION/ALTERATION Permit submitted by: Manzi Homes Inc. 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 • �L'' NI)/ 5 2:1f1i h t*.;r 05;,,Z/ �' , Dated ,OFFICE'OFTHE TOWN CLERK 4.1•6C�CVal rn- 7g'5- TOWNOFSOUTHOLD '; • + LSI bi` Application No. ELIZABETH A.NEVILLE,TOWN CLERK ��� P.O.BOX 1179 • � ; Construction SOUTHOLD,NEW YORK 11971 ; v T Alteration 51 elephone 0,�0 NQ��•� ' $10.00 -Residential ( 6) 765-1801 _ ,j $ , �,,,� $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 NOVei Leri C4-h Roo I APPLICANT NAME: ' ma,n - ; P s The.. APPLICANT ADDRESS: -i-- 65(‘. 6,4 = , SEPTIC ,— CESSPOOL" DESCRIPTION OF PROPOSED CONSTRU;CTI TERAtT;ION''� QN,,OR��AL • LOCATION MAP: Must be attached"hereto..before_ permit:•may;` be', issued. LOCATION OF PROPOSED CONSTRUCTION_ . OR ,ALTERATION: OWNER OF PROPERTY: J )CL )zi '/�-OI• 11S i - L ' OWNER MAILING ADDRESS: fes_ ® Gox ' Po AT, i0 y 1177, Qls OWNER PROPERTY ADDRESS: ' p(0/9-i'`fi /74&a© 1hi r Gff1 �2 LJ•Oc17 c. TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section 07S- Block Q 7 Lot 307 / CROSS STREET: Prluet4e.. , BUILDING PERMIT NUMBER CROSS REFERENCE: 4.16 • • r,i t natu e`fof Applicant RECEIVED BY : ' Town C erk's Office DATE: ti—or-Pt , WELL CERTIFIED TO: TEST HOLE cps AREA: 40,00 S.F. = 0.91': (N.r.s) •- WA T E,Q V ELEVATIONS ARE IN N.G.V.i 5ATUM.1 OW p R� V E SURFACE W TER APPROX. •-.I' TO ORTHWEST. BROWN SILTY ; r. SAND & \ ADJACENT WELLINGS SER BY LLS. SANDY SILT H A -10.5' r • y '� EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED WATER IN J i / • Pi L11 ,� ARE NOT GUARANI)E0 UNLESS PHYSIGILLY EVIDENT ON THE PREMISES AT BROWN SADS&TY / J t 7 •: IX15I7NG j7 INE 71ME OF THE SURVEi L GUARANTEES INDICATED HEREON SIirV L RUN ONLY TO THE PERSONS) FOR SANDY SILT � e' -� SANITARY S _ A , ,!j WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COM- -JO, WATER IN LAND NO Q/� J () L-j" ) PANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTIONS LISTED HEREON, /FORMERLY JAND 7D THE ASSIGNEES OF THE LENDING INSTTIU710N. GUARANTEES ARE FINE TO PALE BROWN "� STE1/ ERLY a W \ a�C BLANA Q y NOT TRANSFERABLE TO AODIITONAL INSITMIONS OR SUBSEQUENT OWNERS. MEDIUM SANDERGEp/ -OW . FORMER1 THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO -36' G• BELANCIC \ !,:;4øIP1Pr. INE PROPERTY ONES ARE fOR A SPECIFIC PURPOSE AND USE AND 7NERE-/ 3 FORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING • I G WALLS POOLS, PAI1OS, PLANTING AREAS, ADDITIONS TO BUILDINGS AND �57 �� , NE1 < —I T .,-,2 / ANY OTHER CONSTRUCTION. / / W "� ty ,P/PE �� oo 4 PIN 2011 ;�� I o cP's f " JOB NO. F3523 /----- ------------, -- WELL (n 0.6'N� .O� PINES \ I \ C: T ci -� f._----_ A • I . :,, REVISIONS: 7„,404-1, 14,1!„� -- _-_ ` 2 } :� O ADDED TEST HOLE 05/29/2001 ; J b/R� PATH - -___ `7- , I 1 ne J y ADD ADJOINERS WELL/SAN., REV. : ::: - • ,�- 4.�..� 0 2 S -_-_� ...0 SUBJ. WELL/SAN. 06/12/2001c •t, O I 0.2' W. '_ - I - --- -- ! • spa-ilk CC PR.'OS D WELL. q� -_ I -1 >' "' <a •.s*s �'" k 0 O \\ I SEP•-• ON FROM 0 I t.J - { J 11 {� ' ? �c • ' is Cr) EXT'TING PROP. + 150' F I, „ - \ ' . . i J SAN ART;SYSTEMS. 1 ' I ti� E Uoi ✓ 2 •"RO OSED DRIVEWAY I I 5�h !�t �f C7 �' \ tip. I �� I w (� Q �L, ..„.,_ '� ,;, N \-,,,,,,,, /h pri TELEI a II v �1 Q 149 W I LI a s\ _ >> =� I I ; a o �, E license no. 050 0 r \ J o " so W I i 0 ci 0 SURVEY OF '� i / - �i< / DESCRIBED PROPERTY t- I �- o0 . a .\ /,: VACANT I I j� z < O w CC cP'S \'"\ / I O j I `" E- u 0- ill m - SITUATE AT 1-1-1 ..\.. . \ -__.- Va L2 i aZ --...,-; 64 I I / /o g o rg, v •' , o TOWN OF SOUTHOLD o I \ J__ / --I— Li X 0 la r L I SUFFOLK COUNTY, NEW YORK cc �}- �7 \ ( 0.4' 4AKW.°` I 1 / vi ac cil t , fa" I SCALE. 1"=50' DATE: APRIL 24, 2001 o \ �S Q . I I ogr ¢ = a \ I S.C.T.M.S.C.T.M. DIST. 1000 SEC.078 BLK.07 LOT032.004 �\ 5°I I El' 'mac. Z I 0 Is' iii ® c n M F1�TH ■ 1r�1 P�siN I 2 i • HO \\)\\ I i \ ® it 4C . s 7 .v. 1} •3g,p0'W O\ELvN� �,�rti is. on �• 0 ii S Ha32= on Ba v; N.Y '�W a46 s3 0 ? 's (631) `8-5330 wELL ��;• � '� E /EZ ROVE �` .. ... ' / IMPrs Mara E ChanesSu LS. p I \/ Paul T. Canalizo, LS. Robert A. Kart, LS b r C CPN- \ CP •WELL Good Ground Surveyors, P.C. C VP ;w