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�� r+F� ��; Town Hall, 53095 Main Road
ELIZABETH A.NEVILLE
TOWN CLERK ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS F �� Southold, New York 11971
MARRIAGE OFFICER K'.t "s 1� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER $O ,Nt to Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �
OFFICE OF THE TOWN CLERK
SOUTHOLD aWASNEA06TREtratiMOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2665 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOSEPH MUNAFO
Address 1 : PO BOX 275
City St Zip PECONIC NY 11958
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 #R10-01-0186
Name Of Owner MUNAFO, JOSEPH
Mailing Address 1 PO BOX275
City St Zip PECONIC NY 11958
Property Address 1 1850 INDIAN NECK LANE
City St Zip PECONIC NY 11958
Tax Map No. section 86.00 block 4 lot 6.003
Cross Street LESLIE ROAD
Building Permit Number Cross Reference:
Issue Date: 10/17/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
.3
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ELIZABETH A.NEVILLEd; Town Hall, 53095 Main Road
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TOWN CLERK � Cf) �:-.«� .�,_- P.O. Box 1179
ceg) �
REGISTRAR OF VITAL STATISTICS �" , � Southold, New York 11971
MARRIAGE OFFICER `�� ,�;�; ��11, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =_i®� ���'111 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �. #1,•l'�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 25, 2001
Transmitted herewith is a copy of application No. 2756 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
Joseph Munafo
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 cation 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.
449
Signature
XV,
Dated
1
OFFICE OF THE TOWN CLERK ,i'' �` UL/r _
TOWN OF SOUTHOLD �'� 5 CQ • Application No. 2.:75(p
ELIZABETH A.NEVILLE,TOWN CLERK � �O Gtt
P.O.BOX 1179 Construction_
44___
SOUTHOLD,NEW YORK 11971 v • T ;
Alteration l�JJ
Telephone ,� Q �i - $10.00 -Residential
� ►
(631) 765-1800 -=�01 ,��' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE 9'/ çJj
APPLICANT NAME: aosepM MV IV( gO
APPLICANT ADDRESS: !O. l C
P Lo k> e y -UV D�- On-5-13
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
P1, w r )r) 5 T? 7T at
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: .21v,'e p kko n-F0
OWNER MAILING ADDRESS: Po . ai5
Re e.o t v u>•Y del $
OWNER PROPERTY ADDRESS: 11S a LA A4144) Li .
CICr 1111.Y_ ILAS'S
TELEPHONE NUMBER OF CONTACT PERSON: 73q-
TAX MAP NO. : Section R.6 Block b Lot 6, 3
CROSS STREET: C SL1L'S RD
BUILDING PERMIT NUMBER CROSS REFERENCE: .
Si:nature of Appi cant
A
RECEIVED BY: ( z S) ,
o , Clerk' Office
DATE: �%�>
y f
-. _'A, j
..M *, '-
SUFFOLK COUNTY DEPARTMENT le)P HEALTH SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTION FORA -,,„
SINGLE FAMILY RESIDENCE ONLY
SURVEY OF
L
DATE
3� O S 8F � 0 ` Dl `O I %
la MAOP OF
T 3
_ "� WILD OATS
APPROVED 4^_ FILE No. 9331 FILED MARCH 9, 1993
FOR MAXIMUM OP _ 4 .BEDROOMS SITUATED AT
EXPIRES THREE YEARS FROM DATE OF APPROVAL oo, \ PECONIC
LTOWN OF SOUTHOLD
250 224 \ Lr SUFFOLK COUNTY, NEW YORK
$ \ \Y, „, S.C. TAX No. 1000-86-04-6.3
11 �� $,/"...._� SCALE 1"=40'
wo'' . \to
OT ® ) 9, vo. En o \00 V yc JULY 30, 2001
o
2$it. 1► 6� \ �p�GP�P SNpek �a AREA = 39,998.00 sq. ft.
�� `rA �>, /� \ \ � 011 s v. 4. tt. 0.918 ac.
r
1 1 �sNo ------..:_,:-,,,,,--1,:---1,,„:,,. ...
- _ „\ \ \��� CERTIFIED T0:
O 00irsip� A
° \\ \� JOSEPH MUNAFO
1- – _- ,i i � 1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
EXISTING ELEVATIONS ARE SHOWN THUS:_LOS
-_- _T- L ` 2. REFER TO FILED MAP FOR TEST HOLE DATA.
- -oT 3. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS.
_ _ 1 TANK: 8' LONG, 4'-3" WIDE, 6'-7' DEEP
O0. .g \ `��" = 4. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 .q ft SIDEWALL AREA.
O - - _ _� -- 0 2 POOLS; 6' DEEP, 6' dia.
0 ds 0.
.- _ _ 11 1 No
L� ,5pleV --- TO, ` 1 • • rn Pl 19 PROPOSED EXPANSION POOL
Ly lik.4) ...„......„...„ -_ ---..--‘ to LP
1 N / PROPOSED LEACHING POOL met Z`
-_ ��_ 1 Or V/A PROPOSED SEPTIC TANK T��7 t_
a°
�� �, f� 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREett�ARE_1FRO LD
,Z . J \ 't,-
.-..
_ OBSERVATIONS AND/OR DATA OBTAINEDFROM OTHERS. `�T.;„ �'-'-
.4.
T 99 d �, � - tft 1 ..Lei ��%i
yNd6 o 7.0 ,3' Ir
-�y� e �,Fv ,� 25 WY EASEMENT' � _.400.0.--
250• p0 or.
11 1 P1zEP,v:m :,f.:::.,,,,..-�1imti+{r wM CEJ
`%� D WA -I ,,;411„....„1, 110-
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N Y.S. I-1C. No. 49668
tip(P
UNAUTHORIZED ALTERATION OR ADDITION
�S TO
7209DIE�YORK�STATE
COPIES " LAW.TIPS SURVEYJos ph A. Ingegno
Z COPIES OF THIS SURVEY MAP NOT GEARING
THE LAND SSHALL
SECT OR Land Surveyor
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VAUD TRUE COPY
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
O w IS PREPARED.AND ON HIS BEHALF TO THE
-�_� t'. TME COMPANY, GOVERNMENTAL AGENCY AND Title Surreys - Subdivisions - Site Plans - Construction Layout
S1,L LENDING INSTITUTTON LISTED HEREON,AND
TO THE ASSFON�OF THE LENDING INSTI-
TUTION TIONS ARE NOT TRA SFERABI>:. PHONE (631)727-2090 Fox (631)727-1727
,. y)\- THE EXISTENCE OF RIGHT OF WAYS OFFICES
S AND/OR EASEMENTS OF RECORD, IF LOCATED AT MAILING ADDRESS
v ANY. NOT SHOWN ARE NOT GUARANTEED. 1380.R0ANOKE AVENUE P.O. Box 1931
RIVERHEAD. New York 11901 Riverhead, New York 11901-0965
21-39b