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ELIZABETH A. NEVILLE I '� Town Hall, 53095 Main Road
TOWN CLERK % ® - P.O.Box 1179
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Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ; ®, ��`,,�� Fax,(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER = ®� 4,„ .0 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ��� 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. 2734 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 #R10-01-0233
Name Of Owner MANZI HOMES INC
Mailing Address 1 PO BOX 702
City St Zip ROCKY POINT NY 11778
Property Address 1 500 ANKOMIS ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 78.00 block 3 lot 19.001
Cross Street HIAWATHA'S PATH
Building Permit Number Cross Reference:
Issue Date: 2/20/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE 'd• Town Hall, 53095 Main Road
TOWN CLERK ; ® P.O. Box 1179
ti Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ` v'
MARRIAGE OFFICER :®�i � ���, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =_ ®1 .��®,�• Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER .��� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK ``; (
TOWN OF SOUTHOLD w 111)1
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TO: Southold Town Building Department y I
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 23, 2002
Transmitted herewith is a copy of application No. 2829 for a Cesspool/Septic Tank Construction
Permit submitted by:
Manzi Homes,Inc. j" gt.„
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: l7/ /
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Signature
Di v/.)._.
' Dated
OFFICE OF THE TOWN CLERK ill ofis C4 l air/ _
TOWN OFSOUCHOLD ,�•' JVl1 `�14sY Application No.ol ��
ELIZABETH A.NEVILLE,TOWN CLERK ��
P.O.BOX 1174 ; _. .L;- - Construction '
SOUTHOLD,NEW YORK 11971
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;� 'W Alteration
Telephone :Ory ,.)-i, • $10.00 - Residential (✓
(516) 765-1801 �1 � ' • $25.00 -Non-Residential
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TOWN OF SOUTHOLD
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•
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SOUTHOLD WASTEWATER DISPOSAL DISTRICT
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APPLICATION
•
• for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ ,
•
DATEo fl Lotar .p < 1s1-.• 2000..)
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APPLICANT NAME ,Y/1/'�' y�,
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APPLICANT AD >4;, 3w. ,�,.,,. , �• c,'
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CATION MAP: -••<• •{'_ •srz1-7,.�`' . t. ty 4i;,.,. ,,,, .�,,,«,,,.,,',:. ; ,;r,,,3,;,'> t, ,
he4'• j `v�-oY�'..,al,�•�'�Y rd yq.;p.+•rs"'d fi�•, P.;: P,,:.,`,%:'.r',::;. `�''`;i-
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LOCATION - •','. - i:1,-,..:7,--..••:•.,....,,,' `' :,,„siv.:;'.r,,r.. , •',tt;;,zt;` s,,,,,, •;r•'•,a'a. ,
OF PROPOSED , 0. ,,," -:
PLEASE NOTE
. O cIo Map of Described Property
it is the applicant's responsibility to -
- - Situated at Southold ,�
Ili s
- maintain adequate sanitary distance ::� Town��;�;.-••=;'�,'. �,..; - of Southold, Suffolk County, New York
between it water supply and-sewage 2€s, ; ,,
District 1000 Section 78 Block 3 Lot 19.1
dispo l f cilitietle,5 c' 5? 'E'
.""1;"' O z/ �3 wE�c `7 t
0.4� .2/�rv1. x/000 FE ,2Anil Bcoc% D/2T N a1 ,. . ` '� = .o ' Test Hole
9Z,oil
�r+5—. z N 1� M1
/:5774444-e._ �'°' 96.o t. 1g Ground Surface Elevation 93.0
ifi 0 4f., 1' Brown silty loam(OL)
k9 il) N ' moo' ¢a N v
4 , to v 2'Pale brown loamy silt(ML)
�ra,e. 1:7Pop,E * ; 17'
•
f{/e�,q= 2T.5(oSS� O VV---W \1 k 1'Pale brown silty sand(SM)
% N
�1n� 0 �
9 'Pale brown fine to medium sand(SP)
Rl� S.T. `•P O 4'Pale brown fine sand(SP)
Q c Water encountered at 17.7 feet below surface.
/.5e2 , 30 Test Hole(By McDonald Geoscience 10/20/2001)
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S' �5 ' 92.0 \ �i` ;c ". s i.
3 I , Gv 0 2/3.52, a * ` -
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fit, N-2. 57-1
' `'.44) S�c
EE�Lit7`�rR`1tCES O /00 La. u
- COUNTY DEPARTh1Etd i i� " N N
SUFFOLt' G.P•
3S P ANTHONY ABRUZZO R.L.S.
PERMIT FOR APPROVALO: 'O ,2E5. ,N(� view 111
SINGLE F�NiI' f as �l;t:rdCi �� �-� REGISTERED LAND SURVEYOR
1700 Hortons Lane
✓ ^ d l D o_, w 4. ® 45 ' 'Southold, New York 11971
t p tY,� i u (631) 765-6242
D�''�
./tier SURVEYED: October 2, 2001
ATIPOWireD
�SROM DAA t F 1�PE��OV L "—VoR MA1MUM fii• / ,r
1. Elevations are in assumed datum - / -
L - 1 • Tl �fE2. Septic system and well locations are by owners. _ '
Scale: 1„ —41 File No. 2568
Pl.EASE �4TE - — --
it « � �� .
is the applicant's-responsibility to Map of Described Property
maintain adequate sanitary distance �1 Situated at Southold
between it water suppdg andsewage "" `' Gown of Southold, Suffolk County, New York
diSpa ! f ciliti f e, 5Y >6- e-.1 :
0 2�5. �,,,i. . , District 1000 Section 78 Block 3 Lot 19.1
O Zl5 i3 alELC
k 92.o le/c74:70 FE /edAl.. 43coc& a127� -4 1,,� ;- 4.. , ',,-,,,..s
L i �kip<< a..o N z%V Test Hole
50. a
�3 0 �'2T�9� O !Ground Surface Elevation 93.0
N 03 IP 1' Brown silty loam(OL)
o o '
��� P.�oP v 2'Pale brown loamy silt(NlT)
N , �},e64= 27,.�6S5,,r __ _ or�.�E 17'
y� p N k 1'Pale brown silty sand(SM)
RU N'' Q P 9'Pale brown fine to medium sand(SP)
1:. 1„ , o
, �T cl. ill I -0,A)lc - ...r: \f 4'Pale brown fine sand(SP)
—_____ ¢2 . 3O , Q Water encountered at 17.7 feet below surface0 .
k `N F�IPTest Hole(By McDonald Geoscience 10/20/2001)
8 85 ° .5,' ' 92.0 n �' � ,
,.,,,.,, ri
���T'Zt�ICES ( !00 , O - a . `'667.4 , .`
:SUFFOLK COUNTY DEPARTMEN Jr i1EA-t i 45 r.
kri �, ��� tiyy ND s -rr►
PERMIT FOR APPROVAL OF�CO?�S MUCTION FORA G.P. U k ,,
AOR LE APPR+ [! RESIDENCE ONLY mieu, lij .ANTHONY D LAND R.L.S.
REGISTERED LAND SURVEYOR
d 1 a 3 1700 Hortons Lane
(
ad SGC m ¢�
rTF ,'a !Southold, New York 11971
j ;(631) 765-6242
Vow R1r:: :Wm J ` �744 Ty� -,5 /=,,97-6/ SURVEYED October 2, 2001
' ARS FR9M.®A. OF APP ®VA. . . .
WIRES itlita / ' a //
_.;. - 1. Elevations are in assumed datum.
- s 2. Septic system and well locations are by owners. ' -
K ' a Scale. 1" =40 File No. 2568