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,•� OFF OL
(isktELIZABETH A.NEVILLE ;_ d Town Hall, 53095 Main Road
TOWN CLERK ® - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 1,1 Southold, New York 11971
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER `� "'sQ �� ,I 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. 2984 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DONALD FELLER
Address 1: PO BOX 1692
City St Zip MATTITUCK NY 11952
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 #R10-99-0153
Name Of Owner MARTINEZ-FONTS, AUCIA
Mailing Address 1 7231 Sw 100 STREET
City St Zip MIAMI FL 0000
Property Address 1 2150 HAYWATERS ROAD
city St Zip CUTCHOGUE NY 11935
Tax Map No. section 111.00 block 6 lot 15.000
Cross Street CARRINGTON ROAD
Building Permit Number cross Reference:
Issue Date: 2/18/03 Elizabeth A. Neville
southold Town clerk
(TOWN SEAL)
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•�,,®�®Su��®��o®; 029 S-Y
ELIZABETH A.NEVILLE ; 1.\ Town Hall, 53095 Main Road
TOWN CLERK % % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
Southold, New York 11971
MARRIAGE OFFICER `� ,fiL � �s Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ,_"'/®� Zig ��®Bio Telephone (631) 765-1800
FREEDOM OF INFORMATION_OFFICER �������� southoldtown.northfork.net
4 ~� R_ OFFICE OF THE TOWN CLERK
�;; i 6E6 2. 3 Zoo? , --,' TOWN OF SOUTHOLD
t, e
j
TO:..,,., Southold To Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 23, 2002
Transmitted herewith is a copy of application No.3105 for a Cesspool/Septic Tank Construction Permit
submitted by:
Donald Feller
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: - ,, /ct(At-7,7--eZ , ,� , . : �.
.. '
Signature
.7al )2,402—
Dated
2,o2Dated
OFFICE OF THE TOWN CLERK ,,,, •••••,,,,'
TOWN OF SOUTHOLD ;' COF(IL ire
FT.T7ABETHA NEVIL E,TOWN CLERK �•`'0� Dy�: Application No.�rj
P.O BOX 1179 ;
SOUTHOLD,NEW YORK 11971 Construction
• „gins Alteration
Telephone
�
� �� $10.00 - Residentia
,� l
(63fi) 765-1800 = � ► ,
�����,,,• $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 2-1 -DI a 2
APPLICANT NAME: DO N Prt,Q & F
APPLICANT ADDRESS: ?(j u [61
SEPTIC 4X CESSPOOL )
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
't\ N w ,N t
•
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ..,&\A. .( p- i EZ 1.,
OWNER MAILING ADDRESS: -I 2921 51./V IOD JT
OWNER PROPERTY ADDRESS: 7-1 5e.> R is-t?
Ftiato
c-0-12.44136. U
TELEPHONE NUMBER OF CONTACT PERSON: •216
TAX MAP NO. : Section 1 1 Block , Lot `S'
CROSS STREET: : P-41JCo ION (249
BUILDING PERMIT NUMBER CROSS REFERENCE:
* t-S2(Q
/ Signature of Applicant
RECEIVED BY: I l /(4-
o
f`4-o n Clerk's Office
DATE: /,
GUARANTEES INDICATED HERE ON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
77TLE COMPANY, GOVERNMENTAL AGENCY, SURVEY OF
LENDING INSTITUTION, IF LISTED HEREON, AND L 0 369
TO THE ASSIGNEES OF THE LENDING INSTITUTIONGUARANTEES ARE NOT TOA
ADDITIONAL /NSTITU ONSrnORSSUBSEEQUENT LE OWNERS IN Ll krhts
t._/4/UNAUTHORIZED ALTERATION OR ADDITION TO THIS MAP OF SECTION D ] � 04/4/7),
SURVEY IS A NOLATION OF SECTION 7209 OF NASSAU POINT CLUB PROPERajg I •((�,,,tS
THE NEW YORK STATE EDUCATION LAW THIS RESIDENCE SERVICED BY f
TOFF MUNICIPAL WATER(SCWA) """'��lc((((,,,,
c)4. 11, COPIES OF THIS SURVEY MAP NOT BEARING SITUATE �2
<aR so THE LAND SURVEYORS EMBOSSED SEAL SHALL LOT 370 CUTCHOGUE, TOWN OF SOUTHOLD 1' 02
NOT BE CONSIDERED TO BE A VALID TRUE
<0, -1,0 COPY. F o o Q° SUFFOLK COUNTY, N.Y.
gl ■ 3°t
SOT 3g) N 87"59'00"E I 307.00' H SURVEYED FOR: ALICIA MARTINEZ—FONTZ
FD
Z CM N �D (n • e
O ZONED R-40 GUARANTEED TO-
,
49 0' pt�V
cr: ALICIA MARTINEZ r 165.0' pi i
r
MORE THAN 150' f 0.5'-1-16.5'= PROPOSED � FIDELITY NATIONAL TITLE INS. CO.
c0 O D_
TO WELL OR CESSPOOL Q W DECK N • R (A O z
O y 3.5 O p p ' FM# 806
OPROP.1 LPL,-
rrj . t®�J DATE FILED MAY 7, 1926
o LOT 357 I3 BDRM W PROPOSED PROPosED p o
P RES. N sEPI'C CESSPOOL 1%
10.E--- TANK 1 TEST
C))
r'' O ��9� HOLE ' TM# 1000-111-06-015
LOT 358 `
0 4 ti87.7 X14.5 I 1-5' ` PROP. WATER SVC 0
W
10.0' O SURVEYED: 7 JULY 1999
130'TO WELL p O ,35.TO WELL _
150'+TO CESSPOOL $150'+TO CESSPOOL
SCALE 1"= 50'
S 8759'00"W 300.00 \k,
4'` LOT 368 THIS RESIDENCE SERVICED BY ss' FOR SCDHS USE ONLY AREA = 30,404.88 S.F.
MUNICIPAL WATER(SCWA). —1 OR
r� e 0 698 ACRES
II
O
V
O
CESSPOOL /
I NOTE. RESIDENCES SHOWN HEREON HAVING
/ MUNICIPAL WATER (SCWA) AS PER
DONALD FEILER, ARCHETECT
on .44
CARRINGTON ROAD . 8 {-n( .,i NI, ,.3
TEST HOLE BY lit1 Z I( \' 8
- MCDONDALD GEOSCIENCE on 0 >1C9" c'? I4
DONE 9 JULY 99 " o 4 I
ORIGINAL GND — 0 .1 i ! E`' -8 '
v� 0
BROWN LOAMY SAND SM .;
0 `u n
3 , � '��'
L.., ..p x � i" �- 1
'. Dr.
PALE BROWN FINE Cs a
tx]
TO COARSE SAND SW 1..0 al up"
LSI
0 ^'' V\ SURVEYED BY
- ;- , i 0
1, �; 1�. STANLEY J. ISAKSEN, JR.
P O. BOX 294
® NEW SUFFOLK. N.Y. 11956
631 -7 4-5835
60 - 0 ! i-
,e___ _ 77'
4r2.-, 11 DEC. 02 SHOW PROP SANITARY LOC AND WATER SVC ICENSED SURV A.
1. m11.OCT 02 REVISE PROP RES
NYS Lic No. 49273 99C81'.3