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0 Ie oil FOL ELIZABETH A.NEVILLE lir 4 Town Hall, 53095 Main Road TOWN CLERK - P.O. Box 1179 t ti Southold, New York 11971 REGISTRAR OF VITAL STATISTICS �Y MARRIAGE OFFICER `. ,L /� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ��"'✓® Jgg o. 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. 3006 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 #R10-02-0094 Name of Owner KRAMER, ELIZABETH Mailing Address 1 134 LEE ROAD City St Zip GARDEN CITY NY 11530 Property Address 1 EAST LANE City St Zip EAST MARION NY 11939 Tax Map No. section 31.00 block 16 lot 2.001 Cross Street NORTH LANE Building Permit Number Cross Reference: Issue Date: 2/18/03 Elizabeth A. Neville southold Town clerk (TOWN SEAL) s NIIS/��®�UfF®`°i`i V O 6i ' tELIZABETH A.NEVILLE k 10. 0 ‘ Town Hall, 53095 Main Road TOWN CLERK ;% P.O. Box 1179 REGISTRAR OF VITAL STATISTICS % i Southold, New York 11971 MARRIAGE OFFICER `�C." Fax Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �_�®d ~"41 �®iii Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER _----..0" �,�������,,�'� southoldtown.northfork.net { FEB ` ® OFFICE OF THE TOWN CLERK 2033 fz TOWN OF SOUTHOLD TO..•_...!c\-- ''-= Soutliokl-Tojn Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: February 5, 2003 Transmitted herewith is a copy of application No. 3128 for a Cesspool/Septic Tank Construction 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: IIIILAINa.. air .. --0 5� �i �« t �_a .ate / / Signature 4.7--Aa3 Dated OFFicE OF THE TOWN CLERK • ,rrrrrrrr,,,''� TUWNOFSOUTIIOLD •��1, cOfa/1 e p p A Il cation No. 3 la$ Elpi3ETH A.NEVILLE,TOWN CLERK •� P.O.BOX 1179 1 s SOUTHO• LD,NEW Construction �/ P cn yc Alteration Telephone =0� 0�•• $10.00 - Residential ✓ (516) 765-1801 =��� �,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 I�eC elnAloer a '74111 OC21-k APPLICANT NAME: ' nc'-.? MGS 1 n C.. APPLICANT ADDRESS: ?..c.) ROA- boa SEPTIC CESSPOOL d' DESCRIPTION OF PROPOSED ,CONSTRUCTIONa`O,R'..,'ALTERATION • LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: • OWNER OF PROPERTY: C I j cL1Je4-h IS mer- OWNER MAILING ADDRESS: 13t-( tee_ ROQCL • �- cr-c4 ec t-k t 115 3 0 OWNER PROPERTY ADDRESS: Fc,s (_pq,n e E • r1 TELEPHONE NUMBER OF CONTACT PERSON: 6 3/ - 7yc/_/D3� TAX MAP NO. : Section 3/ Block 16 • Lot 0 - 00 / CROSS STREET: Mor-'711 ' er BUILDING PERMIT NUMBER CROSS REFERENCE:, Signa re of Applicant RECEIVED BY:qL1P-k I T wn Clerk's Office DATE: •11 '6) . , i S.C D 1-1.5 ENDORSEMENTS TEST HOLE DWELLING PROPOSED GRADE „ SURVEY OF BY McDONALD GEOSCIENCE A'� DDDR 1'-2• DESCRIBED PROPERTY AND r- ___ ,•--,..-.- MARCH 7, 2002 INV 15 0 (EL. 164) T/PDDL 145 PART OF NORTH LANE (ABANDONED) $LE'OL.I CJ':i'f v^?�-^'•�`li l i�1�a_... =RYAGrS BROWN a r a-•-� _2. SANDY LOAM sfpnc TANK a/Pool 60 PERMIT rC7,A.7-T,Ci.-OF GON.37R:C T ION FORA DESSPOOL SITUATE AT Sin, FA.; L'(Rr'SIt NC=`ON!_1 PALE BROWN FINE GROUND WATERS/ ATER A r 3 TO COARSE SAND EAST MARION _7, PROPOSED SANITARY SYSTEM TOWN OF SOUTHOLD ` `('.. .`i CRO(NOT SSTOSCALE) T10N SUFFOLK COUNTY, NEW YORK T- o} •_i i�^;I\1�"" -l�C� .� PALE BROWN G`. .� FINE SAND A��ROVE�— /!tel -15 1" (EL 13) SCALE. 1"=50' DATE. FEBRUARY 28, 2002 WATER IN PALE For,'riL�::Mts„t BJP _BED.RCC�I£i BROWN FINE SAND S.C.T.M. DIST. 1000 SEC.031 BLK.16 LOT002.001 EXPIRES THREE Y E AR S FROM A OF ?p RO\'A L —17• • EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE • NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF THE SURVEY GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON(S) FOR WHOM THE SURVEY IS PREPARED. AND ON HIS BEHALF TO THE TITLE COMPANY. WETLANDS GOVERNMENTAL AGENCY AND LENDING INSTITUTIONS LISTED HEREON,AND TO THE Q/FLAG TYP ASSIGNEES OF THE LENDING INSTITUTION GUARANTEES ARE NOT TRANSFERABLE TO AIL. ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS THE OFFSETS(OR DIMENSIONS) \t SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY ONES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO GUIDE THE 4-\oc.z. MARION LAKE ERECTION OF FENCES RETAINING WALLS, POOLS, PATIOS PLANTING AREAS, i. ADDITIONS TO BWCDINGS AND ANY OTHER CONSTRUCTION UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF MEAN MGH WATER LINE c^ SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW COPIES OF THIS SURVEY �ON fEd7UARY 28, 2002 MAP NOT BEARING THE LAND SURVEYORS SIGNATURE AND RED INK OR EMBOSSED VL. SEAL SHALL NOT BE CONSIDERED A TRUE VALID COPY � N82o3 FILE NO. 3703 . 18.90• LAND NOW / hl coxc ox REVISIONS: ZE OF ryFkk OR X 0 4•W�,i,. ADD TEST HOLE 03/18/2002- P j.. FORMERLY p✓gNA F/SC / / it I O''A �S6 53)00"E SITE PLAN 05/07/2002 5� Op REV 06/06/2002 VACANT /R/ / CS+ •���JJJ•0_.� 4'DEED LINE) PROP WELL 06/26/2002 * �' '9- /qJ / �� STAKE FOUNDATION 08/02/2002 Y*" _ �4 �'• LOC WETLANDS 09/10/2002 ,I✓f. . S8.2',3,,20,,E / / S18' 3;50"W 50" NON-DISTURBNACE STAKE BUFFER 09/17/2002 ,_,/ IQ11 � 2Q ��7 i� NON-FERTILIZATION BUFFER, r�� - /�/� _ f I c• C4 1.30 >. W ARAN NORTH LA 09/26/2002 �!ti (RA� LANE P R—^�_�(i�'6/�j`S�/ l N =�f. STAILLX SET.N / I-- REEV EV 10/3i%z002 6` �O� 1 RO,gp \\ \\18 CONI /A ^•'�; �Y' A�7/- �_l�_qti CON''—`/41e17/ �m REV 12/12/2002 LA�S�� ( 'V r r ' MON C� M N \ ✓OT �PE� L 4 c CONC >� CV. (\ �� _. 00NC ,��� o�a CERTIFIED TO: C- O �\ 165 / / / ��.,CONC 6 < f'. C)<_ 's o �J .. Z C z i_ • :- 0\ \ I�� I PIPE Z W _ v� �\ v. s�AKES 5NT 70 / / 0 3 s S 3 o WELL C'V --{' �� \ kts 7 , ,,,Y71.— / / / Q (INACTIVE) -_ _ -13 N. \ A� ,IX �-- , N© 2Z�o OR°P 4gam i---/.., 1 / - _ -- 1— - PR•VID£ Cn\\\ •, w' R•O Q �,�. --- - (1) 1,000 GALLON \ \ oz�,--z. ° 0�/ SEPTIC TANK o\ .. -�V�: ��Q�• Eos• �/ PAT T. SECCAFICO ~ /(2) E4 x 6'DEEP -7C)\ \ ( E{'60 96 �_ AF/CO r _ LEACHING POOLS \ \ \16 7 \ 1 \ 16 •1 _ - ROOM FOR 50%EXP. \ \ N _ �RL L_Y o o \ \ oR \ �s_ oRt��� f PROFESSIONAL LAND SURVEYOR, P.C. C \ _ PR°P , •' - 0••P:. . og APV.,c'14r — SUCCESSOR TO — O Z \\+ 4°515�� '/ -l�O(1\�� ugh\ CESSPOOL �`• \ —°I ./ $-- •�'.0°GEc)R G ' PosEPO DONALD TASE, L.S. CESSPOOLS p1 _ SEPTIC RICHARD WILHELM AND ASSOCIATES 0 °SEPTIC y� WI 7 0"PIPE 17.6---DWELL O�E��1 TANK o TANK PROFESSIONAL LAND SURVEYORS NORTHSTAR SURVEYING, P.C. TANK N 0\W - (INACTIVE) • O CESSPOOL PAUL T. CANAUZO, L.S., ROBERT A. KART, L.S. \ \ GOOD GROUND SURVEYORS, P.C. \Q\ S. . 107-4 W. Montauk Highway 328A Main Street vn c Hampton Bays,-NY-11946 Center Moriches, NY 11934 Otr AREA: 26,206 S.F.•= 0.602 AC. PHONE: (631) 728-5330 PHONE: (631) 878-0120 ELEVATIONS IN)V.G.V.O. DATUM. z� \ ALL DISTANCES TO WELLS AND CESSPOOLS ARE BY LOCATIONS FAX: (631) 728-6707 FAX: (631) 878-7190 a ADJACENT PROPERTIES SERVED BY PUBLIC WATER. \: FROM HOMEOWNERS AND FIELD OBSERVA77ONS. SINCE MOST ARE N.Y.S. LIC. NO. 049287 SURFACE WATER ADJACENT TO LOT AS SHOWN HEREON. NOT VISIBLE THESE DIMENSIONS CANNOT BE CERTIFIED. COPYRIGHT - 2002 PAT T. SECCAFICO P.L.S., P.C. 1