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ELIZABETH A. NEVILLE �� Town Hall, 53095 Main Road
TOWN CLERK % d - P.O. Box 1179
hArt
Southold, New York 11971
REGISTRAR.OF VITAL STATISTICS v'
MARRIAGE OFFICER :®gi "y
��� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER � ®1 $S•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. 3009 R Residential X Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : JOHN MOGLIA
Address 1: 10 POPLAR STREET
City St Zip SAYVILLE NY 11782
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 #R10-03-0020
Name of Owner MOGLIA, JOHN
Mailing Address 1 10 POPLAR STREET
City St Zip SAYVILLE NY 11782
Property Address 1 1435 KAYLEIGHS COURT
City St Zip EAST MARION NY 11939
Tax Map No. section 22.00 block 3 lot 5.002
Cross Street ROUTE 48
Building Permit Number Cross Reference: -
Issue Date: 4/17/03 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE j� y Town Hall, 53095 Main Road
TOWN CLERK % o - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 4.7$ Southold, New York 11971
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER Ly�Q! alg . ,,•' Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ���� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
FEB 27 263TO: Southold,T__9251 Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: 02/27/2003
Transmitted herewith is a copy of application No. 3132 for a Cesspool/Septic Tank Construction Permit
submitted by:
John Moglia
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 pp
Comments: Com.."
Signature
0 ///tel .
Dated
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OFFICE OF THE TOWN CLERK a ,, ••••• �•,,'
.` �
TOWN OF SOUTHOLD �,''0����Or••�i C
ELIZABE.THA.NEVILLE,TOWNCLERK , OG Application No. �/3�
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 Z
Alteration
Telephone ®, ire • $10.00 -Residential f
(63t) 765-1800 -_'Z *t � '
•I $25.00 -Non-Residential
TOWN OF SOUTHOLD .
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE 02-07Z- °3
APPLICANT NAME: (PAO
APPLICANT ADDRESS: /0 % v 4AL C)e, 5 U/SLE �U �� Jio7
SEPTIC / CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/O&) S V / 74k2
V
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
• OWNER OF PROPERTY: w,211) AO/
OWNER MAILING ADDRESS: d /
e, Ot, 1:1/.
OWNER PROPERTY ADDRESS: t4,
TELEPHONE NUMBER OF CONTACT PERSON: 4..Y/ (72?
TAX MAP NO. : Section � Block Q Lot r, ,
CROSS STREET: //"04 / G� )
BUILDING PERMIT NUMBER CROSS REFERENCE:
) ;4
ignature f Applicant
RECEIVED BY: /
�. •
Tow '; erk ffice
DATE: �, de r
(�l SEPTIC I � ,
4....., srssEr+ r.,v,r ' ;4 1 1 1
�-‘„t. .p 1 E X1,1
}
_ 311 �'S2 SURVEY OF
T61J�' c&'�`C 5 LOT 9
p � �- � GIAI
MAP OF
pwELU ;, 1GE-\ii Ns
HIGHPOINT WOODS
FILE No. 10035 FILED JULY 15, 1997
• SITUATED AT
h- EAST MARION
C) TOWN OF SOUTHOLD
LOT
vacAT�� 27 REo, SUFFOLK COUNTY, NEW YORK
mowATs
Ln S.C. TAX No. 1000-22-03-5.2
IOC - ---- __._s.�_-..._._.. .. SCALE 1"=50'
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES JANUARY 23, 2003
t '
„ E t or. SPE t � APPROVAL SRO AL OF CONSTRUCTION ', A
N 78 13'50 T� - a SINGLE FAMILY RESIDENCE ONLY1. AREA = 43,997.02 sq. ft.
$ y ; 1.010 ac.
it
DATE �X—O3 Hs RAF.No. . Il -L 3_ I olt2
AIM - _..
IIIE
a APPROVED__.-__...- ____ _-. �- '�e.O A./�
q4 `
4.y 1 LOT O j MAXIMUM OF � � •
o w'
_•:7-7._ �, EXPIRES THREE FROM DATE OF API'i�OVAI.
156' 1 -
,��� ..ft. _
PLEASE NOTE
1. ELEVATIONS
S1U4GELEVATIONS ARE TSFIOWN THUS;ASSUMEDO AN DATUM.,M Minima
‘ / ,- - R=50.0°' ance between Well' 2. REFER TO FLED MAP FOR TEST HOLE DATA.
3. MINIMUM SEPTIC TANK CAPACITIES FOR A i TO 4 BEDROOM HOUSE IS 1,000 GALLONS.
u.--78-54' ; = - e cesspool is to be 150 feet. 1 TANK; B'LONG, 4'-3' MADE, 6'--7' DEEP
4. MINIMUM LEACHING SYSTEM FORA 1 TO 4 BEDROOM HOUSE IS 300 sq H SIDEWALL AREA
e ,.........4. 1 POOL 12' DEEP, B' dIe.
ir, .
P ".- :- j .` . 1 PROPOSED EXPANSION POOL
« 49 1 PROPOSED LEACHING POOL
- - • ®PROPOSED SEPTIC TANK -
•. 1Ip•
Z�� l��ss� j1 \ 5. THE moknoN OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
'�14 _ . •
y►�1 OBSERVATIONS AHD/OR DATA OBTAINED FROM OTHERS.
, t0 T/3RT WITHRy 150' fop•
i, OT
�f
^.u�- F11" 51.8°9 OVt�'8 firwvo L71-1 I
, - Sr r..7._. E�, S ,v �;;::',T-
a u
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. M^pi Z. 1 f f0 a 1�"'c: _ LAND
. o i �,'�►i'� X66
Nto �' '_°I AND _.
UNAUTHORIZED ALTERATION OR ADDMDON
TO THIS SURMEI'B A VIOLATION OP
c > aDF THE NEW YORK STATE
MAP Joseph A. Nngeg o
_ aN IND
MOS SE BE CONSIDERED Land SurveyorJ TO BE ,
.Op �pSHALL
` . O 0 P%inFOR SURVEY
IS PREPARED.AND ON HS Roar To nig
* TIRE DOMPANI� AL trier Mk Surveys - Su6dkOons - Site Pkms - Construction Loj'out
MTHE "-z- t,-wiz MONO two-
ON CERTIFICATIONS ARE NCR .TRANSFERABLE. PHONE (631)727-2090 Fox (631)727-1727
O AD (N.Y.S. RTE. 25) THE O�TOSTENDE OF. RICHT OF WAYS
�� MAIC AND/fNt EASEMEtrIs OF aEcoRRy. IF OFFICES uicaTfn AT tcarrlAic ADDRESS =,
�vl ANY. MOT NJ564 ARE NOT GUARANTEED. 18Q0 ROANPK AVENUE P.O.13s1X�1931
RNERHEN). New York 11901 fterbeod, New York 11401-09,65
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