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ELIZABETH A. NEVILLE i1�°Z° ydTown Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
H Southold, New York 11971
REGISTRAR OF VITAL STATISTICS v' ��
MARRIAGE OFFICER ,fsL Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER "'/O .. 'of Telephone (631) 765-1800
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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. 3067 R Residential x Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : SAMUELS & STEELMAN
Address 1: 25235 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
ADDITION TO EXISTING SYSTEM. APPROVED AS SUBMITTED.
MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY
LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner ,CASSABA, RONALD
Mailing Address 1 3142 CLUBHOUSE ROAD
City St Zip MERRICK NY 11566
Property Address 1 30185 CABOT WOOD ROAD
City St Zip PECONIC NY 11958
Tax Map No. section 73.00 block 4 lot 1.000
Cross Street MIDDLE ROAD (ROUTE 48)
Building Permit Number Cross Reference:
Issue Date: 7/29/03 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
,/0,®�®SUF�O`,�c®G
ELIZABETH A. NEVILLE ���,_�' # Town Hall, 53095 Main Road
1
TOWN CLERK o - % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ,i Southold, New York 11971
MARRIAGE OFFICER : ,y,L �4$. Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER "'/Q1 $ ' � Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICERos southoldtown.northfork.net
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. 3067 R Residential x Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED T0:
Name : SAMUELS & STEELMAN
Address 1: 25235 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
ADDITION TO EXISTING SYSTEM. APPROVED AS SUBMITTED.
MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY
LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name of Owner RONALD CASSARA
Mailing Address 1 3142 CLUBHOUSE ROAD
City St Zip MERRICK NY 11566
Property Address 1 30185 CABOT WOOD ROAD
City St Zip PECONIC NY 11958
Tax Map No. section 73 block 4 lot 1
Cross Street MIDDLE ROAD (ROUTE 48)
Building Permit Number Cross Reference:
Issue Date: 7/29/03 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
.L; 0 1I,. ' BOG
ELIZABETH A.NEVILLE )% V. Town Hall, 53095 Main Road
TOWN CLERK y - % P.O.Box 1179
REGISTRAR OF VITAL STATISTICS % Southold,New York 11971
MARRIAGE OFFICER ``®,jiL �����, Fax(631) 765-6145
RECORDS MANAGEMENT O1 ICER :_4 �.o,�' Telephone (631) 765-1800
FREEDOM OF EORIVI,V O p FICER r�'� southoldtown.northfork.net
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\\',):!1\ / zal ;1-, OFFICE OF THE TOWN CLERK
: ,4 .���- ` TOWN OF SOUTHOLD
v.:--' Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 17, 2003
Transmitted herewith is a copy of application No. 3195 for a Cesspool/Septic Tank ALTERATION
Permit submitted by: ,
Samuels & Steelman Architects
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
* * * * * * * * * * * *
9
I have reviewed the application and location map of the project cited above and make the followingc !
recommendations:
APPROVE
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells,buildings,property lines and water
Bodies. EXCAVATION INSPECTION RE•UIRED. , -....- .
i ` .eds.eee "lose
Signature
001/05
05
Dated
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est
OFFICE OF THE TOWN CLERK •" ,,0M/re
UL t�FFOtk' ''-
TOWN OF SOUTHOLD it** �OG__ 'Application No. 6t"
FLUABETH A.NEVILLE,TOWN CLERK O
P.O.BOX 1179Construction
SOUTHOLD,NEW YORK 11971
cera •
- Alteration V
Telephone O,jj� �Q�,' $10.00 - Residential %../
(631) 765-1800 = Ol
,,,,,, ' $25.00 -Non-Residential
TOWN OF SOUTHOLD •
o •
'SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. •
Fee •$
DATE 7//6` 3
• APPLICANT NAME: J4fl erA9 ot&- M
APPLICANT ADDRESS: &523b V/ tO
/
aetrc Efo&O 'i /VC' !89'35 -
SEPTIC Y/ CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 4Dn//V69 ,V6(f
q 1`/C 7WK PV(Sr(q6 GE4atil/YG /UOrs , f' cS'e-.bia
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LOCATION MAP: Must be attached hereto before permit 'may be issued.
LOCATION OF PROPOSED CONSTRUCTION
� O :R ALTERATION
• OWNER OF PROPERTY: /� i4f) C ,43,PAW4
OWNER MAILING ADDRESS: 09&C,2 Ciadouc f gd„b
inne`ck, ivy. //5
OWNER PROPERTY ADDRESS: 30x5 of (f Q £on
Pcoiv c,, XVI /(95e? _
TELEPHONE NUMBER OF CONTACT PERSON: pc 6jc 0)5
TAX MAP NO. : Section 73 Block
( outj 0(4 Lot
CROSS STREET: AD9t 4C b
BUILDING PERMIT NUMBER CROSS REFERENCE:
Wzi
ignature of Applicant •
RECEIVED BY:
Town Clerk's Office
DATE: 1 �b �o) •
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a c,
SITE DATI , 0
Y aWasaaaas
scrni a 1000 r0u
PROPERTY. •pICES
ADRESS I`• tAitY�-,. 58
LONG ISLAND SOUND 9 AREAS
S OWNER DH'RONALD CASSARA ` 1
P,� 7142 CLUBHOUSE ROAD p 2", `
17'.42. / itti(MERRICK Y tt 1
���.--� EXISTING RESIDENCE, 1110 SF.
—�f� o SITE 108,001 89 30 FT.-•x 2,479 AC QQQ
—�—` ,_ $ PRORDSED R!=TM°IDENDE 1900 SP AREA
�J� y mq a ZONING R-80
•
EXISTIN6 DECK TO BE 105540Y-d2. 320 SF. FLOOD' X Z
ZONE ,
,y \ -y'�w EXISTING SHEDS TO REMAIN, 944 SP SURVEYOR JOSEPH A INGEDNO
I. EXISTING GARAGE, 440 SP 1580 ROANOKE AVENUE
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RIVERHEAD,NEW YORK 11907
4./4'o I,i , . - Ham41 . 'T�.S` J PIfOPO.�a�GAFiAf�E, i80 Sr LICENSE 4 DATED JUNE 29 2000
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+.- ,+, .-•i"' NOTES ELEVATIONS SHOWN ARE REFERENCED Q
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-inti - R1101 TOTIr•. EXISTING ELEVATIONS ARE SHOWN THUS 5.0 Z W
.. '• a. EXISTWG CONTOUR LINES ARE SHOWN THUS 5
"- "- =�• ! // +A 9T7E GOVfJiAFiE, 9074 5F. - ID IDH .
• -„A
.e'-»j\ / i• THE LOCATIONS OF WELLS AND CESSPOOLS
: iw�bOBSERVATIONi y5�" / .:', 2LA SHOWN HEREON ARE FROM FIELD O '
coo - T'` w,'k+`if• ' ` s' \ ```� r-�' ��, pp FRON!OTHER83 AND OR DATA OBTAINED Q
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AIT MIOIM e0.t 14. �\ - "Tw t NOTE CABOT'S WOOD ROAD IS A PRIVATE UNPAVED
I
i S. , ROAD LOCATED 07 MILES WEST OF THE
of
INTERSECTION OF ROUTE 48 AND MILL ROAD I
a�orM G1JM9NMW e6 } \\\\ PECONIC LANE THERE IS A SIGN LOCATED ON
y
ROUTE 48,
BOOM ne .
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00 R. 717 MQgM MW � - r
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wo11Am sL'A 1l=7RaPLA[�1 \� ifje'
0 COUNTYDEP A L 'OF HEALTH SERVICES `�+ � V1a7rCHECKEAY: TcsZ ,C�f 'I"1 / *, s! FOIt APPROVAL tiOF mO ENcE curio- / .: - 11AT& 8(13!02
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m�ma, ., • Y , `�� / DATE 3 2 -s RE \V.' .tO—O3--a)2.j Q� �.� �✓° w��P C� SHEET IME
-- APPROVED _,.� i �� p1 Her ',
.eoo .oen !r.< g 4 �� x< SITE PLAN
�• �"" FORI�YAXI1 EJMOF BE► ' •• ^F
SHEETNO '
-
EXPIRES THREE YEARS FROM DATE OF APPRO, : �. 1g3'�O .
SEPTIC PROFILE FOR RESIDENCE .,' . _ NEYr
MXDD ROAD r — •
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