HomeMy WebLinkAboutGeorge ,Is,o����FFO�,�c
ELIZABETH A.NEVILLEG#d
1Town Hall,53095 Main Road
TOWN CLERK o P.O.Box 1179
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2 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ` �'
MARRIAGE OFFICER `�®y ����� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �__"'/®1 �a®iii 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. 3078 R Residential x Non-Residential
Fee $ 10.00 Septic x cesspool
PERMIT ISSUED TO:
Name : KATHRYN SAETTA
Address 1: PO BOX 2047
City St Zip GREENPORT NY 11944
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR ONE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-03-0049
Name Of Owner GEORGE, STEOHEN & PATSY
Mailing Address 1 154-52 24TH AVENUE
City St Zip WHITESTONE NY 11357
Property Address 1 ADAM'S ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 113.00 block 12 lot 9.000
Cross Street COX NECK ROAD
Building Permit Number Cross Reference:
Issue Date: 9/08/03 Elizabeth A. Neville
Southold Town clerk
(TOWN SEAL)
•
OFFICE OF THE TOWN CLERK e'.������•••�•••,,���
P1T7ABETOWNOFSOUTHHT F, OOWNCLERK ,,.��c��1FFDLKcoy - Application No. j �'6 I
P.O.BOX 1179 ` /
` ++ Construction l�
SOUTHOLD,NEW YORK 11971 Z
• CPi : Alteration
Telephone 0,�_ �4�0. - $10.00 - Residential
(63-1) 765-1800 = O.1 * ,r''
.,,,,,� $25.00 -Non-Residential
TOWN OF SOUTHOLD •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
APPLICATION .
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$ 10.00
DATE 8/04/03
APPLICANT NAME: KATHRYN SAETTA
APPLICANT ADDRESS: P.O. BOX 2047 •
GREENPORT, NY 11944 -
SEPTIC -g CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
NEW SPEPTIC SYSTEM
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: STEPHAN AND PATSY GEORGE
OWNER MAILING ADDRESS: 154-52 24th AVE.
WHITESTONE, NY 11357
OWNER PROPERTY ADDRESS: ADAM'S ROAD
MATTITUCK, NY 11952
TELEPHONE NUMBER OF CONTACT PERSON: 631 765 4900
TAX MAP NO. : Section 113 Block 12 Lot 09i
CROSS STREET: cog NECK_ ROAD
BUILDING PERMIT NUMBER CROSS REFERENCE:
.
it
"ignat of Applicant
141RECEIVED BY: •
Town lerk's Office
,p
DATE: I41 (73
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,,;. SURVEY OF PROPERTY NOTES: - Y` • '�
' SITUATED AT 1. ELEVATIONS ARE REFERENCED TO AN .} �pATUY
EXISTING ELEVATIONS Y•••' �F{O
MATTITUCK 2. REFER TO FUFD YAP * ''-" -kli 1r '
rC
3. MINIMUM SEPi1C TANK �-''• '.- Y HOUSE K 1,000 GALLONS.
TOWN OF SOUTHOLD 1 TANK; e' LONG. 4•T3 {- ROO `
4. MINIMUM LEACHING 1 TG 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. \
SUFFOLK COUNTY, NEW YORK I POOL: 12' DEEP. 8' dm. \
S.C. TAX No. 1000-113-12-09 *PROPOSED�EVA� MNSTON,:DL� p 3' I a \
$GALE 1"=60' %% PROPOSED 4n�IhNC'`• 3 19, \ 0 911
\ sal
SEPTEMBER 23, 2002 MI PROPOSED SEPTIC TANK 73
5. THEILCOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD '.
F 3►�
AREA 100,584.06 S . ft. ONSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. 11/0%RR .0.. 4
2.309 cc. FO
p,L N":0160.04) 00
TEST HOLE DATA (.06°
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(ZEST HOLE DUG NY OON4 n .FOSlYFMCE ON AUGUST 15, 2002) r
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P-r•ARED`1!i• o-..•.,.SuE WITH
S.THE MINIMUM 1.�'�(SF '� a A -�. , •� • .• '. •s,_ '
;° ;''E; s ,. ANTAATER `d FOR?+►!�"XIMwv MOM i�'PBOVAL • \, uw+ '• ;, c-�
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/ N.Y.S. Lic. No. 49666 (N 11'X RC1AD) 1 % nap o�� A»T' �1 As ELLE
IAtAUTHORIIID ALTERATION OR MOTION '
. . . 10 719S SURVEY IS A VIOLA=OF
SECTION�THE NEW YORK STATE \ j
EDUCATION IAM.
Joseph a Alr�gCg1"10 COPES OF THIS SURVEY MAP NOT BEARING ``� '-
THE LAND SURVEYOR'S NM SEAL OR _`_r!-
Land Surveyor �L' S BE CONSIDERED •
ONLYS INDICATED HEREON SHALL
TICERTIFICATHE PERSON FORWHOM THE SURF Y
IS PREPARED,N413 ON-Ns BEHALF TO THE
Titte,Sunxys —Subdivisions — Site Plans — Construction Layout IDLE COMPANY GOVERNMENTAL AGENCY AND
10 THE ASSIGNEES miinoN USIED '
AND
LEN01N0INSA-
PHONE (631)727-2090 Fax (631)727-1727 Nom-CERIRTCA71oNS ME NOT TRNISFERA&E. v AMppyy
THE EXISTENCE or OFFICES LOCA1W AT MUM ADDRESS AND/OR EASEMENTS OF�RECORD Y F
1380 ROWE ARMEE - RA. Box T931 ANY. NOT SHOWN ARE NOT GUARANTEED. -
RNERHEAD New YOik 11901 Rtverher1d. New York 11901-0965
22-3f34