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ELIZABETH A. NEVILLE OW.
may° \ Town Hall, 53095 Main Road
TOWN CLERK % P.O. Box 1179
,y Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ® �� Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER `--_ 1 1�' Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ��'� southoldtown.northfork.net
OFFICETTOF THEFTOWN CLERK
SOUTHOLD WRS WAr �UDISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2873 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 #R10-02-0093
Name Of Owner MANZI HOMES INC
Mailing Address 1 PO BOX 702
City St Zip ROCKY POINT NY 11778
Property Address 1 SOUTNDVIEW AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 59.00 block 8 lot 3.000
Cross Street KENNYS ROAD
Building Permit Number Cross Reference:
Issue Date: 8/22/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
/I//I® SC O
N73o
,ELIZABETH A.NEVILLE �ro� G1 Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
ti 2
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS rr► t
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER `= Ql ��O�i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �,� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK [1.7!
C (C�
0
TOWN OF SOUTHOLD
�;i' AUG 13 2002 i !
TO: Southold Town Building Department �_ 3L � ��`r
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED:
Transmitted herewith is a copy of application No. 2976 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:
fiKeee-6
Signature
8/Dated
r 4.
. , ' • so I a,,,,•
OFIZgE OF THE TOWN CLERIC eil"C;If 01./reAg' ,
Application No.a.c77,‘
i . TOWN OF SOUTHOLD • 4 ,A.... •
ELIZABErl I,A.NEVILLE,TOWN CLERK
el" ' • - .e.1
P.O.BOX 1179 • •
4-.... . • Construction
SOUTHOLD,NEW YORK 11971 Z = lb
• • C;:21 . , FYI 1 . .
. ,
Alteration
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Telephone .4, 9. • $10.00 - Residential
71/4. 42,
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•
(516) 765-1801 -7-_4461.1 44%1P..,,
$25.00 -Non-Residential
• -4. ,,,•••011 •
TOWN OF SOUTHOLD
. .
SOUTHOLD WASTEWATER DISPOSAL DISTRICT '
APPLICATION '
for
•
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. •
Fee *$
DATE n ,(3_,,s4 I,
• ,
APPLICANT NAME: ' M a_1(N-•ei '. '- ,1-1.6'firt•LI„,?.-;.,,,Y,Air',;•64- g.- L,',,-:,_•, :'•.,!',2,,,,;:,',-,,,,':,.,.•:; , :, , ,',
'
APPLICANT ADDRESS: rp:,6,:--.1:..i.e, ,:,a8H,,....'Ligioszs-,- : z:-..t.t,, ..,:i,,',i,--,, ;,,I.,,,--- -,
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SEPTIC CESSPOOL ' ' - • „- :'-' :-'1 •!'.,".t''.,f,--;;• :-4,-,,-. •i•---':744,!;,::±.7,,'• ..-•-• r,,,-•!..,:q.•:c:':- 7-,1:_,..':'k-:),' ,•:,,,•‘• - '• .. ' ‘.;- -•,
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DESCRIPT'hDN OF. PROPOSE'D
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.—.•:',','''',.. `;tg'6%-:".1% ?',4;ktkiit14*.i'A:4tATNA`Ige':Z441:40:-;''f_i*i'' ',, i':',*',,::%t '''''''' r,-:.,-„'' .
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LOCAT ION MAP: Must be attached.J.leretobefore,'•'permitmayse'be,,;,.issued. :'''.-•- * -
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: ‘ ,•• Y,' , sh:-!'•23;,',,-,:.:',,,,','!.,,,y':s.,,, ',-..--"..,-,`, ',- ' -;; ,
LOCATION OF PROPOSED CONSTRUCT'ION0W-ALTERATION'i",,',-1,
' OWNER OF PROPERTY: ' 1rn_ar)z,,- _____V--levy)
7.
OWNER MAILING ADDRESS: . I - 0 ' c -A—: •%76-a__,, '-'
p\o-)c_t(1_ P, c:D1- r\T- 1 ki'y 1 I-1, A
, .
. • ,
OWNER PROPERTY ADDRESS: Sc AnCIL., i e
TELEPHONE NUMBER OF CONTACT PERSON: kik-k -k — Icp- c4
TAX MAP NO. : Section 35 9 Block . k- , Lots' -3 : c) •
CROSS STREET: / .,...,, r gr4 .
, -
BUILDING PERMIT NUMBER CROSS REFERENCE: ..
• ..
#6.-.
Signature of A•plicant .
,
RECEIVED BY :
t 1'Town Clerk's Office .
DATE:
, .
,j
' ' tr n JOB No. 01-696 REV 511/02 REV 04/07/02 REV 07/30/02 TAX I.D. No. 1000-59-08-3.0
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TAX LOT 4.2 0 ,. . ' 4/18/02 ,
[McDONALD GEOSCIENCE I
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X-- , •TEST HOLE `
PRO as .LP SC CLAYEY SAND IIO%GRAVEL
SpW 'M/LYLLI , - Sm 15'
NG SC BRN CLAYEY SAND
40' 26
, , „ - CL ' BRN SANDY CLAY
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PROT f50,RELLL D CH, WATER IN CLAY
MSEPTIC) qq
' Sc WATER IN BRN CLAYEY SAND
' Sr
-FIRM MAP No.3610300154 G • SW WATER IN FINE
TO COURSE SAND
FLOOD ZONE X 61'
SUBJECT LOT 22,000 SQ FT '
ELEVATIONS REFERENCED.TOTOPO MAPS, '
' 5 EASTERN TOWNS - ,
Unauthorized alteration or addition to this document is a violation of Section 7209 ,
of the New York State Education Law', • ' ' , SURVEY OF: '
Certifications Indicated hereon shall run only to the person for whom is repared. .. ' " " ' 'DESCRIBED PROPERTY
and on his behalf to the Title Company,Govemmentai Agency and Lending-, „ ' t;- ;,
Institutions listed hereon,and to the assignees of the Lending Institution or ; — - = _ .•. -
sutmequeMwmers .. , ',, x.
Copies erthis d�amem natbeanng meproreearanarainked seal orembossed ;- �=':SOUTHOLD,TOWN OF SOUTHOLD
seal shall not be considered a valid We copy. - • , , '
1.� The offsets[or dimensions I shown hereon from structures to the property lines are
,s OF
NEW YO fences,aspectem purpose
us,and
therefore
hereo eere
g not
Intended
ed to guide
uid thegs, mar''” • - - SUFFOLK COUNTY, NEW YORK
y,�V' 9,f construction.
DESTIN G.GRAF The eidstence of nght of ways and/or easements of record„,IF any,not shown are , SURVEY DATE: •,04/16/02 SCALE 1"=60'
not guaranteed '
'` I CERTIFIED ONLY TO:
N .L J+ , MANZI HO_ MES - DESTIN G. GRAF
`o 05011011 + ,. - LAND SURVEYOR
fON P� 1 _ -r ;' • 73 Woodlawn Road
Rocky Point,New York,11778
I 631 8213442
By DESTIN G.GRAF N.Y S.LIC NO 50067 • -