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ELIZABETH A. NEVILLEd Town Hall, 53095 Main Road
TOWN CLERK ® - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
® yC �� Fax (631) 765-6145
MARRIAGE OFFICER : Si �1
RECORDS MANAGEMENT OFFICER __ ��®iii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER r�� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
SOUTHOLD WTAWratUonSAL
PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2885 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GERALD LANG
Address 1 : 220 OAK STREET
City St Zip CUTCHOGUE NY 11935
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 #R10-00-0177
Name Of Owner LANG, GERALD
Mailing Address 1 PO BOX 489
City St Zip MATTITUCK NY 11952
Property Address 1 WUNNEWETA ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 104.00 block 11 lot 13.000
Cross Street VANSTON ROAD
Building Permit Number Cross Reference:
Issue Date: 9/24/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE 1���hr® 4.\` Town Hall, 53095 Main Road
TOWN CLERK k o P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
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MARRIAGE OFFICER :®�i 0Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =__4k�! lit $ 0 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,•�� southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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TO: Southold Town Building Department i ri i ``' ,_LiLI1 SEP .r
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FROM: Linda J. Cooper, Southold Town Clerk's Office ' - ,._ 2002 I L"; ,`
�O,6,r;,.LC 3
DATED: September 17, 2002 f�` '' "�::�,t,r)
Transmitted herewith is a copy of application No. 3011 for a Cesspool/Septic Tank Construction
Permit submitted by:
Gerald Lang
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 /y
Comments: / z_ - L.: _- - -
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Signature
e20 ././i/e;—
Dated
OFFICE OF THE TOWN CLERK '•�CU[kl'y
TOWN OF SOUTHOLD ��• � QG -� Application No.35 j
ELIZABETH A.NEVTI T F,TOWN CLERK '� O
P.O.BOX 1179 • iG: ✓
• Construction
SOUTHOLD,NEW YORK 11971
Alteration
Telephone O,f� $10.00 - Residential
(63-1) 765-1800 : l �t, '�
�' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
, REC,gli,M3
for UA ~
CONSTRUCTION or ALTERATION PERMIT ZiPr' J177 •
20022.
SEPTIC TANK or CESSPOOL
etWrienet It"
tlf
Permit No.
Fee $
DATE
APPLICANT NAME: N
APPLICANT ADDRESS: 2 2 m 4-/c_
SEPTIC c CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: QLD /ftr 9
OWNER MAILING ADDRESS: . 1C79‘
(C `t/� (2
OWNER PROPERTY ADDRESS:
r&&Yd . -i k /1733TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section /0 �f Block 77 Lot
CROSS STREET: VA/V5 re9A(
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
,e,f44(
Signature of Appli nt
RECEIVED BY:
Town Clerk's Office
DATE:
IA
_1:- BROADWATERS ROADSU
OF �'"
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LOT 297
AMENDED MAP A OF
LNASSAU POINT
I
OWNED BY
?', NASSAU POINT CLUB PROPERTIES, Inc.
,% FILE No. 156 FILED AUGUST 16, 1922
N SITUATED AT
f)
NASSAU POINT
µ -� TOWN OF SOUTHOLD
$� SUFFOLK COUNTY, NEW YORK
8S.C. TAX No: 1000-104-V1-L5
T ,P
� 1"=40'
LOGPN A JUNE 8, 2000.jp041) �089.6
I
M,�O 1 JULY 13, 2000 ADDED TOPOGRAPHICAL Surf ;
/ SEPTEMBER 14, 2000 ADDED PROPOSED WATER C�
4.0- ,o . ' C) 1
--- 0 4, \ \ \ / 91.0 LA AREA = 36,033.07 sq. ft.
o °o\ \ \ \ \,,89.8 / Ct. co 0.827 ac.
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B 54 E, \ \ \ \ \ �\ \ IS` ° '• �ry 1= CERTIFIED TO:
1 L y /? \ 109.,\
,\ \ • 1 Z c JERALD R. LANG
O °• ice E. L`� �"'� +; •
\ \ ' \ \ mI M o N t�� o c BOBBIE KAYE LANG
// ' 1zL \ \ ,�0 ,o., \ \ 5 1 �' TEST HOLE DATA
/ // x23., �g1JA \\/\/\ \ ,•� \ '^ \ \ \ 40�r�/ , 1 1^ (Ira, HOLE DUG BY ATc00PL1LD GF(' F' ON JUNE IR. }
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126 / / r�_ Vaa %\\ I jN� o �ICJJI°COdeEb �1 I,PAR i 1ViL'1`I A OF l i1 SERVICES •••-4..... ..7., If
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cP /// /// - / / :� FOR APP`•'OVAL OF CONSTR• CTION FORA
�,� ..12.7_,6,// , �r_____ SINGLE F•I LY RESIDENCE 41,1LY ,/
V. _ -- / % ? •
STANDA ED OX ACCO.. ;�!. 1YrtT1 THE M9mXS*I
I // / / I34 STANDARD5•FOR_•„ '- AS fSEABUSHED
Si.. '/ / /_____—— ——-t 36 �� 29 s� DATEq- - C� HS F.M0. C?-PCa-�1`2 �� 'L` r.�`PRa\EDirDmc""°srAA' LAND
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��..�\3O ' ` / Y / / / - LO 040-P. a� APPROVED ` i `'t",'-.•,, t-',A. (M,`sf
,Cc,.)••%
. /// ,/ /�� �l, - -138 0,0031'\ r
,3 ctav 4�.,,�,`• 1 3
a�,� ,3ti /// ._ -_ FOR MAXIMUM OF BED •• S '_ , c 0
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��® ► / / / // _ —1 ao EXPIRES THREE YEARS FROM DATE OF APPROVAL.
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j ,CO / / ``1 ��y 1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
I / // `Id / its EXISTING ELEVATIONS ARE SHOWN THUS:1000 . ,'- ,�j�fJ .��
+ii' -
6 i.T7.o //, �' //,110.3 EXISTING CONTOUR LINES ARE SHOWN THUS:----130---- VFA��
�j 'O��S - /•J� 1p0 2. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1.000 GALLONS. N.Y.S. LTG. NO. 4968
/ G J 1 TANK; 8' LONG, 4'-3';WIDE, 6'-7' DEEP
\p /� 66 3. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. TO 1ws�YALT�ERAAT ae>a�IloN i
�J,ya� •12' DEEP, B' dIa.
x`11'"' 1 P00!<" SECTION 7209 OF THE NEW YORP(STATE
O \'S
EDUCATION LAM. ' d �' r"_'• ,v
PROPOSED EXPAN.3tON POOL COPIES OFyUKJEYORgY LAP NOT REARM 'J � A. ION ,t '
THE LAND MED SEAL OR
PROPOSED LEACHING POOL 10 VALIEMBOSSED BED TRUE COPY.SHELL.NOTBE CONDI `- „, ' - A 'S` R4,.; �,'r
®PROPOSED SEPTIC TANK
j: ;�HEREON siva ROH I ONL
IS 'Y'° .Al OCH S B f)TT�
,� off 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD TITLE CDEEpASTf._C IMFNLY•IAGENCY492.D 3 ?TUs.,B ryeys - 51/DCOsta.� - Sild - CRI n Lapol
0 y OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. LENDING - r WED HEREON,WO
v CP4 5. ZONING USE DISTRICT IS R-40. 7URON. :a.•} '''4''- NO1. 1?
qk BUILINNG ENVELAPE SETBACKS ARE FOR A NON-CONFORMING LOT 14U&1E (631)?27 3Q9D Fox (631)727-1727
D \OP WITH A LOT AREA OF 30,000 aq. ft. TO 39,999 sq. H. THE EXISTENCE OF RIGHT • 1PAit LOCOED. -AT .1:&411,19
P
�� ANY.DNOT SHRS 0 OM.r I Via,,
#380 €OANOXE.AVggUE P.O. Bax 1931
ETVEfiusAD.so Yptk I1go1 ;1Tio head, Now York 11901-17255
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