HomeMy WebLinkAboutManzi (9) ®OFFOL4
ELIZABETH A.NEVILLE 111.44% . 1 Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
ti Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS '� t
MARRIAGE OFFICER ` ,fi tI', Fax (631) 765-6145
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RECORDS MANAGEMENT OFFICER "'/Ql �a®�i' Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ��P� southoldtown.northfork.net
OFFICEOF THE
ppTOgWooNLLDDCLERK
SOUTHOLD WTTAWATERUDISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2911 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 #R10-02-0149
Name Of Owner MANZI HOMES INC
Mailing Address 1 PO BOX 702
City St Zip ROCKY POINT NY 11778
Property Address 1 CEDAR'S ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 109.00 block 6 lot 9.001
Cross Street NEW SUFFOLK ROAD
Building Permit Number Cross Reference:
Issue Date: 10/30/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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"ILIZABETH A.NEVILLE t.4 * Town Hall, 53095 Main Road
TOWN CLERK o - % P.O. Box 1179
ti Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS � ��
MARRIAGE OFFICER ` ?i l��g�, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ;
4, '0'
Alig ���,li� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _,�� ���,��� southoldtown.northfork.net
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c, l‘ , 'I _ '''Y tOFFICE OF THE TOWN CLERK
i`, .�" ; ,; TOWN OF SOUTHOLD
1 f\`' - 3 2002 ... i
o.
\'IQ Southold To n Building Department
N `¢ ''''mda J. Cooper, Southold Town Clerk's Office
DATED: October 3, 2002
Transmitted herewith is a copy of application No. 30208 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
1
DISAPPROVE
Comments: 1/ l / ./,
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G.�ie
Signature
4 /2_
Dated
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OFFICE OF TUE TOWN CLERK �1,'C\ foLx� _
TOWN OF SOUTHOLD �Q1 1 ` . "= ' Application No. 3o.2*�
ELIZAB TH A.NEVILLE,TOWN CLERK �•4 y
P.O.BOX 1179 • ; ; Construction c/
SOUTHOLD,NEW YORK 11971 . _ ,
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, Alteration
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Telephone %‘`r ' . • Q °•' ' $10.00 -Residential .--• '/
(516) 765-1801 -_ .. r
� , $25.00 -Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for •
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
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Permit No.
Fee $
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HARRY PREGHT =
N/F PUBLIC
GABERON PROPERTIES, INC, 1 WATER I 1
GOLF COURSE I
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91 C) - PUBLIC
\ \ 12) ' HATER
G Jf-A OI MATTHEW TRUE 1 1
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. :. : PUBLIC - 1.
` .( I HATER
'f' :, I REPUTED LocATIOVt _ ,
6; _ ,o, h Y N/F L� : ' . :oF'E 15TIN5 ~ _ ' - - =
, . ` ' - - _ . - ;�.,--,-.1--„,., -,,-...,,, O„TIM ; SANITARY 9l'STlti1 -- _ - '
t^,-'. - ' ' ' _ - ;N ,AREA'_ pQ , , -
- •-;, °I1i3,4.45.35 SQ.FT.,'1V.•.',,ATE' ,
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NOSANITARY� Z —'I to M,,, TO Pt PRO�PO D 1..• _
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SYSTEMS p 8150 FAMILY 1
CURRENTLY , I t RESIDENCE '
LOCATED WITHIN i1 1 --OPOSED - . I _ r ;`,_ _ THIS RADIUS I WELL 1- .
- PLEASE NOTE I •WI
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inimum distance between well ire — _ 1N 1 .
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:,=Y.. cesspool is to be 150 feet. 1 _•
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SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES \__-- ` - -- 164:a •
";:. :_ PERMIT FOR APPROVAL OF CONSTRUCTION FOR A m - r�°''50j , 5 R —el P` II
t, ,,, • SINGLE FAMILY IILi1DE\CE ONLY _ 1y3 a5 D v ANgIeS)
'' DATE..6..-Z 02 HS • a'.NO. R�O ��_� L 9 �•. - (14101-T1� y� —
.4 APPROVED /• i / S-j3'34 �0 -------\
FOR MAXIMUM OF, .B:i +OM3 . 1
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-•- _ • EXPIRES THREE YEARS FROM DATE OP APPROVAL1
i ? ' / PUBLIC I
E` / WATER