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Home My WebLink AboutN&J Management SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4484-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner N & J MANAGEMENT CO --- -------------------------- Mailing Address 1 38A FIFTY ACRE RD ------------------------------ Mailing Address 2 ------------------------------ City St Zip SAINT JAMES NY 11780-0000 -------------------- -- ---------- Property Address 1 4735 WESTPHALIA RD ------------------------------ Property Address 2 --------- -------------------- City St Zip MATTITUCK NY 11952-0000 -------------------- -- ---------- Owner Telephone No. 631-838-2966 ------------ Tax Map No. section 113.00 block 13 lot 1.003 ------ --- ------ Cross Street BETZ]E'I'TS POND LN ------------------------------ ---------------- ----------------- Issue --------------------------------------------------------------- Issue Date: 6/19/15 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) • �O GG ELIZABETH A. NEVILLEC y� Town Hall, 53095 Main Road TOWN CLERK H = P.O. Box 1179 REGISTRAR.OF VITAL STATISTICS O ® � Southold, New York 11971 MARRIAGE OFFICER yijJ �� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �1 �►� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 or Non-Residential @$25 Application No. LLVq Permit No. 3 R Owner Name PA luemo'r Owner Mailing Address Owner Property Address NMV2**f+1jr - - I/ I Owner Telephone No. Tax Map No: Section I- 1.1, 00 Block ot Cross Street 7�/U ROS "Wmr' Please check each that applies: New Construction Alteration to Existing System Residential X/ Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distance in feet from system to building and closest road. New construction may submit copy of survey with SCHD approval.) �O Signature of App' lic t ate Received by: ENSPIRE r[Gm Fov A.2Ltic Y.�,r„,�t�.A v Nchit.ct BSPFE OE3pN(COIF,PLc eoow.nr ttAs 7te a exmmo TROD 3 rA.te Ut�7t-nm T—alt-alt-oio muoTtnurwsr,mlt oaT[OIArrR(Mu �'`q wYn r• '4 rt ol General Notes A6 00 \\ l• /// /t 6� , +v,erw Aevrn eoo ops \ ��l �/ // ' edI t1M OMIa Rnlllatt DaavbtMn t ��a ""�h," DATA ✓ t / . .. 6UFFOU(670IBlTY TAX MNP 0. LOTAREA:17.67 ACRES \ RIFRESMEHCE SOL TEST HOLE BY Dt5TRK:T:,0603ECTKW.113 / McDOt1AU) BLOC( 17 LOT(S):IJa+A \ /// a7f+6 •i�'Y a DEDSODICE 9/16/7.014 MAP OF DESCRIBED PROPERTY B60RMATMm TAKQ1 FROM A \ / SURVEY PREPARED BY . \ // WK Bnw AUWBT NAPPI.SURVEYOR R'A rtt6KL1,mL• \P rmnrccpc v0°,,��AA axe. ra p, AM[KR;AL sl KEL s ^C a1N4(1>7 SANRARY D-20 E�VG pROpO$ED 1700 UALLOM 8EPTIC TANK al X 1736 WE97PFNL7A{O I ?a a'4'LIOUm DEPTH)VI/7RAFFIC to MATTRUG(NEW rax Tress BEARNO covER TO GRADE a(+) / �' ' LyRY�µ PROPOSED CESSPOOL 0<D L a/r DEPTHS rAA`6 uFffi W/TRAFFIC BEAFUNG DOME COVER ' ou�a OW CESSPOOL TO BE PwED our Ab loll a�On ABANOONEp PRIOR TO 643TALLATION OF NEW BMfTARr RAN tsANrtARr sUBTOA z-ODM, UPON COa DOTE NOF O At,V IL LO HAVE SPOTErrW BEDROOMS .s twe n.0 s,p„�EL,,sLOCATEDYRTF@1i6OOF1DOSRNO � a »,. t117.Or a a PROPOSED SEPM SYSTEM SITE PLAN ------ARt IDRi _�to.s Ato.ta Sr—i r,.a,... AREMD:J00 ACfil� �woAmvr "'1p" CJS� 1 �adf � IV v�s� e 6/18/2015 Norman Keil Nurseries Mail-Paperwork for addition N Norman Keil Nurseries Office <office@normankeilnurseries.com> qP Paperwork for addition 1 message Judy Moran <judy@normankeilnurseries.com> Thu, Jun 18, 2015 at 9:53 AM To:-Kevin-Mahon-<KEVI N@normankeilnursedes.com> I will sending a check and some paperwork for the Town Clerk with the payroll. You have to do the following: 1. Make a diagram where the cesspools are. Measure distance from house. 2. Drop this off with a check and paperwork that we are sending to you. 9 4 � t httpsJ/mail.google.com/mail/uV?u'=28ik=e79a45e7cf&view=pt&search=serd&th-14e06f2628b6b6cb&siml=14eO6f2628b6b6cb 1/1 SUFFOLK COUNTY DEPT OF.LABOR, r� LICENSING&CONSuMER.AFFAIRS ` COMMERCIAL,INDUSTRIAL 'RESIDENTIAL,SEPTIC LI ENSE ' ,•. 11M1E 0- ALEXANDER SONNENBERG JR NESSE This certifies that the SONNENBERG'NURSERY INCORPORATED bearer is duly licensed by the ��"'��' County of Suffolk �N.,,..N�... 3204&LW 09/17/2002 "X T*N DATE 09/01/2016,0- 9 SUFFOLK COUNTY DEPT OF LABOR, .� ,•. LICENSING&CONSUMER,AFFAIRS COMMERCIAL,INDUSTRIAL -RESIDENTIAL,SEPTIC LICENSE ' " ALEXANDER SONNENBERG JR �� .r..: =S=r'_1__ B SWE60 NAME This certifies that the SONNENBERG'NURSERY INCORPORATED bearer is duly licensed by the ��"'"' County of Suffolk `�«,. K 32048-LW 09/17/2002 cx,mIo,,DATE 09/01/2016,4- r • ELIZABETH A. NEVILLE,MMC �y� l(y Town Hall,53095 Main Road TOWN CLERK o� PO Box 1179 N Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p .� Fax(631)765-6145 MARRIAGE OFFICER �� aQ�' Tele RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER �'�' I hol�dto, nn gl W E OFFICE OF THE TOWN CLERK MAR 10 2015 TOWN OF SOUTHOLD BLDG. DEPT fOV0J OF)'OUrHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: March 9, 2015 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4293 for a Cesspool/Septic Tank Construction Permit submitted by: Salvatore Morbillo Ensuire Design for Keil Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. Sabrina M. Born I have reviewed the application and location-map.of the ptoject cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Final approval required from the Suffolk County Health Department RECEIVED a MAR 1 2 2015 ' Signature Southold Town Clerk 03/, /S Dated SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 4293 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : SALVATORE MORBILTA Address 1: 1650 SYCAMORE AVE STE 19 City St Zip BOHEMIA NY 11716 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. FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT. REF NO. R10-14-0083 Name Of Owner KEIL/NJ MANAGEMENT CO --- -------------------------- Mailing Address 1 38A FIFTY ACRE RD ------------------------------ ------------------------------ City St Zip ST. JAMES NY 11780 -------------------- -- ---------- Property Address 1 4735 WESTPHALIA RD ------------------------------ ------------------------------ City St Zip MATTITUCK NY 11952 -------------------- -- ---------- Tax Map No. section 113.00 block 13 lot 1.003 ------ --- ------ Cross Street BENNETTS POND LANE ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 3/12/15 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) ELIZABETH A. NEVILLE,MMC Town Hull. i?09S %l:in Road TOWN CLERK PO Box 1179 t Southold. Ne%\ York 11971 REGISTRAR OF VITAL STATISTICS Fax (611 ) 765-6145 MARRIAGE OFFICER Telephone (611) 765-1800 RECORDS MANAGEMENT OFFICER WWW southoldtow1111% ,_o% FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD March 12, 2015 Salvatore Morbillo Enspire Design Group 1650 Sycamore Avenue, Ste. 19 Bohemia, NY 11716 RE: 113.-13-1.3 & 1.4 (Keil/NJ Management Co.) Dear Sir/Madam:- Enclosed herewith is the Construction, Alteration or Modification Permit for a Septic Tank/Cesspool System for which you applied. AFTER the system is installed but prior to being used, an OPERATION PERMIT IS REQUIRED. The operation Permit is issued by the Southold Town Clerk's Office. The fee is Ten Dollars ($10.00) for a residential system and twenty-five dollars ($25.00) for a non- residential system. Your check should be made payable to the "Southold Town Clerk". An application form is enclosed. Please complete the requested information and return the application, proper fee, and LOCATION MAP (map must indicate the location of the cesspools)/septic tank(s), giving approximate distances in feet from any buildings to the pools and distances between the pools. Should you have any questions concerning this matter, please do not hesitate to contact this office. Very truly yours, Sabrina Born Clerk Typist Enclosures 'f ELIZABETH A. NEVILLE ,`1` y Town Hall, 53095 Main Road TOWN CLERK p P.O. Box 1179 C42ae Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax (631) 765-6145 MARRIAGE OFFICER ® O!� Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER �Ol �a FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 J or Non-Residential @ $25 Application No. qzq J Permit No. Applicant Name So vA7jVis 13,14 -17A_se'L1c-'*� n Applicant Maiming Address &Z9 Septic Tank or Cesspool Brief Description of Proposed Construction or Alteration Location of Proposed Construction/Alteration: G Owner of Property: ��E/G, /✓� /�. �� Owner Mailing Address: -r 7—,471V12 L> Owner Property Address: Name and phone number of contact person Fdd4I Tax Map No: Section //3 Block /3 Lot /-� Q- Cross Street Lt,�5�'/� /��iQ -17)2 jr- -0ry��=�� Z ZXFr-J.'` NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES7igv4nnature H H ALTH EP MENT APPROVAL Applicant Date Received by: I 11 • SUFFOLN,COUNTY DEPARTMENT Or HEALTH SERVICES PEMMIT FOP APPP!0*!!,`,'.. r17_ FORA INLY PROPOSED WATER DATrz,2�f 3/15 J, ,. !"-" ! 910-ILI_x1w3 SERVICE C" 4,W APPROVCD 1.16 Oi:; �7 'I tj"'i E3EDROOXS a �o Fop iAXIMU!,4 OF 15 Ito 01a 61 EXPIRES THREE YEARS FRONI QATE OF APPROVAL Abandonment Of eXistingr sz.niL-ry sYstem must be in comfonmancc with depa rtment requirement Submit gs 1_2� V.Z. 5 completed form, �VWNI_ On as proof. 9 . � 41 at PROPOSE S c S TMST HO 50 L0C4M0,_A 1110c. TP�jALIA � xl� -�-\y SER` ACRES ,,,�_ ��-� �`� \ CIL 00 t�a. i EXISTING'KAILIWOf- C ABANDONEDT 7 EXISTING WELL CONNECTION TO BE DISCONNECTED AND CAPPED OFF to (WATER USAGE SHALL BE FOR IRRIGATIOtY PURPOSE ONLY) IS .1 ?,151GIA00 Got,oiler,- 41 �000 A C, Oil V1110 0.5E 7' _ G AO-A Q�k \ \ , �� tae � � c'� � p� m� �i \\ ` �•. � CP