HomeMy WebLinkAboutAquino, Anthony ._ .�
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JUDITH T.TERRY � /1 y •
� Town Hall, 53095 Main Road
TOWN CLERK ; y 1 P.O. Box 1179
�` Southold,New York 11971
REGISTRAR OF VITAL STATISTICS O
MARRIAGE OFFICER . y
Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER =�61,1 4;81.61 Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER dog°
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1619 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ANTHONY & SUZANNE HAHN AQUINO
Address 1 : P. O. BOX 2031
City St Zip ORIENT NY 11957
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. SCHD REF. #R10-96-0079
Name Of Owner AQUINO, ANTHONY V. AND
Mailing Address 1 AQUINO, SUZANNE HAHN
P. O. BOX 2031
City St Zip ORIENT NY 11957
Property Address 1 BIRDS EYE ROAD
City St Zip ORIENT NY 11957
Tax Map No. section 17.00 block 1 lot 5.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 3/20/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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MU( IN
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•� BLDG.DEPT. i Town Hall, 53095 Main Road
TOW NI OF SOU',101:? M �j/ve O� P.O. Box 1 179
�174/ 4
��_�� Southold, New York 11971
JUDITH T.TERRY ` 1�T•� TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR 01 VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 13, 1997
Transmitted herewith is a copy of application No. 1690 for a Cesspool/
Septic Tank Construction Permit submitted by:
Suzanne Hahn Aquino and Anthony Aquino
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.
Thank you.
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:
RECEIVED
/i;MAR 2 ' 1997 SignatuF/
Dated
t
OFFICE,AF tHE TOWN CLERK ,r
Town of Southold ,,''�4�FQ�x��"-
Judith T. Terry, Town Clerk - Application No. /11_1.0
Town Hall, 53095 Main Road
Construction
P. O. Box 1179 *
Southold, New York 1.1971; Alteration
Telephone `!4016. .:‘,-; $10.00 - Residential 4/ ..'-
(516) 765-1801 1 J ', '" $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
/5APPDATE - /5/7.Y.--
APPLICANT
LICANT NAME: SlizQ!i/7 e -14,4/1 74420 ycJ .4775 )iv /l &(--4
ila
APPLICANT ADDRESS: 7b e,, ,t -'
fir- .e..„..._-7±__ __ 'i/ //w
7----
SEPTIC ✓CESSPOOL
DESCRIPTION F PROPOSED CONSTRUCTION OR ALTS/RATION
CO N S 71Yec t e vY, 42 J
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CON TRUCTION OR ALTERATION:
OWNER OF PROPERTY: ..)06,II nee /f /7`1 • C./C,'i `fcd Cil jilfr40), Cil ti
OWNER MAILING ADDRESSJC.)_goLy _2p,St _ ___________
//'mss AY?Tell:: -_____
OWNER PROPERTY ADDRESS:_- G/ ds__. -^L, -_- f✓, t..'�_
TELEPHONE NUMBER OF CONTACT PERSON:32 3. --.3 / 0
TAX MAP NO. : Section JQ )/f Block 1 3
_ Lot /
CROSS STREET: /{/6 G/`��2_ _�----
BUILDING PERMIT NUMBER CROSS REFERENCE:
__...! ,—,-----
,..-7-e of #pTtant
RECEIVED BY: 1
T n Cierk's Office �
DATE: 3/ w 3
' ' The locallons of wells and cesspools (er) : fj::: ,�;K ishowa,.hereon are from field observollons tJ� ). P,,� ::::and or from data obtained from others.l am famiiar with the STANDARDS FOR APPROVAL , --- �' '
IAND CONSTRUCTION OF SUBSURFACE SEWAGE P \ 2 ' _-' DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES �Z
and will abide by the conditions tel forth therein and on the _.
permit to conslrucl. �' ' --_ 3a
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TOWN OF SOUTHOLD - 1
SUFFOLK COUNTY, NY I ^,1 \\, j ' a
1000— 17— 01— 05 C. I `�
Scale: 1" 40' c�;, ,;, i► � I w I
April 9,1992 -� z 1 1 1 1
V .;,, I 5'34.98
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�,KI`.13 F,'.i'PFOVAL •c.e, ,�
.0 NM j„ [XC,','MIII1III INSPECTION REQIWIIlI:V MAIN ROAD
5.u�0..Mt,t�e e� (N. Y.S. RTE:. 25)
1
/ ',.t..:.9 Area = 1207 Acres
/.-,� , � ► .S. LIC. NO. 49618
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P -1w_]i:I1 vsRS, P.C.(530- e►/�*y9 cea/o✓r
P. O, BOX 909 O __ IA :P,-op ton/eur
P. O
MAIN ROAD ELEVATIONS AND CONTOUR LINES ARE REFERENCE TO N.G.V.D.
SOUTHOLD, N.Y. 11971