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ELIZABETH A.NEVII.LE 1 CI 1 Town Hall, 53095 Main Road
TOWN CLERK ; y = P.O. Box 1179
O Pr,',/ Southold,New York 11971
REGISTRAR OF VITAL STATISTICS � 1i
°
MARRIAGE OFFICER e4;00
� �•0 Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER :�1' ���1
Telephone(516) 765 1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1915 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : VITO AND LAURIE ITALIA
Address 1 : P. O. BOX 122
City St Zip MATTITUCK NY 11952
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 #R10-98-0090
Name Of Owner ITALIA, VITO AND LAURIE
Mailing Address 1 P. O. BOX 122
City St Zip MATTITUCK NY 11952
Property Address 1 MILL LANE
City St Zip MATTITUCK NY 11952
Tax Map No. section 107.00 block 4 lot 2.004
Cross Street MILL ROAD
Building Permit Number Cross Reference:
Issue Date: 8/17/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
' I ili OfFOLt -- / 7(
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y ELIZABETH A.NEVILLE ,$i`1w t NTown Hall, 53095 Main Road
TOWN CLERK ; p .-4 % P.O. Box 1179
y 2 . Southold, New York 11971
REGISTRAR OF VITAL STATISTICS 0 �'�c Fax (516) 765-1823
MARRIAGE OFFICER :` 7
RECORDS MANAGEMENT OFFICER : �°l ��0 �I� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER -w ssi
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 12, 1998
Transmitted herewith is a copy of application No. 1991 for a Cesspool/
Septic Tank Construction Permit submitted by:
Vito and Laurie Italia .
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 rec mmendations:
APPROVE
DISAPPROVE
Comments:
)
/Signat r
Ji3/fl.
Dated
4 -
OFFICE OF THE TOWN CLERK Cj\\!FOU'
Town of Southold 0��--'' �. CSG
Judith T. Terry, Town Clerk Z ',, Application No. ���
Town Hall, 53095 Main Road 8i- , k
co" - c . r-n
0 ' Construction
P. 0. Box 1179
Southold, New York 11971 � Alteration
Telep hone plc � Residential V'
,
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION Pre—rim-RN
for AUG 1 2 1998
CONSTRUCTION or ALTERATION PERMIT [own Clerk Southold
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE S — Ia - c? g
APPLICANT NAME: I' • 4 a A j - 0 1,
APPLICANT ADDRESS: i1-} O5 AI I 1-,Qn —
c,� I4-►-f-uc , Ny I195a
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CON TRUCTION OR ALTERATION:
OWNER OF PROPERTY: 1*1:) é \aus-jr? 2\-q Ilk_
OWNER MAILING ADDRESS: Q•O . Ic3,a
�a 4 , AN J l 19 sa
OWNER PROPERTY ADDRESS: rn,/7 �4iJ E
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section ID-7 Block if Lot c, li .
CROSS STREET: Mill 'R d,
BUILDING PERMIT NUMBER CROSS REFERENCE:. a5OC1 (
o' . _Aril?., /ice
Signatur• of Applicant
RECEIVED BY: kl.14,--49,.Tn Clerk's 0 face
DATE: 710_03
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a O Young & Young, Land Surveyors I i i
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RO P 400 Ostrander Avenue, Riverhead, New York 11901
`' 516-727-2303 lin(31.0Yr
p, d' Alden W. Young, P.E L.S. (1908-1994) gtla6
QUIt '• e, Howard IT. Young, Land Surveyor Xl t
SUFFOLK COUNTY DEPAR , Thomas C. Wolpert, Professional Engineer
1 SERVICE. Kenneth F. Abruzzo, Land Surveyor °
lerming .1-PERMIT MR pp John Schnurr, Land Surveyor
( APPROVAL OF CON3TItiJCTIO�;FORA
Engine/trine SINGLE FAMILY RESIDENCE ONLY O.
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FOR 1�UA:KI.tiIUM OF4IPI- , 'ODMS \^� of
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EXPIRES SEE YEARS FROM DATE OF APPROVAL !ill
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`E;�4- • Dt 1 / ` ° 2. = STAKE SET S
1 / �.' �\ �\ �\ ( 3. AREA = 5.0469 ACRES .15
d J� \\ \ `\'1 4. LOT NUMBERS REFER TO SUBDIVISION - MAP OF h.
\.,0\'�PGp� �,� / i / �� \� ?. �j "WOLF PIT POND ESTATES" FILED IN THE OFFICE @
L I 59$• / ta, \\ � � OF THE CLERK OF SUFFOLK COUNTY ON JUNE 21, ig5V
tib I // \ �/ ! 0 1990 AS FILE NO. 8963. llm•
/ I / �\ ' rls 5. ELEVATION SHOWN HEREON ARE FROM ACTUAL 0.21
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$� �, / , '� � Q/ �� /-16\. JUN JUN 1 5 1998 VITO CHARLES ITALIA &
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T�I �' // \,� ,, . , _, i LAURIE GATZ ITALIA s-
0 � /f / H z; / `-''1"'oste `- _'`_' At: MATTITUCK Town of: SOUTHOLD °
I- `� )x : CO b i a Suffolk County, New York i*8
��!�pro m \\ TEST HOLE 0486
cr ���\ i� A z \ 6 31,.1
�� ��'��: ;f + 1 D \� , a �(� Suff. Co. Tax Map: 1000 107 4 _
6 / t 9AY \—I \ ♦ \\ DART( BROMN I 1 I I 2.4
Q✓ip 00 O� lis \ Z �/ .1� 1�. .�' :P CLAYEY LOAM ,0. District Section Block Lot al
�L mX o^ N �� O D \ / c.55.eiLOAMY CLAY 3.o CERTIFIED TO: bile
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BRO# LAURIE 'GATZ ITALIA a3
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03 COURSE SAND SUFFOLK COUNTY NATIONAL BANK o
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�r`r F + + \ v / it. -._ DATE :JUNE 3, 1998 axis'
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le \\ 17.0' i j SCALE :1"= 100'
`L JOB NO. :98-0281 3 SF
SHEET NO. :1 OF 1 31g3i
.01 \ (980281.DWG) O
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