HomeMy WebLinkAboutPrincipi, Richard Jr olgtFFO(,,0
ELIZABETH A.NEVII.LE 1 Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
ti = Southold,New York 11971
REGISTRAR OF VITAL STATISTICS +I Fax (516) 765-1823
MARRIAGE OFFICER �L
RECORDS MANAGEMENT OFFICER :y"v0 aO�l,�l Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER 1 '���
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1848 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : RICHARD PRINCIPI JR.
Address 1 : P. O. BOX 512
City St Zip AMAGANSETT NY 11930
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 #R10-98-0041
Name Of Owner PRINCIPI, RICHARD JR.
Mailing Address 1 P. O. BOX 512
City St Zip AMAGANSETT NY 11930
Property Address 1 NORTH BAYVIEW ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section s:@* block a lot 070, // V y/96
Cross Street
Building Permit Number Cross Reference:
Issue Date: 4/23/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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0,i'�g�F F01,t `�
ELIZABETH A.NEVILLE t• .... 0y. . Town Hall, 53095 Main Road
TOWN CLERK % p 1 II P.O. Box 1179
tt
t ti Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS % v' rrt 1
MARRIAGE OFFICER %`°y � 1� Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER . - �O�0.1 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER • O.
L • '., #'
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 17, 1998
Transmitted herewith is a copy of application No. 1922 for a Cesspool/
Septic Tank Construction Permit submitted by:
Richard Principi, Jr.
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 4 14--
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments:
Signa re
'I f -A h V'
Dated
OFFICE OF THE TOWN CLERK 5�FF� U( ""
JudithTT. Terry, Town Clerk 4-T. .
own of Southold
�
y Application No. ?�
Town Hall, 53095 Main Road ai� �_,._ ' Construction v
P. O. Box 1179 �y ?.='
Southold, New York 11971 O � � Alteration
Tele hone 1 * y► Residential
p
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE y- /y. 1E)
APPLICANT NAME: 11Ctf iZIJ Po21ruc/pl J..
APPLICANT ADDRESS: ?.a. PZjx 5) 2
Arnaci ASC iT 1J• llX3O
SEPTIC V CESSPOOL `-
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
r�r coN -T2Uc Ila) low 7iti..13,J 3 _xx_ y/X e)
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 'X- jg�y/I� j -- ( . ICttiggI7 P2i,r.cipl :fa--
OWNER MAILING ADDRESS: PO. X 512_.
I NIr 1�Nsi-iT " 1 i t c3Q
OWNER PROPERTY ADDRESS: N.y{//I w %/7116
LL
TELEPHONE NUMBER OF CONTACT PERSON 4.___1-,(0) 247-695-7
TAX MAP NO. : Section /QO() Block 5. Lot `Zd if " `may
CROSS STREET: 1\4iT/ 121SlyVilei3 SdL1Tl`l0t-ca
BUILDING PERMIT NUMBER CROSS REFERENCE:.
ignature of plicant
RECEIVED BY: /1 A 7-(
Town Clerk's'61fice
DATE:_71/ i/7
N.
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$ g2 0
9
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m o 514103X49"W tp6.°N Ft p\i '
a .514.03.49a .7' R�170.00' • s.: ,5--' \\ / \` \\`—
4y5,36 1 aQp��•.�� 4.81 j \ , -s,\ /
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'=185.00'. ata L�1 N�,•5-2 �\ 'I/ , `\, .
•'.a0' ■ 24.4.4 I /-'-'.. r `.
•.07's.t- N1403'. ."_ R►=2•• a•' - 1 I \ / . 5.74 `�
3
I , `�Lpt �4 r s,
+ . 1 97 a�g s.f.
Id .� 8 Z1 ,�. + 'cp Area T 4.B>'.//
. 5.33
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s+.a3�""'•�•� ���/`\ r � `C >Sl<i / 8.57 •' '� ' ' �, ,,- °P0 ° + coati r • t A� * /%' O /e__,Malmo $L 4 RAO.��_, - ,S,Om —6 /(1000 oAl) l2 , ^6„ its /2 / /
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AREA _ / I I.) / / / ,
FII,E MAP -1 --- ./- __../ II / / /
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Lot 5 ',,/ , `\\ N.
Young do Young, Lc Beet, ' ' x
400. 0afra�fiii er. 4�eriv, Rivet' .New Ym* (1901 P , ��
x'10-127=28O$ f
SANITARY DETAIL
.. . � dicLan 1f. ;Yaut9: ?.E' +&`�S [1fr01� �
SEWAGE DISPOSAL SYSTEM' - 3 POOL 8oward Yau La1ad s5ate�l '`' �,
N.T.S. 'ilril-::
Thomas C. 7OLp$r , rofesaion al 2�+0is+�¢er
Kerin�t7+► 8. 4bru zo, " ? .d Sudor,
John Sohiw�'rr Land:.. ox'
FINISHED GRADE
10.5 9.5 8.5I
°
rrI
IEB.O U IE=7.:
1000.GAt. ` 2b'
SEPTIC TANK CESSPOOL sUFFOLK C� AR
GROUND WATER 0.5 MIN. p iTfiDRAPPROVAL OPC�
_ _ SD�TGl,R FAIHIILYwfAN FOR
ENCS ONLY.' A ,
APPROVED
ry
FOR b AxrMDM OF : ,4
:oMS
=IMESTYEARS FRO DA7•
T.
PLEASE NOTE j
Sanitary system is not tb be
placed under driveway area. ,:
w (.
TEST HOLE #2 •
AS INDICATED ON FILED MAP PLEASE NOTE
(5/13/92) Minimum distance between well ~
EL=8.1 1 I 0.0'
BROWN __