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HomeMy WebLinkAboutRego, Neil )1 0, �ofFOUr JUDITH T.TERRY � � G'y` Town Hall, 53095 Main Road TOWN CLERK ; pe S y FOLK -- JUDITH T.TERRY � �0 Gyt Town Hall, 53095 Main Road TOWN CLERK k N Z P. O. Box 1179 nv t Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ������ Fax(516) 765-1823 MARRIAGE OFFICER 4f� „06 Telephone Telephone (516) 765-1800 RECORDS MANAGEMENT OFFICER 1 �► FREEDOM OF INFORMATION OFFICER '•v-. 009 OFFICE OF THE TOWN CLERK ,,. TOWN OF SOUTHOLD r. 25IR TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office BLDG.DEPT TrnWWN OF SOu DATED: February 25, 1997 -- Transmitted herewith is a copy of application No. 1674 for a Cesspool/ Septic Tank Construction Permit submitted by: Peter DeNicola for Neil Rego • 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 recom endations: APPROVE DISAPPROVE Comments: RECEIVED .Y)/MAR 21 1997 Signature / Southold TO r; ,..', Dated OFFICE OF THE TOWN CLERK "��FFOUQ Town of Southold 0\0 C� Judith T. Terry, Town Clerk Application No. /6 75! Town Hall, 53095 Main Road til Construction v P. O. Box 1179 Southold, New York 11971 �0��, Alteration Telephone Ol t 1 , Residential _ (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ (r' U DATE T'2 S / r 199 APPLICANT NAME: Peter bLor'1.Ce9l� — APPLICANT ADDRESS: l6as C-�u ►3ti i ?Ai( SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION -- -- aoart b >spf -1Pti1 Se t.4 P LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION : OWNER OF PROPERTY : Ned. I2`6251) -- OWNER MAILING ADDRESS: 7.6' ) ©g g y I ` OWNER PROPERTY ADDRESS: ,25a„p c t- TELEPHONE NUMBER OF CONTACT PERSON: -7 (p 1-- '-3 68 TAX MAP NO. : Section 1 Block 3 Lot -3• CROSS STREET : C Les $ —fit= ---- -- --—- ---- --- BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Applicant RECEIVED BY : / / /LC../1....t,cjecrt ___Town Clerk'sfice DATE: oA o_5� —� r Survey No.:89- 071 le_________+.4 .... DEPAR'�r OF KSALTK Mr/N/ "S Agit of 3 iraonnaa Noads S[lFPf3i:t O�i1 Ap ONAL 0� ei�A at I -AUT FOR �ant¢aid , ��e99 PANCLY O�ii•Y Filed September 2$ 1989 as Nap Na. as143 V . t D -� . coal - �* Zl/�9-.. .ria. 7 �' ./ d itt 1St . tory � e Sr • DreltFrame hg aT FOR liA t %444 4t,FF 5a /1k FROM DATE OF APpR�AI' -,,,,•,:„...,s, 1 44 CO 494e .c 0 tr�� 4 DO PROPOSED qs * y, HOUSE LOC. 4 - g FF 49.0 e"z� V. vF. 4Z5 A.� 8 2C2S72-4,, C, Unauthorized alteration or addition to a mop bearing a Professional Land Surveyor's Sed is a violation of Section 7209, Sub-Section 2, ,F'��L* of the New York State Education Low. I•rr'w • t. 351• AS A Jd ,& 4.044,- Rights-of-way or easements of record not shown on this mop are 46 2t. cz, 1 (,, not certified. • ` ` M 1(p0 w♦ O Certifications indicated hereon sk�nify that this survey was prepared _ / ? `` � in accordance with the existing Code of Practice* for Land Sways _ __= i , f✓ `q' adopted by the'New York State Association of Professional Land It. -- 4:1Snxveyors.Said art/Sections shall nun only to the person for whom N. 0 /� the survey is prepared, and on his behalf, to the title company. ' �� ` r f/�► gwtions a agenry, and lending Institution listed hereon.Cert{- ' l' �e�CFl�y are not transferable to additional nstitutions or subsequent e" owners kill . p�tI,g� ((��� Copies from the'ORIGINAL' of this survey map not marked with an v*) ORIGINAL' of the Land Surveyor's'EMBOSSED seal or RED' inked 0 ���v'� sed shall not be considered to be a valid true copy. fi0) , u, 4x'8, '..P .CIP° 7 �� f'3� �6 I hereby certify that this mop was mode tarn an actual t sirwy campieted by me on 07/3/90 for Chardonnay Esta Ii �� n _is • �Pa2 / o�u�a�l� 612- (-a, Landn sEdward iliciBullock,Engineer C0145), 49 Miler Avenue O�8�j� Port Jefferso n 4 2NY 1177651 `:4), N.Y.S. P.!S. No. 41f214&N.Y.S. P.E. No. 63675 Scale: 1' = 50' To, Map No.:`000- 51 - 3 -3.15 \ N,