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Home My WebLink AboutScavone, Frank r �S,3FF01.t ELIZABETH A. NEVILLE ��O OGy� Town Hall, 53095 Main Road TOWN CLERK y = P.O. Box 1179 REGISTRAR.OF VITAL STATISTICS 0_0 Southold, New York 11971 MARRIAGE OFFICER y O�� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER 0,� �a Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3119 R Residential X Non-Residential Fee $ 10.00 Septic x cesspool PERMIT ISSUED TO: dame : FRANK SCAVONE Address 1: 1615 FLEETWOOD ROAD city St zip CUTCHOGUE NY 11935 Descripton of Proposed construction or Alteration ADDITION TO EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTINO REQUIRED. R10-03-0072 Name Of Owner SCAVONE, FRANK ------------------------------ Mailing Address 1 1615 FLEETWOOD ROAD ------------------------------ ------------------------------ City St zip CUTCHOGUE NY 11935 -------------------- -- ---------- Property Address 1 1615 FLEETWOOD ROAD ------------------------------ ------------------------------ city St zip CUTCHOGUE NY 11935 -------------------- -- ---------- Tax Map No. section 137.00 block 4 lot 35.000 Cross Street PEQUASH AVENUE ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 1/29/04 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SE<".L) ELIZABETH A.NEVILLE OG'y� Town Hall, 53095 Main Road TOWN CLERK H - P.O. Box 1179 REGISTRAR,OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICERFax(631) 765-6145 RECORDS MANAGEMENT OFFICER y�01 �aO� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net 163 OFFICE OF THE TOWN CLERK 6 G TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: November 6, 2003 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 3254 for a Cesspool/Septic Tank Construction Permit submitted by: FRANKSCAVONE 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. * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Signature 111,07 o� Dated O�SUFFO�,��0 ELIZABETH A.NEVILLE Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 y Z Southold, New York 11971 REGISTRAR.OF VITAL STATISTICS v. A� MARRIAGE OFFICER Oy !'F Fax(631) 765-6145 RECORDS MANAGEMENT OFFICERTelephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �'� �a 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_ 1/ Non-Residential @ $25 Application No. ,3aSy Permit No. Applicant Name T i�.9fv�� (, •�t/oN e Applicant Mailing Address Q0 Septic Tank or Cesspool Brief Description of Proposed Construction or Alteration exp,7-,,,l X. 00,--r Location of Proposed Construction/Alteration: Owner of Property: Owner Mailing Address: / Gr rrjaep azo P,u .—( dmc�-t Owner Property Address: Name and phone number of contact person 631 Tax Map No: Section / Block 00 Lot :3 Cross Street (�,� ,a .L NOTE: LOCATION MAk MUST BE SUBMI WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY EALT DEPARTMENT APPROVAL Signature o pp icant Date Received by. STREET ADDRESS: 1615 FLEETWOOD ROAD / am /amlllar with /he STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE b�Dc,� / SURVEY OF PROPERTY DISPOSAL SYSTEMS FOR SINGLE FAML Y RESIDENCES b ✓ and wX abide by the condillons sel lor/h /herein and on /he ' A T l,'UT�r^'HOtJ Uri permll to conslrucl. TOWN OF SO UTHOLD PLEASE NOTE SUFFOLK COUNTY, N. Y. 1000-137-04-35 It is the applicant's rssponsibiutn to SCALE- 1'=30' maintain adequate semit 6Y disstance JAN. 9, 2003 between all water SUpply and seyjage AUG 20 2003 ( revision ) SEF T. ?, 2003 (revision. new addilion l disposal facilities. OCT. 8, 2003 (revisions) LIAM J. WALSM MARY MARGARET WEBERLA N/p�j= CAROLYN iML WALL o s 258.87' RET. WALLps {a, FE `�� O N85 57 24w E 0.51s N o s aoA TING ooCx CE OUT l� m 10 o ry 42.3 1 wow DOCK �.. o- �I a. Z 1.8 2 STY 12 V ' :.4 arilltt 00V / ` T tR. + F F M 21.r 2N) ^t11Au- done Ret p °1 u 13.5 I 1� Ln S.85 rW' r y �Qe Y [ R c ��' 2 a 1 �, SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES . 16 s 'a�j s�• s l 'fit s l ' m ,v000 STEPS I PERM FOR APPROVAL OF CONSTRUCTION FOR A TEST HOLE EL 28.3' MAPLE aINGLE FAMILY RESIDENCE ONLY "I Brown silty GAR / 1B3' �' wAu EL—ECT. a r�DN l 222.93` DATE 0--22-d 3 HS REF.NO. 1O -0 C -7 Z sit! SM 2 3g. �!' Q3'N (avv 0 CSS 2 coNCR jr wAu S85-57'20*W K oA\ APPROVED 0 2 0.4, i 0 FOR MAXIMUM OF 6 BE MS { Pale Grown N N/O/F RORTISSEL EXPIRES THREE YEARS FROM DATE OF APPROVAL mealnrair sand oC NEW SANITARY SYSTEM sanitary System TE 1.600 �w SEPTiC TANK ndOnment 0 existing artment. sP I LEAD,*PFOL' rO'm.13wEEPto be witnHealth Dep essed by A.L OR 1� VE EXISTING .SEPTIC SYSTEM T ROAD AREA=18,541 S.F. �E 4F NE A TA�i T#46 RST NEW tE. Q�tc Sysmm TO TIE LINE S�o,AM RE LECTRIC AS REQUIRED 'k ; r JS. LIC. NO. 4961118 ANY ALTERA77ON OR ADDIT*V TO, THIS SURVEY IS A VIOLA77ON P.C. C CL OF SEC77ON 7209OF 1HE NEW STATE EDUCA77ON LAW. (6 C FAX (631) 76 - ELEVATIONS REFERENCED TO N.G. V.D. EXCEPT AS PER SEC77ON 7249-�SUBDIWSION 2. ALL CER77FICA77ONS P.O. BOX 909 HEWON AW VALID FOR THIS MAP AND COPIES THEREOF ONLY IF -- y SAID MAP, OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET � .� WHOSE 5YGNA7URE APPEARS HEREON. SOUTHOLD, N. Y. 11971 02—�r�Jc�l�`