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HomeMy WebLinkAboutNicoletti, Anthony I � SI .#11 SOFFOL/( �G ELIZABETH A.NEVILLE d= 'yd: Town Hall, 53095 Main Road TOWN CLERK y Z P.O. Box 1179 REGISTRAR OF VITAL STATISTICS ` Southold, New York 11971 MARRIAGE OFFICER ��4!4,_ �.F,/I� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER .. .���I��� Fax (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. 3149 R Residential X Non-Residential Fee $ 10.00 septic x cesspool PERMIT ISSUED TO: Name : ANTHONY NICOLETTI Address 1: PO BOX 311 city St Zip WADING RIVER NY 11792 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR ONE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-03-0128 Name of Owner NICOLETTI, ANTHONY Mailing Address 1 PO BOX 311 city st Zip WADING RIVER NY 11792 Property Address 1 125 CAIOLA COURT City St Zip GREENPORT NY 11944 Tax Map No. section 33.00 block 3 lot 19.017 Cross Street INLET POND LANE Building Permit Number Cross Reference: Issue Date: 4/15/04 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 31 ELIZABETH A.NEVILLE ,t/h• G'j�• Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER `��ifi �����, Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER = '/�l -0„.••,� ' Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ►►, southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department 41 1 1 MI FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: March 10, 2004 Transmitted herewith is a copy of application No. 3288 for a Cesspool/Septic Tank Construction Permit submitted by: Anthony Nicoletti 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. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: 2 Signature /s, . Dated OFFICE OF THE TOWN CLERK ,°e'C/�`FILK TOWN OF SOUTHOLD ��' � CAo " Application No. J " ELIZABETH A.NEVII.1 F,TOWN CLERK 7�1 J P.O.BOx1179 !� Construction `1,/ SOUTHOLD,NEW YORK 11971 =v T := Alteration Telephone ,j- $10.00 - Residential 01 (516) 765-1801 = u1 4 ��' $25.00 - Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE 3JtOJ6'J APPLICANT NAME: � � �6t{a APPLICANT ADDRESS: P;,, 2I , SEPTIC CESSPOOL ; NZET ON0 I am familiar with the STANDARDS FOR APPROVAL ROAD AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide try the conditions sel forth therein and on the pp • permit to construct. a0. 4) ' a a _4 tot \ e'4 t '' -1.9 _ .":49;*6 -1- , 6 J 1 _ Q •`L _.____ ...-- sEgVICES QL �.,. ©N O'ONSTRUCri $A ( ,3- eN PER co?: '' RN- Jli\- ' 1 rG,.,.x.:r UM OF A OF PROVAL+ It,. / , C,.8 F: `IRS FROM I',r�° c\� %so \ F" o- 4-=6/.29, h6 .../7 EXCAzd':�i�C�s"}a N::r : : ` `�-" 111iF_U 6� t� FOR SANITARY SYSTEM Q�;,�y Pae e� 29.0 YHEALTH D 0 ..),,,,, 0 , v‘ if .0:-.4,44. 4). 11' L sys tory, O ar 14 s CP ‘4. s0, LOT () , t VACAT)N . (0. O 1,: ba �? LOT 1? 7: 'O n c VACANT k' V% � rn:. r "' C. "^ n. i Z E/29'1 -- of 0 1.1 In� =' X73.17' m ko n 1. / el3o.3 W. �, S. 79.pp 55 AC E IP $P Z • OPEN --4 SURVEY OF PROPERTY LOT NUMBERS ARE REFERENCED TO SUBDIVISION T "ROCK COVE ESTATES" FILED IN THE OFFICE OF TOWN OF SOUTHOLD THE SUFFOLK COUNTY CLERK AS MAP NO. 10637 SUFFOLK COUNTY N V woo - 33(,,�r- O3 /. , .x7 AftEA It 26,983 Sqt ft SCALE 1' s 30' The focv/Ions of wells and cesspools SEPT , ' shown hereon are from field observo!lons and or from data obtained from others. •�0pf NEW 1, �'tPo 0 1.ME►tQ���P�. ANY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLA TION ' -45.7.W OF seer/0N 7209 OF ME NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209 - SURD/VISION 2. ALL CERTIFICATIONS a 41.%. HEREON ARE VALK) FOR THIS MAP AND COPIES THEREOF ONLY F i� SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOI,R !+ `�� WHOSE SIGNA TURE APPEARS HEREONAti, N. ; L1C. NO. 49618 ADDITIONALLY TO COMPLY WITH SAID LAW TERM 'ALTERED BY ' / sIter ... MUSTBE USED BY:ANY AND ALL SURVEYORS UTILIZING A COPY C at°A ° .• %•O• OF ANOT SURVEYORS MAP. TERMS SUCH 'INSPECTED ' AND ( 3t1 7� / .r i;"r f .3/1 765 - i 797 '8ROL/G 1T - TO -• DATE "ARE NOT IN COMPLIANCE WITH THE LAW. P. O. BO - • ' 12.30: TJ4A VELER: ST1r soon-tax, M Y. 119 ,„, f112_ 17431