HomeMy WebLinkAboutEsposito, Basilio (2) SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3496 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : BASILIO ESPOSITO
Address 1: 1045 BUDDS POND ROAD
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
-REPLACING CESSPOOL
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner BASILIO ESPOSITO
Mailing Address 1 1045 BUDDS POND ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 1745 BAY SHORE ROAD
City St Zip GREENPORT NY 11944
Tax Map No. section 53.00 block 4 lot 700
Cross Street KERWIN BLVD.
Building Permit Number Cross Reference:
Issue Date: 2/01/07 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
.
o•,•
i �OF SO�j'f'o
ELIZABETH A. NEVILLE e '`� 4•
; Town Hall, 53095 Main Road
TOWN CLERK 4 * t P.O. Box 1179
N �r Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS ; G @ ,$
MARRIAGE OFFICER .O �� Fax(631) 765-6145
RECORDS MANAGER-MT-OFFICER Ol�'C �#i�0 Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER - "UN I I+ ;1 southoldtown.northfork.net
... 0
MAR I 7 r
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD / g.
TO: Sout•old Town Building Department VC. -)
FROM: i*'e�- - ,• - - . - -. Southold Town Clerk's Office
DATED: I 13/Q
ri
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 3575 for a Cesspool/Septic Tank
Construction/Alteration Permit submitted by:
Basilio Esposito .
Please review the application and location map and advise if this office may issue the penult.
Please complete the form below and return it to me. Thank you.
* * * * * * * * * * * *
I have revie e app Ica a a . ataft,Lat.on map of the project cited above and make the following
recom • dati. •-.
APPROVE
_ '.• - = • •E .
! :.. x '` ^'�
Comments:
,11101464/140
7/ef° 4(// 46
Signature
0 573-(/* 6
0///o76/ Dated
0
ELIZABETH A.NEVILLE /0 Gy\ Town Hall, 53095 Main Road
i
TOWN CLERK s AlP.O. Box 1179
REGISTRAR OF VITAL STATISTICS j, Southold, New York 11971
MARRIAGE OFFICER : '� 11 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER y�f0 a� iill Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ' �•'� 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 Vor Non-Residential @ $25 Application 75
Permit No.
Applicant Name 2,9 Si L,O Cs he s(��
Applicant Mailing Address /0 4-5 13 c' PJ7 S' 10/ j) R i)
94-vTy'eL o 61 V 11 q 7
Septic Tank i/or Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: 13 g G C L i O I �/,ci c fro
Owner Mailing Address: r G g c 8 c• ODS' /OA( il t1)
// 7/
Owner Property Address: /74_5 /3/9y S#o/7 L✓ 1. J
qRr /`f/o ,6zY t1 `f !l94t1i -272 .3
Name and phone number of contact person /3/a S 77, 745"-- 2 & Z l
Tax Map No: /000 Section 53 Block Zit Lot 7
Cross Street F L= R 4/t rl . AL vv
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
Signature of A lic� ate
� pP
Received by: .♦' ! 7.WiES A AA, ♦ . ,
•
Survey of Lot 27 & 28Certified to:
Amended Map'A' of Basilic, Esposito
t 'Peconic Bay Estates' c‘ ,___
Filed May 19, 1933 \,,.,--
as Map # 1124 �\ Line o f -___ _
SCT# 1000-53-4-7 5 Filed '__-
Surveyed: January 12, 2006 * Map '--,
Amended:April 26, 2006 •
Amended:June 19, 2006 /
•Situate:Arshamomaque /' '
Town: Southold ' "�'i3.% a
% • C 0 V e c L y '
Suffolk County, NY /
Area = 0.56 Acres to HW e $ ' ' '
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` a.`A e z SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
0 �0 PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
F`.� #,> , o , a SINGLE FAMILY RESIDENCE AND
I -°/)•,/.,, • of
rn /o #�.�'
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a 1 i�/n �aL,er � ' 'A i", �k '�F N " DATE 'l l-Z-O Co H.S.REF. NO.' .r ( -UOQ•
+ J' S O �h Sire E �� �O� (.1). •
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re e , : `� APPROVED - —
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ad
EXCAVATION INSPECTION REQUIRED EXCAVATION ES THREE YEARS FROM DATE OF APPROVAL
FOR SANITARY SYSTEM
BY HEALTH DEPARTMENT
• SEPT I G DETAIL Adjoining 'Unauthorized slterationensed l or survey to a survey
properties map bearing a ecenned land surveyors seal f t a
violation W section 1209.sub-division 2,of the
not t0 scale reputedly New York State Education Law.'
p y on 'Only copies from the original of this survey marked•
Town Water with an odg:ral of the land surveyors stamped
seal shall be considered to be valid true copies
DWELL • 'Certifications indicated hereon signify that this
max. 5% slope within survey was prepared in accordance w"h the ex-
isting Code of Practice for Land Surveys adopted
20'of septic system by the New York State Association of Professional
Land Surveyors.Said certifications shall run only
to the person for whom the survey is prepared,
existing
I grade tel a9 and n his behalf
institutionlistedliisited he a n,and
7.3 to the assignees of the lending institution.Certifice-
i, i 7 1200 septTG
I. �� inv.= 2'deep 5'min
qa tions are not transferable to additional institutions
k 6.0 8 dlo• to PL I ROBERT H.FOX
tanEL= 4 id NYS PLS#50197
seasonal high min.2' P 0 BOX#538
ground water separation
EL= 1.5 ' RIVERHEAD,NY
631722-3390
�1r 4111
b 6/19/2006 -:23. 44M
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