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JUDITH T. TERRY :,/ < ; Town Hall, 53095 Main Road
TOWN CLERK : cFT I P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
MARRIAGE OFFICER = .tn _`�� Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER 1"* /rl
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1231 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MCCARTHY MANAGEMENT INC.
Address 1 : BOX 62
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES.
Name Of Owner CARIDI, SALVATORE & KATHLEEN
Mailing Address 1 7502 AUSTIN STREET, APT. 6L
City St Zip FOREST HILLS NY 11375
Property Address 1 MAJORS PATH
City St Zip SOUTHOLD NY 11971
Tax Map No. section 54.00 block 1 lot 25.000
Cross Street HORTONS LANE
Building Permit Number Cross Reference:
Issue Date: 10/24/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY : `; Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
U'' � Southold, New York 11971
REGISTRAR OF VITAL STATISTICSVO Fax (516) 765-1823
MARRIAGE OFFICER '`' �� ,s��� Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER '_W'K/,� 4
FREEDOM OF INFORMATION OFFICER ••„,01�041��,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD , ` 310
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 12, 1994
Transmitted herewith is a copy of application No. 1276 for a Cesspool/
Septic Tank Construction Permit submitted by:
McCarthy Management Inc. for Salvatore & Kathleen Caridi •
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 recommendations:
APPROVE [�
DISAPPROVE
Comments: S //D g
aer' /-1200.7
WAVED
OCT 2 ' 1994 , �.
Signature Air
Town Clerk Southold /d/W
Dated
4
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7
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OFFICE OF THE TOWN CLERK cjVFFUL�'
Town of SoutholdooClerk f• �D : Application No./. 2 7,.�
Judith T. Terry, ,
Town Hall, 53095 Main Roadcslt Construction /—
P. O. Box 1179 O $ Alteration
Southold, New York 11971
_0j ��� '' Residential
.
Telephone
(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 /0-0-FX
APPLICANT NAME: WI, '11d-ca fri , u- - -Ti1c
APPLICANT ADDRESS: ke 6 -
/v}I/ -Itu )/ ((?5)--
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION SR ALTERATION
L._4, ►lama. .
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 5*Mtot.4K ee,l 004)('
OWNER MAILING ADDRESS: 76o -- stin s7 _ iter L
'oREsr c !IS IJf 113 5
OWNER PROPERTY ADDRESS: /1141004,,,
,COUtgbi,t fir
TELEPHONE NUMBER OF CONTACT PERSON: a9? -eggs
TAX MAP NO. : Section sy Block ( Lot p)5
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REF ' NCE:
____
d
'Nkt Ft' + , i.,,0/11,
Sig to e • Applica t
RECEIVED BY:
Town Clerk's Office
•
DATE: /O -(? - f
SCALE=I.= 30 «. „ "�'_
DESCRIBED PROPERTY AREA=/4, �
at -
S/TUATE
03314 App ,-,
GUARANTEED TO SOUTHOLD, TOWN OF SOUTHOLD = ;. ----
SALVATORE UR/v/ t/ II Y. P►¢RT/cAL a�ruv f
Surra K cowry OP.. ,
SUFFOLK COUNTY,
KATHLEEN CAR/D/ T
OPo FIRST AMER/CAN TITLE /NS. CO. SURVEYED FOR: SALVATORE a KATHLEEN ,
TOWN Cr SOUTHOLD
SUFCCUC COUNTY DSR OF 1EN. —
., POR APPROVAL OF *•, : I- .,t --
'$4Q ; ,1v SINGLE FAMILY - ''., e• n
InZ
N�+ �k I h to
ATE. i" N/F SALTUPS N/F MILLER fib}
►, /000-54-0/-23 /000-34-0/-/6 - -j / .
5 ` t- EXPIRES THREE WARS FR�i GATE OFri
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A 58�40�Ei /00
,-:'
NOTE STRUCTURE AREA/S
6.6% OF LOT AREA a� \ \sem_ -----
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„,,.''7,1,.
1:t..Z .rf—
t`\ t�_ ...............:...<i)
°' PROPOSED
~POSED CESSPOOL TV �"-
74
-.4
SAN/TAR / EX/ST/IN6 CESSf�(,
WELLS a CESSPOOLS / /S /20'
OVER /50'FROM Eo' 1 BuitOrNO 7'
PROPOSED WELL sWsiACK"' ENVELOPE I N/F 4-0/- ,
AND CESSPOOL iL ` /000-54-\-24 M
N/F '') 34'
SALTUPS P140Ft�SEOI(VACANT LAND) WOOD FRAME/000-54-0/-2ls
\ 11—
RES/DENCE a R i� \
G�E1Oltl6 . .-
V
TEST t' tsresrllon or addWp IW
� / v 5 ''rbLE t�j' *mei 4 e N�isn of Section 7�fir).
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M \ c<\\
t New York Stole Education Law. '
` PROPOSED 1 /50' TO WELLEX/STING
WELL LOCATION % `
1
Z
o S 52°051/0"W /00' R
GI
Tivara4iei Indicated here on
Aka mire
only to the person for Khan the q MAJOR'S PATH (PRIVATE) 50'WIDE 6 PrEor, cad on his behalf to
7m1411. ccmpcn , Covar,.e:rrt Agency. ,a4,47
,endno in:rrt:on, if tier::' hrreon, fad'
tc the essignees at i ; .r
0 Gocremees aro r r : ,r.tb b
b auditionul instouricn, c; ..,..s.auent eellA '
R
SOUND V/EW AVE.
NELL '
EX/LT
£SLCit
TM /000-54-0/-08I
CESSPOOLS /30'4 AN6CY TM /000-54-0/-09 Copies of this survey map not beoliy >
FROMD WELL N/F F/SCHER
t r
CESSPOOLS /50'FROM PAVPOSEe lend Surveyors embossed seal tltgtl sz
SUFFOLKHEALTH DEPT.APPROVAL FROM PROPOSED WELL not Le cons ue; a to be a voiid*Mt
HS. NO. apy
. O TIE AROTCW NOTTH a 4IW(,t1F 4
HORTCW LANE AMD SOIALlp it
AVE. ,304189'ALONG 77E F*•.
STATE EASTERLY SIDE OF /'LWT
OF'LATENT =
SIDE 70 TIE,9$ A Th 7
TIE WATER ; TEST HOLE DATA SIDELANEOF MASORS MTN,mar
1�S • ,µ'`�'*��'' LIt L RlrsepeMCYr sbOG4wtn Q(OSCENCE,savTrrnto,Nr. ® N 2'5O/0'E 146.96'
of rear f,t / oAreo a/i!/9I
S /'—I�/ ON 52°05'/0"E 200'
PL/CAN BROWN LOAMY SAND I;
SUFFOLK COUNTY DEPT. OFHEALTIM SERVICES . 2
RN APPROVAL OF COVSTRUCT/O,y ONV• ION/NG R-4O
, ma !ATN INSPECTION
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