Loading...
HomeMy WebLinkAboutAcquaviva, Michael i,.. ,,.14 .4'jc.)'t F Oixt,41\ `� ,�► Town Hall, 53095 Main Road oe �. �' P.O. Box 1179 '_'sol4ID �`�0 Southold, New York 11971 JUDITH T.TERRY �1..T�00' FAX 765-1823 TELEPHONE(516)765-1801 TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 461 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : ACQUAVIVA, MICHAEL & DEBRA Address 1 : 76 JUNIPER STREET City St Zip ISLIP NY 11751 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ON 8/3/87. Name Of Owner ACQUAVIVA, MICHAEL & DEBRA Mailing Address 1 76 JUNIPER STREET City St Zip ISLIP NY 11751 Property Address 1 NORTH SEA DRIVE City St Zip SOUTHOLD NY 11971 Tax Map No. section 54.00 block 5 lot 51 .000 Cross Street KENNYS ROAD Building Permit Number Cross Reference: Issue Date: 1/31/89 Judith T. Terry Southold Town Clerk (TOWN SEAL) 'i � F ULA1p . In30 1414‘°19.1L001 V\ e ®//// : !` ;.+ 0 £ 5': Lr) ; �c �•' Town Hall, 53095 Main Road 0 �- ��` P.O. Box 1179 '40/ • Southold, New York 11971 JUDITH T.TERRY ' TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Victor Lessard, Southold Town Building Department From: Linda Cooper, Southold Town Clerk's Office Dated: January 27, 1989 Transmitted herewith is a copy of application No. 470 for a Cesspool/ Septic Tank Construction Permit submitted by: Michael J. and Debra B. Acquaviva • 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: ci„., „! Qffro-LAJZ • fial2F1/1,Qi /4614d2,19• • \rA C:74:---A-0- Signature !' 3.0\r\ Dated OFFICE OF THE TOWN CLERK c,\WFO(A'�,O Town of Southold `„ Judith T. Terry, Town Clerk s;--� ', -�., �� Application No. 2C) Town Hall, 53095 Main Road carp o ;L '� '� Construction P. O. Box 1179 ' �;'. = Southold, New York 11971 • Alteration Telephone Ol`a1t � Residential (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 / 7/k� APPLICANT NAME: � G APPLICANT ADDRESS: / /leer- S9— L1p /0y //7J—/ SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION CSS / rrr � / LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: if G _i r .i. c( V! �& OWNER MAILING ADDRESS: -76 Q76,..t(Japr- S+ s � I _ OWNER PROPERTY ADDRESS: Or1-4 SE'Gz, r, &R,_ f-h® I Q Akf 1 I J 7/. TELEPHONE NUMBER OF CONTACT PERSON: LitS1-3693 7 TAX MAP NO. : Section 0,S- (i Block Lot i5 / CROSS STREET: Kenn SleCiacQ BUILDING PERMIT NUMBER CROSS REFERENCE:. 2ZZJ1ppSignre o A licant RECEIVED BY: wn Jerk's Office DATE: it . ‘., .1... _,___,,,, _4: _ „„ - :,•‘„, .,,, t: . „ - :,- • 1 / -•'-' /. t -,vi-vir .,- ',.:..:- M -,. - -. CSMIX .' ' •l i I i .... !,'•'.:71'er..; oric..4.0,1071 ,t: „,. 17rItr.. .‘ , 11+ 1...... , . „ , . -:. -', -. - _ I SUFFOLK CO. HEALTH DEPT. APPROV •••',,.-.4.v,4(..,- •-; - ' ' , ., - ' ,' `'„....4..--:?---Z. ;, 4.-.- • - . . r -•,,S.4,-.,..-.:4.,'hi ! -'. 41 9 t ,-...,..,.::,-,,-, . ? , 1„,„ , „.. , . H.S. NO. 4 --, 4., ..4. .40. . -• • • .• ' . -4,4,.:4474--4.,;,„:51- lie .,,-- .=P.--, • t• -,-• = - • i . '•-• ' -., . '"' • / - , ' ' ''' ' '"'" ''' i-,, '..,11.'•:it, , . * '5.'7 42.<'. f ', ' ,%, ' ' ' ed ) k `-. --'n.',...., - ."- _ , ,-,,. • / * ''4: -"'" '• APP/2490 s i ., • '''. 16P—W61-1-4 .t . \et; 1 _ 1 - -' - 'r4. .• _ ' i ' iV's ' '-.'''':'...;;.• ' i f Y‘t • :4 44- t . .e., '''• ' ' . , ,7 ( 12Estpew . 1 , .. ,,, . , ., . . . , -. .• A \ . 1 ,--•-,.. . /''-' • ._ . 1 ! , t--.4 , ' • I • ,...„t . . . ... i• STATEMENT OF INTENT . . 125.0 - . cx B.50 36 E.- .0 . . 150.0 wet . . . ,,+ ,.. ___.___ __. .._..._ ,..., .. __-* THE WATER SUPPLY AND SEWAGE DISP( - ' 1:7-- ' • -!, • r ' , ,._ • 20 , FOOT tafGHT/ 1." id OF i tj WAY-..,‘, • . SYSTEMS FOR THIS RESIDENCE .1 . _.-. -t . . . „ tii ' 67 c‘;‘--% - •* I IslikiL 1 14 Ct.?:R.13 CONFORM TO THE STANDARDS OF •.-."- a. 4 tr. SUFFOLK CO. DEPT. OF HEALTH SERV > , tA r ta.•' Pf?....04%SEPTIC. siCs: -, ' ..... _la. ‘....i' • 1 *- - (S) >./ r 4--I ___1. —- __ • APPLICANT .... L______55'__ __j .4. e7".-5°P--l 0 av '- Z in-so-iit7 t • 3t....cf.4:53,2 PROP t r - .- _ D EU T5C14 SUFFOLK COUNTY DEPT. OF HE. - 1 Z i We"' ty.;A-j 4`R. 1 Hou-5e , SERVICES — FOR APPROVAL u4 1 • (P20 P. NO lb FrePP.V4Triobt. I 1 og,. _ _ I j 1 ,t• ••• (PI2.0 i2; Q.)P .... . in CONSTRUCTION 0,6 Y — • PI • .. . ..!,,I___ Pop. ... t-• AE........... 3 8' . •,, DATE: • fsEfFrniC • • I ra,„/ t • ' / , • 0 in:44 _ z ,...4._., .7. ..,, IR sas 40 (1. ? (:s.PCOP, SEPTIC UV ± '`. . ..-, la. 4. , r-•'''% I • 1 •..... (62„-b.cT OVED: 1111111111111CLIII, '47.1.111111—zi . . - n- Z ff c. it g . ,,.... • .-, i 1 f4.50 a6 • ----- C150.0 - _ _ 5-3- ;:tk SUFFOLK CO. TAX MAP DES4NATIO • • ' - , .:`• . -DIST. SECT. BLOCK ••_ _054 -. ____ 5 P / Jul , if' ..., di 8 't . ... \ 1 - , 5 '' gi ..---1.- CLJN N I N -1AM 1 '''''''''' \ . 4 ;-- , , ; fr ... . ,..ratPEN/C:.:E) - r -**3 sr] g 1 ,..,, . , vs‘ , 'OWNERS ADDRESS: ... SO 5ELL.04,15 1...14-tE .... it a.? tit MANHA5ET, .N.Y. - 1(030 la- • . • • l'• 1 .. ,.. . ..c..-.. ,,,, PO.....s•L•5 1 I. ...../.... ,4 TF, "....,L, -.:.....--1:." -34=5-39k,... -9 % ‘C:V.s4Ifiti- DEED: L.1035 .. P;4198- HEAL1" • 4. I MAy OF P12.,,4-' - RTY b ,i` ‘ 4"1/4 i...-L. ' 4Q I TEST HOLE A fl .' .. $ AfE'.EA-, f-5 -5.F. • ...c.t..1.... ....Orger.u:thr sorvor nur mt be -9 47,. ul,,..VE•(ED P.:2. i . _..i. ....... , . c),i 201.1 PIPE .•_ _. ..1-1.,iaad sun:woes inked sea•o vtloosoad se&shai:not be eons ........s. 7...,_....., i. .... _ .. , __ ..., ____ * 1 , -e,k-.3. ....- f r Ul2rE LOAN ,...„ ,J ,,i '..... 1 1 . L'Et ' T r------ i' i----1 ..- . - . — . . ...L....Alsip dee?‹ ". . .%. ---(' . 5 . c.50ur I-40 Lc)• - • , ,. .,,.... , . i .- ein,:u:rber,:t.,..r.:....:1:::valtt.2 se..,:ed.:':per'nil tyte:eut.11:ni se on.ovecc";;;beirecienho at'hen:°:::'fel nt at oshi. . - . . Tow N,--or sou 1-HO L 0 NY, • ' •tc., . . _ \ --= / . e.- • -- ________.....______________..... - ------, ---7 ... I.- ,. \ • ' ' % ,.a.t;#.,.16,..cii:ror.;,G.i.outstnaareo.1 innsti4teesstutionf2irsebsnootes‘rtsruanb L----------------_ ila' ' .. 14/r,i . - 8 .. i -' 7.„. „,, • ,... - r.4.4177 -. SEAL - • . • WATEra , 4:kto .i.:\0:7. :E.40.1,1:: , • ' ' . - • ,., •. . •ci• „ /... -_ -i:: v....7.- _, ., , • ' • ' . 5e5kND .... i. ••• 1 . . . / . . ... • 5 f2EFE12.JO 11 . EA tEVEL - • ..,....._. - '--—r'' e4424t4. 1.-k\-P— r - * - —---- 41986''' '• . cc . • ..4 1 • 4,.-•:•*4-- - —...... . ...... .-.... ,- -,.:, : ..7**.< ... . R• 0 VAN T _ . , . . • ... .. ;Ay r• -,r• , ,,, -1. -.• , ....1•••tre-‘-s,.;',-- -,- ••. . • - ' ..r."--: k.,..4. • • ' ' .......MAO-Ardetscr)ED-t.mon:.18 1-,: ,_ 1,,.. _ _ __ . ., r... , -.. • " .I -1' ; '";•,t-'44 --.,...• ' ' ' z'. •:- " - , I. ,• • - ' -Is! 'A• . • -M''G' '' -‹- '..‘4..,..'•"-:'4-''",.-. .'- •'a-.'' .K• •.0 43E4'%-.€4•,--•;.,.11'-' S- REYOR iiiiikiii7krYck - i4 1I.- • 1