HomeMy WebLinkAboutSeverino ELIZABETH A. NEVILLE y� Town Hall, 53095 Main Road
TOWN CLERK y - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER ,fi ��` Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �Ql �a® Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southol hfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department - -
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 21, 2002
Transmitted herewith is a copy of application No. 2887 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
Anthony F. Severino
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: Maintain required setbacks from adjacent wells,buildings, property lines and water
e
Bodies. EXCAVATION INSPECTION REQUIRED. t
X ell,
Signature
�-
Dated
OFECE OF THE TOWN CLEM ��FUL/1�►D Application No.,��
TOWN OF SOUTHOLD Qo G�
ELIZABETH A.NEVILLE,TOWN CLERK ` Construction c�
P.O.BOX 1179
SOUTHOLD,NEW YORK 11971 C=- A I to ratio n
Tele hone $10.00 -Residential
(631) 765-1800 > $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 c3/c;2-
APPLICANT
302APPLICANT NAME: /v h0AA 4�/A.1Z
APPLICANT ADDRESS: WD ,04 JJ MG/V ` PeV �d
SEPT I C CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR AL ER TION:
OWNER OF PROPERTY: JQz�`�
OWNER MAILING ADDRESS: vL - v_4k_
OWNER PROPERTY ADDRESS: • C, ,j✓ . C16:.0 94(
czi T'C11coCZE
TELEPHONE NUMBER OF CONTACT PERSON: / E/6 •— a 3 �Qj �'�
TAX MAP NO. : Section o O 0 Block P v v Lot ��'cj, 40 C7
CROSS STREET: ��(,/L)/SfeML-t2 z
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signatu a of Applicant
RECEIVED BY:
-), own 0erks Office
DATE: �"/ U
f
TEST HOLE DATA
PERFORMED BY : McDONALD GEOSCIENCE
EXISTING GRADE SURVEY OF
LOT 346
J:_ IN
c_ = j BROWN LOAMY SAND SM
-- " LOT 340 3. MAP OF SECTION D
,a F9 s VACANT NASSAU POINT CLUB PROPERTIES, INC.
L� CM s s SI TUA TE
_ �.
1
L_ s�
9 NASSAU POINT
TOWN OF SOU THOLD
cz:4 �.
68—'
h �' ESSPO 145' PALE BROWN FINE TO MEDIUM SAND SP SUFFOLK COUNTY, N. Y.
M wE« 100, SURVEYED FOR. ANTHONY F. SEVERINO
Cb/ SHELIA B. SEVER/NO
LOT 348
GUARANTEES INDICATED HERE ON SHALL RUN RESIDENCE
ONLY TO THE PERSON FOR WHOM THE SURVEY I
IS PREPARED, AND ON HIS BEHALF TO THE 17.
ENDI
COMPANY, GOVERNMENTAL AGENCY, I �' FOR S.C.D.H.S. USE ONLY TM 1000-111-04-19
LEND/NG/NS777UT10N, IF US7E0 HEREON, AND FM ,# 806
TO THE ASSIGNEES OF THE LENDING /NS77TU770N.
GUARANTEES ARE NOT TRANSFERABLE TO
ADD177ONAL INS77TU770NFILED MARCH 24, 1926S OR SUBSEQUENT OWNERS 6 GG�
I SURVEYED 7 MARCH, 2000
UNAUTHORIZED ALTERA77ON OR ADD177ON TO THIS \ �' SCALE l --40'
SURVEY IS A WOLA77ON OF SE077ON 7209 OF AREA= 19,J24.924 SF
THE NEW YORK STA IE EDUCATION LAW. My .Al1 0.444 ACRES
COPIES OF 7H/S SURVEY MAP NOT BEARING L 0 T 345 v
7LAND SURVEYORS EMBOSSED SEAL SHALL RESIDENCE � 12 �y � GUARANTEED TO
NOT BE CONSIDERED TO BEA VALID TRUE
COPY.
® CL
< ANTHONY F. SEVERINO
� O i- ® �
Q W SHELIA B. SEVERINO
v
vv FIDELITY NATIONAL TITLE INS CO.
��' t, W TOWN OF SOUTHOLD
�
PROPOSED „
�Iq �° 3 BEDROOM cl
Eii
�i 82s' RES a®- NOTE. SURVEYED AS MONUMENTED
PROP ti° e�•
CESSPOOL ���� SEPTIC �' mss, ROE. l� Q C� Eg t�
TANK /� HOL ARAGF o! OP i � �"1 14A Lu cn ELEVA 77ONS TAKEN FROM
CFSSPOOz OIPROPDXPADN ION�O/ ` �R, ti La ® ® B EAST END TOPOGRAPHIC MAPS
_ASN 4RY �' cFsROPOS , ®
et: if M W ON FILE WITH THE SUFFOLK COUNTY
�u �ESSP00(f�`� O SAGO '�P a' �5 DEPT. OF PUBLIC WORKS
i A41
ELL & CES U�OEF/SEA I, Q ,h /s 4
BATH THAN 15� �v�4 $4, ��� RogO �5 ��� J I- ra
c- ZONED R-40
FOIm
2$ , �J
P �wA � �MAP 8 a �
O�D TER N/A/H _ i 7>2� nF 468 ,, to � �
SURVEYED B Y
STANLEY J. ISAKSEN, JR.
ROAD f P.0. BOX 294
rn W *YS1
SUFFOLK 5NY 1 6
Q) v
o �° NOTE: 1. 5 JULY, 2000 CORRECT LOT AREA. LIC I�1D VEYOR
a2. 12 J&L Y, 2000 ADD WM IN STREET . 4,9273
J. 18 OCTOBER, 2001 MOVE SANITARY, SHOW WATER SVC. & PROP. WATER SVC.
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