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HomeMy WebLinkAboutD'Alessandro .� 10 JUDITH T. 1 CV • a° Town Hall,53095 Main Road TOWN CLERK : '_ P.O.Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 0 1 Fax(516)765-1823 MARRIAGE OFFICER fi�tt,, RECORDS MANAGEMENT OFFICER "a®i/ -V„so� Telephone(516)765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3367-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner D'ALESSANDRO, JOHN & CATHERINE Mailing Address 1 116 S. SNEDECORE AVENUE Mailing Address 2 City St Zip BAYPORT NY 11705-0000 Property Address 1 GLENN ROAD Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-472-6942 Tax Map No. section 78.00 block 1 lot 23.000 Cross Street GRISSOM LANE Issue Date: 7/28/95 Judith T. Terry Southold Town Clerk (TOWN SEAL) Y = OFFICE 05M-HE TOWN CLERK •ci\FFO(/( . Town of Southold . 14; ,1t Application No. 3 c 7 Judith T. Terry, Town Clerk �= �`) $10.00 - Residential Town Hall, 53095 Main Road P. O. Box 1179 v' '- •= - � $25.00 - Non-Residential • Southold, New York 11971 OO 1' • �0 �►' Telephone = .i * (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ `•1). DATE C OWNER NAME: JOHN & CATHERINE D'ALESSANDRO `. (was -Mary Ellen Frederick) OWNER MAILING ADDRESS:, 116 S. Snedecore Avenue Bayport, NY 11705 OWNER PROPERTY ADDRESS: e/s Glenn Road, 358.04' w/o Grissom Lane Southold, NY • OWNER TELEPHONE NUMBER: 516;472=6942 TAX MAP NO. : Section 78 Block 01 Lot 23 CROSS STREET: Grissom Lane TYPE OF SYSTEM: Septic Tank x _New x Existing Cesspool New Existing • Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: LOCATION MAP: Must be attached hereto before permit may be issued. • (Locate building and system; give north arrow and feet of distance, approximately, to building and closest road.) RIVERS DE HOM `fi g J' 44 / Sign- ure of Applicant Gord-•n, President RECEIVED BY: I ji6wn Clerk's Office DATE: 7�l -E'. ___ _ ANY ALTERATION OR ADDITION TO TMS SURVEY!S A VIOLATION A'-,t-c The locations of wells and cesspools SECTION 7209 OF 771E FEW YORK STATE EDUCATION LAW,_ _ IV/0/,4- EXCEPT AS PER SECTION 7209-SUMMON 2.ALL CER77FTCA70NS N a F �� shown hereon ore from field observations HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY F and or from dale obtained from others. SAID PM P OR COPIES BEAR TIE IMPRESSED SEAL OF THE SURVEYOR WHOSE SI6NATU?E APPEARS HEREON. `� he - {�K3 3 7s 09 30 E O `T «+vee/,n TBE_TIONALLY BY ANY AND SURVEYORS U77LlMPLY WITH SAID LAW DE M A7 CRS BY' •W. 25, _ d9°maw/ // /ems ow ERENCED TO AAAA DA OF MER SURVEYOR'S URVE ARE MAP. TERMS OV ISUUCHE AS STI SE LAW. AND [pT 3j y �9 z6ZP 0. ZOT / ti I� a�'` SURVEY OF I1 ,�T ,1 LOT 36 / ° O6 ZOT "WEST CREEK ESTATES ti " 0 0 FLED AUG nom MAP NO 3848 Id cr. / / r ' }- AT SOUTHOLD �,c'/.2 tf //0) 1 it TOWN OF SOUTHOLD ��.5y ; ' ,,a; ' - 1, SUFFOLK COUNTY, NY. 6/, , 1000-78-01 28 4 ; lr AREA = 23,100 sq.ft. Scale: 1'= 30' / 9 Jan. 3, 1995 / / • May 5, 1995 (Foundation Loc ) June 26, 1995(final) ia a /.rf ¢ o' • ° • tti ! P III 'i 1114 1 qi / l— CERTIFIED TO' 1 / l ' i JOHN D'ALESSANDRO tS co L CATHERINE D'ALESSANDRO "e,/ //I�v / / ; O. Q' USDA FARMERS HOME ADMINISTRATION �A\ ;, m v , sctI� INC. �II.o j l © '1'c// n y Oj� ..9 o.,, I / , P ,I am familiar wllh the STANDARDS FOR APPROVAL �LF� URFACE SEWAGE � Q :_ y O DISPOSAL AND STRUCTION OF SYSTEMS FOR SINGLE FAMILY RESIDENCES N, �S, ) and will abide by the conditions set forth !herein and on the 1 0930, , b ' ''�wwJ `liermit to construct. ' 10.1 E ,, 04' V• f'',°� % 'TM {'�. � ,rC -iz,. • FOR APPROVALOF CONSTRUCTION ONLY ' J� A ,, m •S. LIC. NO. 49618 e -F : i 5 ROAD RIO-95-0017 N/� °h e„ OTE_ Hs. REF. No. 5I61'h.76 v� 'iA20 P.C. P. O. `;BD',4'-'1.11.?.*.. 4 o 2/7/!S CaePile syal''a+4) MAIN -0'..,!:w .,5,,,,..z.,,_ APPROVED SOUTHOLD, '.Y. 11971 //P3/95 ho- -a 94- 376