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HomeMy WebLinkAboutDisalvo 04 CZ) JUDITH T. TERRY �; < Town Hall, 53095 Main Road TOWN CLERK Z •rrt P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Cr Southold, New York 11971 MARRIAGE OFFICER �® '4' Fax (516) 765-1823 � Telephone (516) 765-1801 �� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 1576-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New X Existing Name Of Owner DISALVO, SALVATORE Mailing Address 1 47-39 162ND STREET Mailing Address 2 City St Zip FLUSHING NY 11358-0000 Property Address 1 OAK DRIVE Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 718-762-6462 Tax Map No. section 80.00 block 2 lot 1.000 Cross Street WEST SHORE DRIVE Date Of Last Pump Out 0/00/00 Issue Date: 11/05/90 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK ' ' cc.31FD(,r JudithTown of T. Terry, Town "Clerk' Application No. /57 Town Hall, 53095 Main Road +: : .... Construction P. O. Box 1179 Southold, New York 11971 ,y,O 0-'99Alteration '``��11Residential p( Telephone1 � (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for • PERMIT SEPTIC TANK or CESSPOOL 0 Permit No. Fee $ /O.oa DATE 1/24/90 APPLICANT NAME: S4LV4.76 E ?eS• v APPLICANT ADDRESS: y7- 3 q / Z ,2„.1/6 �T-- fL.t..trs/i,v 6- , ,4 / i/3 5-8 SEPTIC b( CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION/ OR ALTERATION _L .1� .+ 4 g /- /0 a �V c{ l O va o f CG4 fi 3tA4 L c, `7 a Q r.�+C y ead,(ti• tome,' i. Y LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: • - OWNER OF PROPERTY: S.9t-V4•74(tE •p),T,gLvo OWNER MAILING ADDRESS: 7- 3 ! /6 2 L uS'NI/✓4 f 6 I II 33-8 OWNER PROPERTY ADDRESS: C o/ iaag. v OAK l7. atva 4, j — .c ,e - b4r v - • S.vJTZoLa TELEPHONE NUMBER OF CONTACT PERSON: 7/&) 76z - 416 2- TAX MAP NO. : Section 8a Block Ow- Lot ©I CROSS STREET: • BUILDING PERMIT NUMBER CROSS REFERENCE: / 89 7 G Z- E Signature of Applicant RECEIVED BY: C`�-H X. Hv644 ) Town Clerk's Office • ,DATE: 77'..''''''''''''''''' ,'roparod in accordance r!!A toe ynlmy,q The rater supply and sarogs disposal standards lar this surreys as sslsGdsbad 1,11sou fur ids ras/oance roll conlsrm e "ie.:- by the L.I.A.L.S. and approved and neige/vol '/o the standards of fhb Sullels Cotesty ,ate, ler such as.by The N.■ York Slate Lad Deportment al Health Services. - , Tllle Associallon. we// .The locations of reds and cesspools shown Gerson Lr. From field /o<.Ln,c„,.”, _ 101/� observallony I or from dela obtained from Mars. s. I ` ' ' • -(e.--)"' aSL,O�d .� .pYUy�LwQIw...non c..' Tf9I. / , ae; CEe Ffroa) r. '\ 'UV �..s0 � ' / , - 'lk te.a/ NoX/ . ear, / 1 �r F ego k�' 'RGr 42...,�Rv ; G%A°°2,' - r« < i srrc r,to'= leo [ rra nettA SA • • , / r L. I' .V 3 , I . R • i I 79. isAA • o o , W 3 5 I n — — r.-lc y ro FILL qC w .31 , Y i 1 C 1 \J/ _ S A i ' _ �' ; 1 y l N Fro/ ; O tri r N. i { p. g yl " 44. 9.----"I ,4 8 il p corral o' aaa /SU - -- - - - - - rw s , r� . `is. (DWELLING) a SURVEY OF :, ;oi LOT 5 , . - 4:4 o . BLOCK „D . CERTIFIED I • MAP OF TICOR TITLE GUARANTEE COMPANY SOUTHOLD SAVINGS BANK REYDON SHORES ' SALVATORE J. DISALVO PLED AL Y a, FILE NO S91 ARLINE M. 0/SALVO , AT BA YVIE W- TOWN OF SOUTHOLD LAND. C44144 . SUFFOLK COUNTY, N Y ���5w� ,, �'64 9� - - L . 1000 - 80 - 02 - 01 . o�� /- 4°!, °Z^.�1 - - akorw aa,or _Scala 1" = 20' ,- I+ ,, � ° ,, - _ , L42411 rt nacre�.osh4 SAM) tP -!.3!% I•Goev�.rc 4.4Z vire• _ Aug 1, 1988 - /�a, �; fg .,� •S. LIC. NO. 49668 urtnc or UAW awr¢x I nhrrr, tee cu' r a l° `' "--e ' - pti.,/'RS, f.C. _ e+Tn u�u:or ssur1 asr /5/6l 765 • • — ;lig a PSLc P. O. BOX- —0a - • aaaa co.nss s,to ,MAIN ROAD - ep.: o,O Sc. IC,-a-i'-, ',SOUTHOLD, N.Y. 11971 , ' - - - - 88 - 479 r - -„ ,