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HomeMy WebLinkAboutRusso, Peter //ff • oil' OFFOL4 ELIZABETH A. NEVILLE �� p � Town Hall, 53095 Main Road TOWN CLERK t y P.O. Box 1179 REGISTRAR OF VITAL STATISTICS O �� Southold, New York 11971 MARRIAGE OFFICER �yO��i��1 Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER --7491 � .4 ,.e Fax (631) 765-1800 FREEDOM OF INFORMATION OFFICER �,, ,,.���� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 42710-R Residential x Non-Residential Fee $ 10.00 New X Existing Name of Owner RUSSO, PETER S. Mailing Address 1 P 0 BOX 2046 Mailing Address 2 City St Zip GREENPORT NY 11944-0000 Property Address 1 1400 SOUND DRIVE Property Address 2 City St Zip GREENPORT NY 11944-0000 Owner Telephone No. 631-477-3519 Tax Map No. section 33.00 block 3 lot 19.003 Cross Street Issue Date: 1/18/05 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ELIZABETH A.NEVILLE 10 \% �G y<` Town Hall, 53095 Main Road TOWN CLERK p , P.O. Box 1179 REGISTRAR OF VITAL STATISTICS yy, Southold, New York 11971 MARRIAGE OFFICER : $ Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER =yOi 01.0 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ' A a " southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT CESSPOOL or SEPTIC TANK A Residential @ $10 , .or Non-Residential @ $25 Application No. Permit No. ` o2-7Z Owner Name Owner Mailing Address , 'o,{ ,,Z p j. G 2� =�r�dz'Z 7-) /)/, ; ' //95' Owner Property Address /y©d ,SO vn/i7 f`-", //5rr Owner Telephone No. �3/- j» Tax Map No: Section 33_ Block 3 Lot /2, &ID 3 Cross Street Please check each that applies: New Construction Alteration to Exis ng System Residential I Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distance in feet from system to building and closest road. New construction may submit copy of survey with SCHD approval.) ,;;/ ,/,q-A, Signature of Applicant ate Received by: • ELIZABETH A.NEVILLE �.� OG1 Town Hall,53095 Main Road TOWN CLERK g P.O. Box 1179 ti ae Southold,New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER y_'4k -to Fax (631) 765-1800 FREEDOM OF INFORMATION OFFICER ,��� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3222 R Residential x Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : PETER S RUSSO Address 1: PO BOX 2046 City St Zip GREENPORT NY 11944 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR ONE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-04-0041 Name Of Owner RUSSO, PETER S Mailing Address 1 PO BOX 2046 City St Zip GREENPORT NY 11944 Property Address 1 1400 SOUND DRIVE City St Zip GREENPORT NY 11944 Tax Map No. section 33.00 block 3 lot 19.003 Cross Street Building Permit Number Cross Reference: e 4 Issue Date: 9/02/04 E 'zabeth A. Neville Southold Town Clerk (TOWN SEAL) • I�,"%FFOL� �� coGy ELIZABETH A.NEVILLE �' • Town Hall, 53095 Main Road TOWN CLERK t/� Z $ P.O. Box 1179 REGISTRAR OF VITAL STATISTICS O / Southold, New York 11971 MARRIAGE OFFICER y Q. .1 Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER =.11 * *a,.e Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER .�,,,.•• southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD September 2, 2004 Peter S. Russo P.O. Box 2046 Greenport, NY 11944 RE: SCTM# 33.-3-19.003 Dear Sir/Madam: Enclosed herewith is the Construction, Alteration or Modification Permit for a Septic Tank/Cesspool System for which you applied. AFTER the system is installed but prior to being used, an OPERATION PERMIT IS REQUIRED. The operation Permit is issued by the Southold Town Clerk's Office. The fee is Ten Dollars ($10.00) for a residential system and twenty-five dollars ($25.00) for a non- residential system. Your check should be made payable to the "Southold Town Clerk". An application form is enclosed. Please complete the requested information and return the application, proper fee, and LOCATION MAP (map must indicate the location of the cesspool(s)/septic tank(s), giving approximate distances in feet from any buildings to the pools and distances between the pools. Should you have any questions concerning this matter, please do not hesitate to contact this office. Very truly yours, fiY A ITS ' Lynda M Bohn Account Clerk Enclosures A • SURVEY OF LOT 3 '=I NAL PLAT ROGKGOVE ESTATES N FILED JUNE I I, 2001 FILE No. 10631 SITUATE: &REENPORT1- TOH � N: SOUTHOLD '� \ W E SUFFOLK COUNTY, NY 0)0 �, SURVEYED 04-26-03 AMENDED 05-13-03 // ,!' ' PROPOSED ACTIONS 02-21-04, 08-24-04 ,' /X / ,/ ; SUFFOLK COUNTY TAX # 6Y ' i '' � r I ! 101000-33-5-1°13 � / \O,� / , , / � 1,/, DOROTHY R.RUSSO / 5 > PETER S.RUSSO // t(0 PS O^ /4, .r ' ,/,/,,, '/,', • FIRST A ICAN TITLE / �0 6 A�� • INSURANCE COMPANY OF NEW YORK / )_,0d �o; r''; TITLE#LI-30035104-NYS% 0 ;9- \ ' I • ' ,' ' '/ z /, -- -/z.' ..,, e, , --, TEST HOLE NUMBER 1 , �'/" i // /, /'2O, �: '4- / o ' 1 CLAY '/ ,,',' ,t7/ f ,'Ib NCi \ SANDY / LOAM % • y _ _ f 8.0' 1 SAND b ,' ROCK ,', ��� 0�'/ 44%,.._ \ \5 !/�\ IV/ , Qr ae 11.0' / -� �Of 9. 0 ,' a `ore a ��0 s 0c0 od ®o oposed septic system li SAND a l i' �o� '[,�• 00 Gallon precast ,`I GRAVEL I \�� a �� \� se tic tank, two (2) leaching - �J1 lT 0 po Is 8' diameter X 8' dee ' r7 c`' Q07 roc for 50% expansion 0 0. 43 ri o' 06 0094,U�U 9 ' \ Clay to be excavated \ v J0 '' j / and removed From site, ' A \ \$ �0 Qrc, 0 `I backfilled with clean sand j' \ ° p Y'vk4 1a 0a . 410. , ,wo n w /y. D� Qirk 2� m o0/ }' �9 rc v 4L �• 1 ti I ' g',, , ,IRT ow, I I II 9 v ,_�42 SS p \\ " o0' I To,' 141 \ ° \ / 4) I 1 \ \\ ,/ CG. / TEST HOLE \ �` '\ r5V I FROM FILED MAP • �� 1 \ s \ __,_ b �' NOTES: \ \ � �� I . ,. v-Az(i4). S° p PIPE \ \\ I A STAKE ���NEW)so GEHL ANNOTATED FROM NYS DEG COASTAL ,ii• C,.EN(F 1P+- EROSION HAZARD AREA MAP TOWN OF CQ /PO �,a„av=ert°teat°°ar a ht an °s rvey SOUTHOLD, SUFFOLK COUNTY, N.Y. / `' hearn . °esea ana z,rey° PHOTO No. 51-6O6-S3 SHEET 14 OF 4c1 ' gat an° =e°t an,zoo=e d 1 F tn, n * * N York Stnte E ur°t on Lan.' 1 1� ii t� PARCEL LIES ENTIRELY IN FLOOD ZONE X i �P s t s A5 DETERMINED FROM FIRM MAP t No. 361036015-1 G DATED MAY 4, Icicle. c' 1- r _.a...4.4..A p`t OV'(1� 50 N Y k L Pt r TEST HOLE SHOWN ON FILED MAP ' s`FQ• S�Q" t tt • taape d ds t ea' a,ne s',�r_of n,r,la any rnst,uua rcFla t t nnsveran e t°arn-ta ttiiore ELEVATIONS REFERENCE N6VD'201 AREA = 46,511 SF OR 1.01 ACRES JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIC SCALE 1"= 40' RIVERHEAD,N.Y. 11901 NM 369-8288 Fax 369-8287 REF.\\Hp server\d\PROS\03-165.pro E/31/3004 ---- ....---.4-5.----