HomeMy WebLinkAboutFavitta 0.S5
JUDITH T. TERRY ` Town Hall, 53095 Main Road
•T P.O. Box 1179
TOWN CLERK
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER + ® ®�. Fax (516) 765-1823
__441 ����s� Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3137-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New X Existing
Name Of Owner FAVITTA, ANTHONY
Mailing Address 1 155 SUMMER LANE
Mailing Address 2
City St Zip SOUTHOLD NY 11971-0000
Property Address 1 155 SUMMER LANE
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 516-765-0773
Tax Map No. section 78.00 block 9 lot 10.000
Cross Street SUMMIT ROAD
Date Of Last Pump Out 0/00/00
Issue Date: 10/26/93 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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OFFICE OF THE TOWN CLERK •c0FO(,(��
Town of Southold L' Application No
/r3--7
OG pp f,3
Judith T. Terry, Town Clerk 4 G ;P. `:\ /
Town Hall, 53095 Main Road $10.00 - Residential V
P. 0. Box 1179 v' ; 1 �` $25$25.00 - Non-Residential
Southold, New York 11971 O t k.45•;-,:' �$
'4o ,4 ,••
Telephone _ ( Y►
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL-DISTRICT
RECEIVED
APPLICATION
for
fCT1 ; 693
outholci Town Cierk
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ • ,
DATE
OWNER NAME: ANTHONY FAVITTA
OWNER MAILING ADDRESS: 155 Summer Lane
Southold, New York 11971
OWNER PROPERTY ADDRESS: 155 Summer Lane
Southold, New York 11971
OWNER TELEPHONE NUMBER: office: 744-0773
TAX- MAP NO. : Section 78 Block 9 Lot 10
CROSS STREET: Summit Road
TYPE 'OFSYSTEM: Septic Tank x New x Existing
Cesspool x New x Existing
Residential x Non-Residential
DATE OF PREVIOUS PUMP-OUT: new construction, never used
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.)
-0111114111110-
-- . Sig :ture of Applicant
RECEIVED BY: - '
Town CI:rk's Of ice
DATE: /0 ` l5' ef_13
-
\J l
.cOG /9f2N„ # 2/478
o well Its yy C
The locations of wells and cesspools
/0,, 4 O T a shown hereon are from field observations
F<</Nc �6 t / 0" and or from data obtained from other
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So;/, T I
s`4� - S 40.-
S J 6/0is
3 /S
4OT , oo
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4'4-44 0 4"c-4/
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NG / `(V• 63
v w -,
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Q . a Q .5S o0 ._
40 t: ?t3 y o
4OT � , P/343 \" 4� /�
h'FC & �O, �R. ca
0VCcR 9 c / �� 2
A
CC/NG 'V /09 O / • . .
TESTI /OLE s4 o5 1c�o\� �'�/ \\� .�Q 41o
Dark - 0M IA, �a,T - O
brown - o
/o am 6
Sg
Brownfli
/o am /, (Ott �o,1"•• / //2 0 -.,.el 3s s CO* CO
7 C/A' - l O . Ate,
8 I 0 6 : /
-Pa/ '?`c a _(-
greyish
� ��J s s � y
brown �
rncxeQ'
o
sa/?ds 0
00
145' S
PAF U�'y//j,,�� AREA = 12 , 000 SQ .FT
brown ,
corse _ r u
sanads 4`f. ®"
21� .,
t— SURVEY OF
LOT 16
CERTIFIED TO: " MAP OF BAYSIDE TERRACE "
ANTHONY FAVITTA FILED MARCH H , 1953 FILE NO. 2034
USDA FARMERS HOME ADMINISTRATION
The water supply and sewage disposal AT B A Y V 1 E VV
systems for Ibis residence will conform TOWN OF SOUTHOLD
to the standards of The Suffolk County
Depar/menl of Health Services SUFFOLK COUNTY , N . Y.
1000 - 078 - 09 - 10
- Scale: 1 "=30' •
May 21, 1993
a NEw
Aug. '10,1993 (found.)
,��� 4.hiErio go, Sept. 29,1993( final)
o4 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
jPE ;•N 5'�1 it FOR APPROVAL OF CONSTRUCTION ONLY
\\i\\''=:\
<, V` " �a ' 93 SO 49
yDATE
/ ;,i,. "O• 490% �� HS, REF. NO.
/ 5...., , 0- C. NO, 49618
'ECONIC SfrVE`0 " P APPROVED W
(516) 765 - 5020 __ _
P. 0. BOX 909 ELEVATIONS ARE REFERENCED
MA/N ROAD TO AN ASSUMED DATUM
SOUTHOLD, N.Y. 1197/ Show Prop Hse.
hist. .sric ovr 6 4-/ 93 03/3//913
87 - 744