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HomeMy WebLinkAboutSantacroce, Mary Louise • ,��,"c%3FFOL4' ELIZABETH A.NEVILLE ��= G'y Town Hall, 53095 Main Road TOWN CLERK s o - ti P.O. Box 1179 2 REGISTRAR OF VITAL STATISTICS Al Southold, New York 11971 MARRIAGE OFFICER Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER `�y_��//) aligse Telephone (631) 7654800 FREEDOM OF INFORMATION OFFICER _ �s�� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2262 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : MARY LOUISE SANTACROCE Address 1 : 565 BAYER ROAD City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-00-0008 Name Of Owner SANTACROCE, MARY LOUISE Mailing Address 1 565 BAYER ROAD City St Zip MATTITUCK NY 11952 Property Address 1 2850 WICKHAM AVENUE City St Zip MATTITUCK NY 11952 Tax Map No. section 139.00 block 3 lot 6.001 Cross Street CONKLIN ROAD Building Permit Number Cross Reference: Issue Date: 3/01/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) oor di" FOL aD "C'e O • ELIZABETH A. NEVILLE ,��= t; Town Hall, 53095 Main Road TOWN CLERK , P.O.y Box 1179 REGISTRAR,OF VITAL STATISTICS v Southold, New York 11971 MARRIAGE OFFICER ���� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Q ai� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER _ ii" __ _•,i OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: March 1, 2000 Transmitted herewith is a copy of application No. 2350 for a Cesspool/ Septic Tank Construction Permit submitted by: Mary Louise Santacroce • 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. Thank you. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recom dations: APPROVE DISAPPROVE Comments: 411. Ott 14 L�� `•• - •tur- L.3/( g•J Dated OFFICE OF THE TOWN CLERK s'"CAE.�Otke TOWN OF SOUTHOLD i0 Application No. 55-0 •ELIZABETH A.NEVILLE,TOWN CLERK i P.O.BOX 1179 _ .L; Construction SOUTHOLD,NEW YORK 11971 Alteration Telephone �,y �Q-i/ $10.00 -Residential (516) 765-1801 .. ( *�,0. $25.00 -Non-Residential • ' >,,' TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for CONSTRUCT ION or ALTERAT ION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ /Q" DATE /? In Cv(h ) / p�QCt) APPLICANT NAME: inav iaol.s.Lc.rilcuiraz7 APPLICANT ADDRESS: 565- ilti m , � QIt,941/0-N - IN ;-• SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION (1 um 5-1 rvc Ilan of 5 n5/c(Lj res;3206,9 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION/ OR ALT ATI/,O,NN: OWNER OF PROPERTY: M L(X11SQ J1- ,, „, OWNER MAILING ADDRESS: 5 / �Lv fri L k, Nv /1'i OWNER PROPERTY ADDRESS: IS O ttECk'/' Autonuto a-4-eock( Ng licrfd TELEPHONE NUMBER OF CONTACT PERSON: CC931) c2q,?-0/q3 TAX MAP NO. : Section 13q BlockBl� _3 Lot �. i CROSS STREET: flunk l i n RA BUILDING PERMIT NUMBER CROSS REFERENCE: fflyi� Qd��n of Applicant ,, RECEIVED BY : / To n Clerk's Office DATE: _2�, d C� TEST HOLE DATA i (NSI 0.1 No LAsoloisasescocr ON JIM 16 1690) 0S. t �.,,,... ro pk SURVEY OF �°!r�Lj� LOTS 17, 18 & 19 8 oGl�G,l�pA� AMENDED MAP OF MFILFATTITUCA.1184 r�K HEIGHTSMAIICN • 27 SITUATED AT �' MATTITUCK r TOWN OF SOUTHOLD YhC .'�pY p SUFFOLK COUNTY, NEW YORK 44 dL S.C. TAX No. 1000-139-03-6.1 45:5`... y^. ` �� / e SCALE 1-={0' �O. JUNE 30, 1999 S pEMMER Z9.1999 AWED PROPOSED CESSPOOL A*ELL Lounotr h� / SB. 9\ / SS j A o to AREA=30,000.00 9n.It. A� �,>-.� o e ��� .___.._.� p�EASE K�fTE 0.999 e '7"9 / responsibility to Aper,'' �p, `t, It Is the appiicent's resp0 Y CERTIFIED To: dr* ' ��o �`,.. malntt;lin adagl!atoeanitarydistance 11AR!SANTACROCE betweenanf Wai6arsupplyandsewageL� fif �,K, �'4. R"° 1 @ dis;Rsal facilities: �, /// /,P V...ober: / ,\ ''''E�d'�i ,\ loT `+' �'k�00. 6R" a MVO=DIMS NO. ",'4' • ;' \ '© Loi, %.em Suer N A 111.611..41100 0;46011211,=MS MOM MIMI IL MOM MO 4..01/MI 00•1011.1101 DOI Mk A / _ `K to„ \`\ h'" foc a.c0i eMU•16,0 114. au '��-`ru.naaAw. si 3 \ cower 1 ANIMITOF!MATH/IRVICBa asst \ _ W \.\ / ''t PRIM FOR AMOUR FOIA VANRAIIIIINUMMCS OM 4 \ �/�C1�0({Oi� t zor'® '\ (_� �� �3A 1+J - iQ1h,00.0o0g 4c�nr. ,Q'�. _211„,,,„F‘ ''x 4M+.® APPROVED /��� �2 N A j. '4 , 3 KRMAtIllwa.:�eRDuoa�s . � y I' Nom "'EI,"�wn_ ,,o 71R1mYEARS f10MOA'I80lAlPItiDVAL -.W y, Y�`v7/ - F L, N 4a5'�Y OC d 700.E M G0, , �� CPN' 1Lrx AL Rw.96 gnc ,affA Land Surveyor r ..p Qi• p�r® ..., t" x 0 9AAA...-9 -A Nw 4 - MiwM b ��__CC'' ... 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