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ELIZABETH A. NEVILLE t�at% y�; Town Hall, 53095 Main Road
TOWN CLERK o -€ , P.O. Box 1179
REGISTRAR OF VITAL STATISTICS v. Southold, New York 11971
MARRIAGE OFFICER
O Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER =4;*
1: Fax Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER 3 ' * 1„
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2109 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOHN CALABRESE
Address 1 : 25 OAK DRIVE
City St Zip GREAT NECK NY 11021
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 #R10-99-0123
Name Of Owner CALABRESE, JOHN & JOANNE
Mailing Address 1 25 OAK DRIVE
City St Zip GREAT NECK NY 11021
Property Address 1 34615 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 97.00 block 1 lot 12.004
Cross Street BRIDGE LANE
Building Permit Number Cross Reference:
Issue Date: 7/06/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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` . , ' ,,�ooSUFFO�,„„,„ �co
ELIZABETH A. NEVILLE $�
� 4 ` Town Hall, 53095 Main Road
TOWN CLERK % p '4 % P.O. Box 1179
% y 2 Southold New York 11971
REGISTRAR OF VITAL STATISTICS ;O Fax (516) 765-6145
MARRIAGE OFFICER `
•RECORDS MANAGEMENT OFFICER `= r4 , �aO �
� Telephone (516) 765-1800
/
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: June 25, 1999
Transmitted herewith is a copy of application No. 2197 for a Cesspool/
Septic Tank Construction Permit submitted by:
John Calabrese
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.
`/ ti
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following ommendations:
APPROVE
DISAPPROVE
Comments:
9_r"----.........6u.siss....4.A.......),--
Signatur
Dated
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OFFICE OF THE TOWN CLERK Otx
TOWN OF SOUTHOLD i Q CSG= Application No. ./ 7
.
ELIZABETH A.NEVILLE,TOWN CLERK 0 ' 1
P.O.BOX 1179 _ _ ` Construction
SOUTHOLD,NEW YORK 11971
o r'^ Alteration
Telephone ,l' �&-1,0 $10.00 -Residential ✓
(516) 765-1801 -- Air 1- " $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ 10.oo
DATE Jo toe 14-, 9. 29
APPLICANT NAME: Jot e�LA-6R-GSE
APPLICANT ADDRESS: a5 0/\K JIVE
GRC�-T- N6 - , DJ 1 fioai
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: JO 1-W - Jo J JE ej} LAQ1 Z-SE
OWNER MAILING ADDRESS: a5 OAK b RIVE
G IZe 10 r N e c_K-. t`1Y 110 „a
OWNER PROPERTY ADDRESS: �4(QI S !nI* t f R of-d
CVTCj-Oc50E
TELEPHONE NUMBER OF CONTACT PERSON: '1'73 -61/5 Ofd 487-913i
it-738-x1
TAX MAP NO. : Section '7 . Block — I — Lot / 2, Lf
CROSS STREET: f36RI,DGG LAME
BUILDING PERMIT NUMBER CROSS REFERENCE:
/
Signature of App leant
RECEIVED BY:
own Clerk's Office
DATE: (9/�_,0;?
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PLE NOTE
jmoo ! Minimum distance between well
' Q `� and cesspppl is to--be 150 feet.
1 SLIFForx COUNTY DEPART1V NT OF 30"W.183.53's �1 HEALTH seorces
69.56 I PERM-r,t,n 20Ap7,, :, -. l3I G`IY1R1f^nTd.*w.
T NUMBER ? 16Z31. )/ ) , 'SAT' 6 "�^ r-1 I
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W /... ,1 WD JOB No. 99 FILE NO. 620 D
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N -?09 MAPPED FCR JOHN t JOANNE CALABRESE
//b S. , PART QF 407 riQ
/ a 9'Ss, - MAP OF PUGLIESE A CALA BRESE
/o 20SrrUATED AT C U T C H O O U E
P / / `^ TowNoP SOUTHOLD ; SUFFOLK COUNTY .N7•
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N SCALE 1" = 100' DATE 5 - 27- 1.999 j
p / / O 01V 4 q?- O` NAI,, FILED MAP NO. 907 5 DATE 3 -15 - 1991
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R R get IRAN A'1 TAX MAP NO. 1 009.•,P97,-.1.:'R.4 (REF.ONLY)DISK
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^S.SSI► / ea, Ge'33 to !' 4• ,_
! / 1866 WADING RIVER-MANOR RD. WADING RIVER,
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• *68 .w\ 4'4HF SFO LAND •' NEW YORK, 1 1792
HAR F. TRANCHON L NO. 048992 516-929-4695
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