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ELIZABETH A.NEVILLE Q, �O �/y1 Town Hall, 53095 Main Road
TOWN CLERK c - P.O. Box 1179
c Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = .s- Fax (516) 765-1823
MARRIAGE OFFICER � �?,�O ���� Telephone(516) 765-1800
RECORDS MANAGEMENT OFFICER 1r
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1997 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : STEVEN & ANN MARIE ALLUISE
Address 1 : PO BOX 654
City St Zip JAMESPORT NY 11947
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 #R10-99-0010
Name Of Owner JOHN & KATHRYN DEVINE
Mailing Address 1 360 PETERSFORD WAY
City St Zip ALPHARETTA GA 30201
Property Address 1 CLIPPER DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 4 lot 17.002
Cross Street ANCHOR LANE
Building Permit Number Cross Reference:
Issue Date: 2/18/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH';1, Z 5 $ $��� �oy Z Town Hall, 53095 Main Road
TOWN;C)[..>E RK �� _ 1 P.O. Box 1179
// t x •• Southold,New York 11971
REGISTRAR OF VITAL THOLD � Q *- Fax (516) 765-1823
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RECORDSOMAN GEMENT OFFICER �..#4f a��1111 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER °I ligi�
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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: February 5, 1999
Transmitted herewith is a copy of application No. 2083 for a Cesspool/
Septic Tank Construction Permit submitted by:
Stephen G. and Ann Marie Alluise
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 /recommendations:
APPROVE ✓
DISAPPROVE
Comments:
Signa re
Dated
- , ,
OFFICE OF THE TOWN CLERK •. C41 r� =
TOWN OF SOUTHOLD ,, QG Application
El.I7ABETH A.NEVU.I.F,TOWN CLERK
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971
Alteration
Telephone ,j�0 $st) •• $10.00 - Residential
(516) 765-1801 1 1 ,," $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ e, C#
DATE F- .433 t l `V t
APPLICANT NAME: ` 1.)i AtJ ( , .,o--f'i1� A1\ff\i V 1 IR "L..L I SE Vfik11fE11:-
APPLICANT ADDRESS: RD., 1St4lC ��' JiwA,E5-perer ` "'Y 11141
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
61 N' Fi9i'l f 51 2kAV CE
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTIONi� OR ALTERATION:
OWNER OF PROPERTY: To1114 p1)4VIrJf- 14""5 K*i1 Y yiJ bE-ViIV(
OWNER MAILING ADDRESS: 36'0 42S of ) f}tp Tr+6'4, 030201
OWNER PROPERTY ADDRESS: CL.t pp 'b12. � t1Z&2 LzHTs
so Lcrk 0 LD � N Y. 1 L6-1--
TELEPHONE
D-rTELEPHONE NUMBER OF CONTACT PERSON: 72z- 4,61q
TAX MAP NO. : Section /0"/ 9 Block z Lot )7 • 2..
CROSS STREET: / NU- o(Z... E
BUILDING PERMIT NUMBER CROSS REFERENCE:
Aik ,(12a-ett,.
Signature of Applicant
RECEIVED BY: AL
Town Clerk' ffice
DATE:
�, SUIT, CLKCO1TYDr ,t.RT.S . O.7.'1-7EALIK
._...W 1
PERMIT FOR APPROVAL CONETRUCrIO1 FOR A
ANCHOR LANE SINGLE FAMLIN RI ONLY
AN ROW:)) i�► ..
o Rai FXP!RLS .'t1iRE Z: ''�' _ _. r:�:AL
S.C.D.H.S. ENDORSEMENTS
DWELLING
o SEPTIC IN REAR PER OWNER, EXACT LOCATION UNKNOWN
p
N MAP OF HARBOR LIGHTS ESTATES - SECTION ONE
O
ii 2 S64'05'10"E 215.00'
.6 i ASPHALT DRIVEWAY GARAGE —
2 36.1 2
3 h 37.8 36.6
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U O, d�,�1� 78 O p ,
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N PROPAMINTOSEIND 00'AIM. 0 0
SEPARATION FROM
EXISTING& PROP. = 16.6' z
— SANITARY SYSIEAIS
PROPOSED,0 S0RY
nnm ' ' •' RESIDENCE-,
R
W ` m39.4
h k^ n <
.
0 • GARAGE ti 1AN{Xe ;n k
Z N 90.0' _ 27.D' 4S?; N -'
J 2 i
3 o ) 39.8 TEST HOLE
3 0 SAND &
W PROPOSED DRIVEWAY � o -3, LOAM
2
0 41.8 0
N�
39.8 O
0 V °' J'xJ'ELECT. BOX GRAVE(0 SANDL
U n c.. ON LINE; 6'E NO PHYSICAL BOUNDS
Q p.p --
Z SET REBAR & CAP .
N64'05'10"W 215.00' -17'
3
0 79
VACANT AREA: 43,000 SF / 0.99 AC
CERTIFIED TO: SURVEY OF
STEVEN G. ALLUISE LOT 78
ANN MARIE ALLUISE
FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW YORK MAP OF —
HARBOR LIGHTS ESTATES — sx, 4
EASEMENTS AND/OR SUBSURTACE STRUCTURESARE NOT GUARANTEED UNLESS PHYSICALLYEVIDENTD PREMISESORRAT D sITUATE AT JA
N 1 5 1999
THE TIME OF THE SURVEY. BAYVIEW!
GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON(S) FOR TOWN OF SOUP-640)f
WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COM-
PANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTIONS LISTED HEREON, SUFFOLK COUNTY, I1OMRKW9ter Mgmt.
AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE
NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS.
THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO SCALE: 1 "=50DATE: JUNE 16, 1998
THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THERE-
FORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING S.C.T M. DIST. 1000 SEC. 79 BLK. 4 LOT 1 7.2
WALLS, POOLS, PATIOS, PLANTING AREAS, ADDITIONS TO BUILDINGS AND
ANY OTHER CONSTRUCTION.
JOB N0. F1264 11k / 0 G I111:;;::; ` `"�" o
MAP N0. 7703 osor NEW ycito?o
rl ,,„.....:.�.::.....:: A
FILED: MAR 1, 1984 n�,t. ��-1 94 >. .:..:�' wa
REVISIONS: ,t� Hap'- on Bay
N.Y.-‘°°k !,46 a
10/19/98 SHOW TOPO, REV CERT I ' Vit,! T1, i: (516) "8-5330
1/13/99 ADD PROPOSED HOUSE, l i
SANITARY SYSTEM, & WELL J ' � :,'”w. "A Marc E. Chariest, L.S.
1. ,No 050" O With the records of:
LAND SV Paul T. Canalizo, LS. Robert A. Kart, L.S.
licen . 050149 Good Ground Surveyors, P.C.