HomeMy WebLinkAboutRomano Town Hall, 53095 Main Road
r"� P.O. Box 1179
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11.- 4:74,..,..--.. --,:,V ��0 Southold, New York 11971
JUDITH T.TERRY - � ������,, l' TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 374 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : ROMANO, SALVATORE
Address 1: 12-19 31ST DRIVE
City St Zip LONG ISLAND CITY NY 11106
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED.
Name Of Owner ROMANO, SALVATORE
Mailing Address 1 12-19 31ST DRIVE
City St Zip LONG ISLAND CITY NY 11106
Property Address 1 215 LEON ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 51.00 block 6 lot 3 . 004
Cross Street CLARK ROAD
Building Permit Number Cross Reference:
Issue Date: 7/19/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFF1' E (f)F THE TOWN CLERK
Town of Southold CD
Application No.S77
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road •
u2e +„ Construction
P. O. Box 1179 ”. r;- � $
•
Southold, New York 11971 �: Alteration
Telephone 0l
p * Residential
(516) 765-1801 "' �< Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.37
Fee $ iv
DATE
APPLICANT NAME: ),6PecLu /illil , -")
APPLICANT ADDRESS: I a - 3
&\ Yl 11 /0 ,
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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V
LOCATION •MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ),c? !) 4 iA,_,
• OWNER MAILING ADDRESS: —r/ eh/ /c2 - / 9 3/4.j Q
J. e. 8/06
OWNER PROPERTY ADDRESS: c2_j j
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TELEPHONE NUMBER OF CONTACT PERSON: 77 S - -
TAX MAP NO. : Section Block 6 Lot
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
S gn':ture of Applicant
RECEIVE! = '�
Town Jerk's Offic
DATE: JUL 1 $ 1RR8
Town Cit( Southold
Prepared in accordance with the minimum The water supply 8 sewage disposal sys- .- '
standards for title surveys as established tems for thisresidence will conform to the 1
by the L.I.A.L.S. and approved and adopted standards of the Suffblk County Depart-
for such use by The New York State Land ment of Health Services.
Title Association.
NORTH ROAD ( C. R. 48 )
TEST
HOLE
DATA DARK BROWN
PUBLIC WATER IN STREET M. LOAM 4'
. III BROWN sury
LOAM
3' SURVEY OF
/ ' ...
■ COARSE SAND
9.4 2 PROPER T Y
N/• F LAND OF WATER IN OSA WICKI PALE BROWN i, A T SOUTHOLD
® N/O/F HO WARD F. & IDA A.
RA YNOR COARSE SAND
Q (DWELLING) , TOWN OF SOUTHOLD
® l ; IOW:LLINGJ Q SUFFOLK COUNTY, N. Y.
USES PUBLIC WATERI 14.1
1000 51 "� 0 3•
4
/\ L.-. v Scale 1" = 30'
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4 I ;illt 00 May 5, 1988
0
I9,7 E ` 20.0 N54° 42' 40" E
23198' STK p
SET \
18.8 Z
Zr
p D$7.-------------------- DRIVEWAY '1r -
p GRAVEL •
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a ' �a J3'± , 2 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
allIllIllpV JHOLE C FOR APPROVAL OF CONSTRUCTION ONLY
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P �,-'o� Z ro 03 �O DATE HS REF. NO.
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h \ 101 I 5y'$fe, S L) APPROVED
N! �� 29,E • LL. CO
3 15 0 . O W
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N CERTIFIED TOS � Af�D‘,
20.45 FND 20 9 FND FND y"� ��
MON - = .MON 22.6 MON SAL ROMANO G� �Q�, q, f,�G� ��
239.19' .. C�">>o-; `�° C, 4
554 37 40 W
P to oj
N/O/F ROBERT E. DOER/NGS N I - , ;fie ,'; Al, j.5. ' LIC. NO. 49688 -
.14�, ' , h`I P.C.
,WELL LOCATION UNKNOWN P . • 4 `,
k� 4 O
(DWELLING) -
i cP The locations of wells and cesspools shown hereon are from field, P. ,0?��Bdk-„. '.99
'- observations and or from data obtained from others. MAIN ROA'Dp
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6/z./6c re
Evis6o SOUTHOLD, N.Y. 11971 J
. 88- 2.94