HomeMy WebLinkAboutOsani Town Hall, 53095 Main Road
�1� P.O. Box 1179
�®� s ��,'" Southold, New York 11971
JUDITH T.TERRY „� �r_'i�.�l�' FAX(516)765-1823
TOWN CLERK TELEPHONE(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. 625 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name DONALD L. OSANI
Address 1 : 332 THROOP STREET
City St Zip NORTH BABYLON NY 11704
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 7/13/90.
Name Of Owner OSANI, DONALD L.
Mailing Address 1 332 THROOP STREET
City St Zip NORTH BABYLON NY 11704
Property Address 1 NORTH BAYVIEW ROAD
(REYDON SHORES)
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 5 lot 10.000
Cross Street REYDON DRIVE
Building Permit Number Cross Reference:
Issue Date: 7/18/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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tP x;,. <<s e q Town Hall, 53095 Main Road
Tf_ CleEK eat okt) VAs `c %`.'r ���, P.O. Box 1179
��t� Southold, New York 11971
JUDITH T.TERRY r -___ ,ids/�j TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK (�
TOWN OF SOUTHOLD LS @ E 0WI `-3 7
t , g.-- auraameznarcamt....... -.7n 1
5 JUL 6 8 1990 `a ; ,
To: Southold Town Code Enforcement Officer ;\.
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i-I UL..--- _____- „ �--"/I
From: Linda Cooper, Southold Town Clerk's Office BLDG. DIEPT
rCy.. OF SOUTHOLD
Dated: July 18, 1990 "�` ��
Transmitted herewith is a copy of application No. 642 for a Cesspool/
Septic Tank Construction Permit submitted by:
Donald L. Osani
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
rec�om endations:
APPROVE d�
DISAPPROVE
Comments: .e. v t.' , 4 % / , L r /
% -
( ) (
'moi
Signature �1
Da e.
OFFICE OF THE TOWN CLERK c.OFU1,,C;"
Town of Southold ' ff® F 'L
Judith T. Terry, Town Clerk � � .�
. • Application No.
Town Hall, 53095 Main Road '< Construction
P. O. Box 1179 J
Southold, New York 11971 0 AZ4k. Alteration
Telephone 190 e'�® 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.
Fee •$jp s`
DATE 7//k/f°
APPLICANT NAME: /���/4L/ L • 0S"9:w
APPLICANT ADDRESS: 35D, 17.47 .0 r cr '
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: /) ' / L
OWNER MAILING ADDRESS: 3 772/ C7
OWNER PROPERTY ADDRESS: Vecfci',04 shoRe3, (ti- aey-u/ ELe) ,Z) fr
0 u` lbfcf Re-,(40.v2
TELEPHONE NUMBER OF CONTACT PERSON: 57C _ S�) — /7A.3
TAX MAP NO. : Section 7 Y Block Lot 20
CROSS STREET: CORA)
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: X
Q Q(;G oTTnr lerk's Office
DATE:
as
vc=gat
SUFFOLK COUNTY D(
•CP FOR APPROVAL
/•
DATE —( r
f /v404NT) (r_
I
I. APPROVED
1 GeoRGEN�G/F v c��.-
1.,
` S 7Zo �FRM,q The locations of wells r
FND D?. 4 observations and or from
N ? AYpe 40 F
Q 0
\ V 0 co
WELL \Q p,
JO 0 S\ Pp
(44
Ina
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rEST ��'6 1
HOLE I i
DATA
DARK BROWN LOAM B. 494 O
IC
BROWN CLAYEY LOAM 2 g, k fr� 7,?® O
04• 4
0 p
BROWN CLAYEY SAND • O ..i N
9' /�. �.
BROWN MEDIUM TO �O �i� A/O 4
COARSE SAND I® N
I4.P'
WATER IN BROWN
MEDIUM TO COARSE /93
SAND 17'
O
is, II
PAln
_-
t —
.COUNTY DEPARTMENT MEN OF HEALTH SERVICES
a :::r� r r ' �- iIPPROVAL OF CONSTRUCTION ONLY ^-• . ; , ,. .; • b
li-LIZ-3---4-/la REF.NO. 9 r� S CIS r
/ . _---
--- SUR VE Y OF
__
PiROPERTY
9 of wells and cesspools shown hereon are from field -
and or from data obtained from others. AT B /s/ySOUTHOLD
Y VIE VV�
TOWN OFSOUT HOLD
SUFFOLK COUNTY, N. Y.
1000 - 79 - 05 - 10
�
,?, Scale 1" = 40'
May 30, 1990 _
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ao / .'+:.1 ti.0? - e5 crit .)
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*
JUN S 1
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Art pg.
ta
(VAC
16 ANT/
The water supply and sewage clapped
O systems for fhb nmidance will conform
to the standards of The Suffck County
o
CERT/PIED TO : /
nt of Gi .��ervt
!'� DONALD OSA NI
Viso/vi
r¢ t1 [. vCfri/
•
332--- ?f/ ( ST .
,'/ ,9/ )/c,oa-, L(7//7 '
�c. / 23
AREA = 33607 sq ft. c.) •�cte � �4 F ...i
• 1;,,.= ' �- 37
21
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\ on,
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Prepared in accordance with the minimum ,�'. i"s. . N.Y.S. LIC. NO. 49618
standards for title surveys as established ;w.: }��/
by the L.I.A.L.S. and approved and adopted PE-CONIC' SURVEYORS, P.C.
for such use br_.The New York State Land (516) 765 - 5020
Tit/e Association- P. O. BOX 909 -
' MAIN ROAD
o wc/
SOUTHOLD, N.Y. 11971 '
90 - 204 A