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Home My WebLink AboutGebbia, James • OFFICE OF THE TOWN CLERK c�UFFU(/�`," Town of Southold OG Judith T. Terry, Town Clerk L Town Hall, 53095 Main Road P. O. Box 1179 � New York 11971 - 04,„ `�, Southold, ��-�y Telephone �l * (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 21 Residential XX Non-Residential Fee $ 10.00 Septic Cesspool XX PERMIT ISSUED TO: NAME: James Gebbia ADDRESS: 4250 Bergen Avenue Mattituck. New York 11952 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New system for new one family dwelling LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: James Gebbia c/o Simicich OWNER MAILING ADDRESS: 4250 Bergen Avenue Mattituck, New York 11952 OWNER PROPERTY ADDRESS: 4250 Bergen Avenue Mattituck, New York TAX MAP NO. : Section 113 Block 7 Lot 19.9 CROSS STREET: Cox Neck Road BUILDING PERMIT NUMBER CROSS REFERENCE: oriee4Ziel Judith T. Terry Southold Town Clerk DATE : August 28, 1986 (TOWN SEAL) OFFICE OF THE TOWN CLERK ' �FFO(,� Town of Southold sy�. CDG Judith T. Terry, Town Clerk _ 4: 1. _ ` Town Hall, 53095 Main Road P. O. Box 1179 cn Y Southold, New York 11971 Oy / Telephone _ 0! ifit (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 44 Residential xx Non-Residential Fee $ 10.00 Septic Cesspool xx NAME OF OWNER: James Gebbia c/o Simicich OWNER MAILING ADDRESS: 4250 Bergen Avenue Mattituck, New York 11952 OWNER PROPERTY ADDRESS: Right of Way West of Cox Neck Road Mattiturk, New Ynrk 11959 OWNER TELEPHONE NUMBER: 5LE-298-5964 TAX MAP NO. : Section 113 Block 7 Lot 19.9 CROSS STREET: Cox_ Neck Road TYPE OF SYSTEM: Septic Tank New Existing Cesspool XX New Existing XX Residential xx Non-Residential DATE OF PREVIOUS PUMP-OUT: None Judith T. Terr,/ Southold Town C erk DATE: September 11, 1986 (TOWN SEAL) I,,.,.. ,,.,' 46$CO Fair; z � Fro ..{ 015 Is 0 •'; M Town Hall, 53095 Main Road 'tfi .� P.O. Box 728 �.� tz lzo• r�� Southold, New York 11971 JUDITH T.TERRY "'�� foTELEPHONE Town CLER1: (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD August 14 , 1986 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 19 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by JAMES GEBBIA • Please advise if the project has received Suffolk County Health Department approval and if we may issue the permit . ..44 ... Judith T. Terry Southold Town Clerk Attachments • • OFFICE OF THE TOWN CLERK Town of Southold Judith T. Terry, Town Clerk Application No. Town Hall, 53095 Main Road Construction P. O. Box 1179 Southold, New York 11971 Alteration Telephone Residential (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee °$ //O r t90 per/ DATE i /90 6 APPLICANT NAME: /ylC1C3 / / APPLICANT ADDRESS: '44- 5-0 /1" U 7P/ 7 f 7 U�/c 4/ yaz,f SEPTIC /CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION r71 OR ALTERATION I 4/0 /.0 S(aiE rri n iii l —ta ORvr� lY U1 e t lI`�tl ff LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: 1Moe3 / ? c/a OWNER MAILING ADDRESS: 42'l�4ff,'-�� Jr y OWNER PROPERTY ADDRESS: 6/57M c 4 C 4ts' a TELEPHONE NUMBER OF CONTACT PERSON: 2y - /$ TAX MAP NO. : Section n Block Lot ft° lq. (� `1 CROSS STREET: D >C /ULC- /eDA:S - l BUILDING PERMIT NUMBER CROSS REFERENCE: Signatur of Applicant RECEIVED BY: _� 2/ T =rk ' • 'ce DATE: `y � \ . //: : Ghia\°k N.77°40°41'I 7-Z\' 1 E.A.- -- -- -- -- 413�° --- °\9 5\ cn • r•1ne Sirr`icich / ',� £N 9 0 #.-% o ©� t� imic�ch �� $' Cache ,a�"� _ / �S.77°4°'4i"1w / 4 oma. io& r mercy John S N59°25 W oy 6 e3 n/f Z <n or �° TEST Phillip Neudec OaLr , ' n°w 559.38CO „ `A6 o .e- i Q it oi s59°25 w er\y \\lker e I �� F T,-- or �o<Cons'.. N1 1 0 4 ' 0 7c-09.,,;iOHOU 5 140°1a31,,E igh� - • - 5052 ns N1\C1ket & �' R omo \ , cow 5� "" \ C.-- �o'l�c, , Ao'2 !63°14'31,w s Est°te ` 1 4,--(3-A 'w 0 ,;yorri ✓,r�,�� oo or for�`e \ , , C-- se' ACilleS riy 0....\\ now N� �r6 t _ TEST HOLE. \ N 5O 0.0 • '2,. P� 01 - ToPSOIL � 236- \ 0.5 o N LDAM Pes\ 16 WA- - . Qj O �000 .. E1SANDY LOAM O n o as I • N ND HCAW RA E�'qO ° OU�J\ `ij\ 1 i e,_ GRAVEL REVISIONS YOUNG, s56 s."-r-°595°°°�n- ', �'= SINGLE FAMILY DWEIIINIG O z6 400 OSTRANDER MEN' % . fi Ell, TWO YEARS FROM ONLY � "� HEALTH DEPARTMENT -DATA FOR APPROVAL TO CONSTRUCT �� DATE OF APPROVAL L PROFESSIONAL IO YOUNG tjePROFESSIONAL ENGINEER AND -R-NEAREST WATER MAIN_MI - it SOURCE OF WAFER. PRIVATE__PUBLIC_. LAND SURVEYOR, N.Y.S. LIC. NO. 12845 #SUFF CO.TAX MAP DIST 1000 SECTION IIS BLOCK 07 LOTEL 9 16.5 ' *THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY SURVEY FOR: OTHER THAN THOSE SHOWN HEREON. I 1 UNAUTHORIZED ALTERATION OR ADDITION TO JAMES GEBBIA & FI.ORI1 # THE WATER SUPPLTAND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE THIS SURVEY :S A :wiATtO% .F SECTION WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTYDEPARTMENT I THIS OF THE NEA .ORR ST°TE _SELTIOON OF HEALTH SERVICES. 1 °W APPLICANT _ UFFOLK COUNTY DEPARTMENT OF HEALTH SERVICE UAAA S Qe8i '4 . 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