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HomeMy WebLinkAboutModica, Salvatore O�OS�FFO1,�c;\ ELIZABETH A. NEVILLE = OGyd• Town Hall, 53095 Main Road TOWN CLERK o P.O. Box 1179 REGISTRAR OF VITAL STATISTICS �+' Southold, New York 11971 MARRIAGE OFFICER , Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER `�y_'f1p1 �,Vvite Telephone (631) 765-1800 Jak FREEDOM OF INFORMATION OFFICER �� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2821 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : SALVATORE MODICA Address 1 : PO BOX 1054 City St Zip BRODHEASVILLE PA 18322 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 #R10-02-0057 Name Of Owner MODICA, SAL Mailing Address 1 PO BOX 1054 City St Zip BRODHEADSVILLE PA 18322 Property Address 1 190 MAPLE PLACE City St Zip EAST MARION NY 11939 Tax Map No. section 31 .00 block 3 lot 11 .018 Cross Street CEDAR STREET Building Permit Number Cross Reference: Issue Date: 6/21/02 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) cFFOL o - a gel Oli° CSG: ELIZABETH A. NEVILLE �� � 'y Town Hall, 53095 Main Road TOWN CLERK o • lk P.O. Box 1179 CI) = Southold, New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER `� y � �� Fax(631) 765-6145 RE60-4136,MANAGEMENT OFFICER = 7Q14. .$ Telephone (631) 765-1800 FREEDOM OFA"INNFORMATION OFFICER is" southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: May 20, 2002 Transmitted herewith is a copy of application No. 2922 for a Cesspool/Septic Tank CONSTRUCTION/ALTERATION Permit submitted by: Salvatore& Joann Modica 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. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Maintain required setbacks from adjacent wells,buildings,property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. Signature D s--/- /z.. Dated c OFFICE OF THE TOWN CLERK , "O��l{Ol�/'��" 9c�i TOWN OF SOUTHOLD ,, 4 Application No. L ELIZABETH A.NEVILLE,TOWN CLERK O P.O.BOX 1179 !� ; Construction 4/ SOUTHOLD,NEW YORK 11971 A _' Alteration / Telephone �,j� 1�Q��•' $10.00 - Residential (516) 765-1801 �l ,, $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE 5/a04,5. JaAY APPLICANT NAME: c A1y1.47Wile. ICA APPLICANT ADDRESS: 190 (Sox (as- 6120/1 1 91J5 v///c PP l SEPTIC ?Q CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION cw6- LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: 5'AL f �0A•N w 114 W ICA OWNER MAILING ADDRESS: Pc 40K. /0 sy goad ik4 A so QA_ Ir3aa. OWNER PROPERTY ADDRESS: 110 1/14p1=. n JA}c'c x4Pr)Z(01J TELEPHONE NUMBER OF CONTACT/ PERSON: .5)05S� � `%%- 8 7 TAX MAP NO. : Section 5/ Block 3 Lot - J l• ir CROSS STREET: Ce/)A )2 'T- BUILDING PERMIT NUMBER CROSS REFERENCE: JO- Oelj Signature of Applicant RECEIVED BY: ""1T o n Clerk's Office DATE: 6 eWell MAP OF "HIGHPOINT AT EAST MARION, c.P. /.5o k SECTION ONE' DWELLING SUFFOLK COUNTY FILE NO. The locations of wells and cesspools II) \ 7680 LOT 49 shown hereon are from field observations o G62-64" and or from data obtained from others. `�`' `�'� P - __. V Qs vi .._..__ � s'EIT�dI��L C.CI.�f�d`TY I��r�ARi'itt .€;ii �-' iE1L€ I SERVICES N. 88.45'00' E. /70.T7' PI; M1T FOR APPROVAL OP CONSTRUCTION RUCTS®I FOR A cl PIPE SINGLE FAMILY REGID7„NCE ONLY 51.y DATE) 15 /0 4 I ,r-,.€ N S�el 52 co, I • well APPROVED ii I N '.. N ,>„ FOR MAXIMUM OF 4- EIEDROO RSS � N o EXPIRES THREE YEARS FROM DATE OF APPROVAL Q-"► ' lam familiar with the STANDARDS FOR APPROVAL Cn AND CONSTRUCTION OF SUBSURFACE SEWAGE ® DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES ux D and will abide by the conditions set forth therein and on the �►'�Nti��, permit to construct. �T 4T L © 6;t S m ..r%^ cit (n) C,P. y' L liltk Q cz Pr c.e{ s � -'- SURVEY OF PROPERTY to �” {Ir ° 156.18, AT EAST MARION ���P}s �� ei eiee TOWN OF SOUTHOLD ° y2" SUFFOLK COUNT Y. N Y. 00 �1�0O0 - 31- 03- 7119Q NO TE, LOT NUMBERS ARE REFERENCED TO MAR. 6, SUBD!V MAP OF ' HIGHPOIN T A T EAST •u R cc MARION, CTION TWO, INC ' FILED IN TIE W G � , , SUFFOLKCOUNTY CLERK'S OFFICE e4.4, ,°°" cr'=y'. .—• '. c_,_ ONJU l3, 1984 AS MAP AIO.7755 7{�{2 P -- ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 1209 OF THE NEW YORK STATE EDUCATION LAW. AA APL OF NE EXCEPT AS PER SECTION 7209 - SUBDIVISION 2. ALL CERTIFICATI. ty' PSE IVr :: . HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF e� SD N fi. Metz() O'P,r ; t� I SAID MAP OR ,COMES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 5Ac F ' ' c WHOSE SIGNATURE APPEARS HEREON. �// 'r , 4, ' }� "yr . . .S. LIC. NO. 496/8 4J' IBJ. ADDITIONALLY TO COMPLY WITH SAID LAW TERM • ALTERED BY ' , ,..,:- pit, MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY a1 o x ON! '�';'7ORS 6 OF ANOT SURVEYOR'. MAP. TERMS SUCH ' # ECTED ' AND �' w e�I 15 I T4i5 !20 ''^, f63I1 765 - 1797 BROL►s 1T - TO - DATE ' ARE NOT IN COMPLIANCE trim TIE LAW. i...„) cP r :s 4giD .,`� AREA : 4Z110 sq ft. /2 4 -,. ;' ` - STILET y `,i s r SOU /1977 02 —138