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OFFOUr
ELIZABETH A.NEVILLE �_ Town Hall, 53095 Main Road
TOWN CLERK - P.O. Box 1179
Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS
MARRIAGE OFFICER ` �i Fax Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �__�®1 Jig i�®1l� Telephone (631) 765-1800
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. 2957 R Residential X Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : SAL SATAPANO
Address 1: PO BOX 1225
City St Zip CUTCHOGUE NY 11935
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 #R10-02-0191
Name Of Owner CATAPANO, SAL
Mailing Address 1 • PO BOX 1225
City St Zip CUTCHOGUE NY 11935
Property Address 1 425 SOUTH HARBOR ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 75.00 block 4 lot 29.000
Cross Street MAIN ROAD
Building Permit Number cross Reference:
Issue Date: 12/26/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE tos0 'lo Town Hall, 53095 Main Road
TOWN CLERK o - % P.O. Box 1179
y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS % � �
MARRIAGE OFFICER `` 1i �����, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =__ 091 . tip Telephone (631) 765-1800
FREEDOM.OF.INFORMAPION"OFFICER - r� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
L;t i, , E✓ TOWN OF SOUTHOLD
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O:'-2\'"`- i- SoutholT Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 3, 2002
Transmitted herewith is a copy of application No. 3080 for a Cesspool/Septic Tank Construction
Permit submitted by:
Sal Catapano
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
ti
Comments: / %'
Wee---d‘.9`Ztee -
Signature
/c,2-/0 6,42—
Dated
•
OFFICE OF THE •
TOWN CLERK •,,,,.0••••••,,;,,,
TOWN OF SOUTHOLD ,•'s g� FO�kc
6-20
ELIZABETH A.NEVI LLE,TOWNCLERK 1 i' Dy% •: Application No. `3
P.O.BOX 1179
SOUTHOLD,NEW YORK 11971 / Const ruction
O • T
• u' Alteration
•��
Tel =-,�'� ��;r 1 $10.00 - Residential
(63-1) 765-1800 ®l llit
• - $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION •
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee •$
DATE 1)-- 2-p 0'2_
APPLICANT NAME: Sri- C(20-Pc r\<,) ,v
APPLICANT ADDRESS: �- 0 • '1- 0 )C 121_27-3-
C.A.X.T•C-vE C G°kk� 1, .')-` • (k ql 3 s-
SEPTIC X CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
S oINI G Lim •i AINI.ite,`( AO Lk.S
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: S I\L.- 'LAI-vN1 /
OWNER MAILING ADDRESS: ?-0 ,
-O , ®Y-- t225
OWNER PROPERTY ADDRESS: Li is- ®u-Ti.. A Rc,-cI �,
Aios-- dour,k. . KJ-(ii-- 119 "7/
TELEPHONE NUMBER OF CONTACT PERSON: C-,3' - 11:05- 5- L L
TAX MAP NO. : Section -15- Block DIA. Lot Z
9 .
CROSS STREET: p A! d' .
BUILDING PERMIT NUMBER CROSS REFERE°i CE:
_,I[ c�__,. "
Se (/ Signature of Appl&ant
RECEIVED BY:
Town Clerk's Office
DATE: i )--3/0 -1--
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PERMIT FOR APPROVAL OF CONSTRUCTION FOrt A ' - -‘,,...
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FOR ivLAXIMUM OF 4...,. EE.;Os MS t.-
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. EXPIRES THREE;YEARS FROM DATE OF APPROVAL CI ./
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The locations of -wills and cesspools e..) -. fa, - .• _•. Ps, r
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shown hereon are from field observations
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and or from data obtained from others. ' i...f:_=.____i_------ ---O ul
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ELEVATIONS ARE REFERENCED
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NOTE, LOT NUMBERS REFER TO "MAPN
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(.1) ac.w-,i, OF MINOR SUBDIVISION OF c, xko I" zr)
, -* PROPERTY SURVEYED -c---
FOR SALVATORE 0
N, -.7...v. -
ARE = 6'0,A 2 2 sq. -ft or 18370 acres 1 CATAPANO" FILED IN THE SUFFOLK "--:
COUNTY CLERK'S OFFICE ON
-4‘41Y ALTERATION OR ADDITION To. THIS SURVEY IS A VIOLATION I am familiar with the STANDARDS F-ofi*APPROVAL JUNE 25, 1992 AS FILE NO. 9238
1. .14
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OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. AND CONSTRUCTION OF SUBSURF4CE st,WA- E ,-..- kf- ..-1._..;:, -_ cz,
EXCEPT AS PER SECTION 7209 - SUBDIVISION 2. ALL. CERTIFICATIONS DISPOSAL SYSTEMS FOR SINGLE FAMILY ResiDENccs i / fire:d4 '4'0 , N'6..,A.
HEREON ARE VALV FOR THIS'MAP AND.comes THEREOF ONI,.Y IF ,
SAID MAP OR COPES BEAR THE IMPRESSED SEAL OF THE SURVEYOR and will abide by the conditions set forth the,fraki and on the r , wt,- -• 4 6" V5. IC. NO. 49818
"rt ' ."444i;.1.0
WHOSE SIGMA TORE APPEARS HEREON. permit to construct.
-ECONIC- - ?- - P.C. .
I ADDITIONALLY TO COMPLY WITH SAID LAW TERM ' ALTERED BY ' ,
16311 765' - 50FAX rex) 765 - /797
20 F
MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY . P. O. BOX 909 ‘,
OP ANOTHER'9URVEYOR'S.MAP. TERMS SUCH ' INSPECTED ' AND
arioueir - To - DATE AfEloorIN COMPLIANCE WITH THE LAW.
\ 1230 TRAVELER STREET
-A, SOUTHOLD,- M 11971
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