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HomeMy WebLinkAboutDinizio .416 4�; FO( co ELIZABETH A.NEVILLE ;= G'�d Town Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 REGISTRAR OF VITAL STATISTICS rfti Southold, New York 11971 MARRIAGE OFFICER `` y �! � Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER =_�Q1 jig �ao����,i� 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. 3043 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : PAUL DINIZIO Address 1: PO BOX 591 City St Zip GREENPORT NY 11944 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 #R10-02-0232 Name of Owner DINIZIO, PAUL Mailing Address 1 PO BOX 591 City St Zip GREENPORT NY 11944 Property Address 1 2585 GILLETTE DRIVE City St Zip EAST MARION NY 11939 Tax Map No. section 38.00 block 3 lot 17.000 Cross Street CLEAVES POINT ROAD Building Permit Number Cross Reference: Issue Date: 6/11/03 Elizabeth A. Neville Southold Town clerk (TOWN SEAL) ®�®SUEFot�-�®; 3 c`( ELIZABETH A.NEVILLE l_$ Gy� 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 si RECORDS MANAGEMENT OFFICER `;y"'/Ql �a:00.0 Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER �'� southoldtown.northfork.net OFFICE OF THE TOWN CLERK ; {, TOWN OF SOUTHOLD MAY q,9 2003 TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: Transmitted herewith is a copy of application No. 3167 for a Cesspool/Septic Tank Construction Permit submitted by: Paul Dinizio 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 ti DISAPPROVE - Comments: d 2 oee l ://4 Signature 219 Dated z ,,iiia.. , -,lip . s' N, C;;.-'-; ELIZABETH A.NEVILLE ise• 4‘ Town Hall, 53095 Main Road P.O. Box 1179 TOWN CLERK % co H Z ; Southold, New York 11971 REGISTRAR,OF VITAL STATISTICS A7 �� MARRIAGE OFFICER G 1� Fax(6.31) 765-6145 .• . . -•- RECORDS MANAGEMENT OFFICER ,�y?f� at60.of Telephone (631) 765-1800 - FREEDOM OF INFORMATION OFFICER ..' * *isit southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 ( or Non-Residential @$25 Application No. 3/Co? Permit No. Applicant Name e41/ 2 1' 0 Applicant Mailing Address ,- (9, goy 5-9 ( e q(/fir)(/(f Septic Tank or Cesspool Brief Description of Proposed Construction or Alteration 41€iii Location of Proposed Constructio Alteration: Owner of Property: A-4 ,u014 2 r'0 - Owner Mailing Address: 0 a 1O 7 CY( C-r-erier f /L )y, /lf%I Owner Property Address t1/e7 -( .6' g 5 f Mat' 0 //73? Name and phone number of contact person V?7,-a05-if Tax Map No: Section . 3Y Block ®3 Lot /7 Cross Street 0 l uv,es ®r A 0 NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEAL DEP 4'TMENT APPROVAL X1 9 -;02 Signature of Applicant / Date Received by: ., (A__/X.e-1,c---/'d • NOTE• h,c SUBSLmF4 .SEWAGE DISPOSA4 �',n!/r e/// SYSTEM�F(SCIETTI, P.� BY' JO SURVEY OI'` PROPERTY "5 `'n y,aate el e.5 0;HOLD°y, 8971 AT EAST MARION CENTER s,A,a.°° rex) 765 - 2954pS9UT ,EbAa .o � I ,E 7.0 TOWN OF SO UTHOLDa f �/ /6-55 /E 59 5 SUFFOLK COUNTYeio2 , NEW YORK 9r wa�rr 1000-38-03-17, Proposed Serag. , epfmk `m ' CVPCP��� SCALE: 1"=30' ,Pt�O Ed Primal r Strxi Septic Zr t Tint Aboinnve of L Pool 1° APRIL 11, 2002 bo Pr Above eroded Wafer CROSSECTION - SEPTIC SYSTEM34 \ /, L13.1iL- cPt' ce ) n . ` p�,/y SUFPOL IS COUN iY DEPART MENT OF HEALTH SERVICES \ 1 X 01 C. �, d PERM !an PROVAL OF CONSTRUCTION N FORA 6k°5 © N� r SIiAGLE aAW WILY r: ,SMEivt'";ONLY N 4 DATE 3 SIS a E1:'.r. -' '_=r. 2, 6 p o rpm APPROVED _ ._._-___. /I � .� lib �� �� av Z �' Ss 2 0 FOR MAXIMUM.OF,II BEI'RO MS f'� 6A G `r: E}�IRES THREE YEARS FROM DATE OF APPROVAL yc \ v eq. co oP TEST HOLE y •\ 'C'-) FC,' E A 1/ s, "p TA FROM OTHERS) -a _ t �� Ivo el G , \\ -A .----35 v+5 1:e SANDY TOPSOIL \ PI'Q O,r +L S 2 / gf4i' q� �\\ �� PropJc 2 �� 9a. SAND, GRAVEL s� i �� No d� 8191 \ .\1 0 � ; 'oF NEW o d ✓ • 1. G O plPEg7 IF°�1'l0/ pSER� �/ ii3.-.'24,''..:': �l sFiiVN cv 5 6 �� 33$Ltc 1 w 1 �� \ L p� z/ 2 WATER rB� o LOT NUMBERS REFER TO 'MAP OF MARION LAKE" Z \ eb \ CISH �� �o.052,a � �� ON MARCH 18 1958FILED IN THE EOLK AS FILE NTY NO 2038CLERK'S OFFICE \ a cD�EI ISG -ROFESB100;!�yr C� o ES• -o �, G ni h c:"--7---z)M familiar with the STANDARDS FOR APPROVAL to.... Y01� '� I CONSTRUCTION OF SUBSURFACE SEWAGE 0 � A �'r -, '❑SAL SYSTEMS FOR SINGLE FAMILY RESIDENCE \ V Y P�EOF Nf�, ; will abide by the conditions set Forth therein and 9� CL�� S� �NT.MFr^�O� u� :?�, o :he permit to construct „n 'gyp �, �o F * location wells and cesspools shorn, hereon are ei/ -..r NgrIVND.._ -9618 \ field a obtained observations and or datFrom others ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION 'ECONIC ”- '74.•, F90, �ti� - ations are referenced to an assumed dr T-)r OF SECTION 7209 OF THE NEW YORk STATE EDUCATION LAW :631) 765 - 50 11)(A le; ,z? 5 765-1797 EXCEPT AS PER SECTION 7209-SUBDIVISION 2 ALL CERTIFICATIONS P 0 BOX 909 • HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF 1230 TRAVELER STREET EA=10,4 76 S,�, SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR I 0 L n _�_ WHOSE SIGNATURE APPEARS HEREON SOUTHOLD, N Y 11971