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ELIZABETH A. NEVILLE � � � Town Hall, 53095 Main Road
TOWN CLERK o -'4 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 1
Southold, New York 11971
MARRIAGE OFFICER Or
���, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � �Ql .0„,ii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �� southoldtown.northfork.net
OFFICETTOF TTFHSgE��TOTWpN DCLERK
SOUTHOLD WAGS affituDIS�OSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2924 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JOSEPH DIMINO
Address 1 : PO BOX 571
City St Zip ORIENT NY 11957
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 #R10-02-0151
Name Of Owner DIMINO, JOSEPH
Mailing Address 1 PO BOX 571
City St Zip OREINT NY 11957
Property Address 1 305 MULFORD COURT
City St Zip ORIENT NY 11957
Tax Map No. section 14.00 block 2 lot 3.003
Cross Street GRANDVIEW DRIVE
Building Permit Number Cross Reference:
Issue Date: 10/30/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
r
e iii OFFOUr %... 49 9. 'y el'
ELIZABETH A.NEVILLE ��''_4oGs; Town Hall, 53095 Main Road
TOWN CLERK % o% ca P.O.Box 1179
REGISTRAR OF VITAL STATISTICS Q +,i Southold, New York 11971
MARRIAGE OFFICER :` 1i �1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER --1#41 $ o° Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER ��As° southoldtown.northfork.net
r'. 11 i
7Th V-, Y' " .' — , 0 I\
'' ' 1 1\\ FFICE OF THE TOWN CLERK
s y 1 oc ` 6 1tJ
TOWN OF SOUTHOLD
t 0
TO:
Tpe��Souttiol�own uilding Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: October 16, 2002
Transmitted herewith is a copy of application No. 3043 for a Cesspool/Septic Tank Construction
Permit submitted by:
Joseph T. Dimino
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 _
7
Comments: MI / `" ,,,;e, ...4_. _/f
v'i, -; ' l,:.,
, il,-, 4.- .
Signature
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Dated
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OFFICE OF THE TOWN CLERK .�!'�SAMILK 30 LD
TOWN OF SOUTHOLD /4,. %
�1 C�Gy; Application No. /1ELIZABETH A.NEVILLE,TOWN CLERK - /
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 ,1p . ; Alteration
% cis
Telephone • _sa Q �,, . $10.00 -Residential
(631) 765-1800 -=- �1 0,0 $25.00 -Non-Residential
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TOWN OF SOUTHOLD •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE 1 D A 6 2
APPLICANT NAME: x5641/ t 'Dl/-/ J
APPLICANT ADDRESS: 12(0 /3 s 2/ J I)6f /6 - S
•
SEPTIC CESSPOOL ( i
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
___P___e_ / E= l_ _ 9 e-zo k)G
•
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTS TION:
OWNER OF PROPERTY: OS/5-PP- I c /b'✓ WHO
OWNER MAILING ADDRESS: P6/3 (7( , s 01/C( ^
OWNER PROPERTY ADDRESS: 3 (1)S itAx-1 L I Ods) Cr---
ire c II '7
•
TELEPHONE NUMBER OF CONTACT PERSON �j 3 f 9'9 a ,
TAX MAP NO. : Section o•r t Do Block 0 2€ O® Lot 00 3. Q 2 3
CROSS STREET: 61eA-0•sv U l P Dig
BUILDING PERMIT NUMBER CROSS REFE' 1
ilk ik—i? '
__...A __......• ..,
• inaure of Applicant
RECEIVED BY: ?4-1-2441(
Town Clerk's Office
DATE: 10 ( 16 ib--- --
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FLOOD ZONE AE ELEV.9.0 LOT AREA= 40,111 sq. ft. t,
QR MAP NO. 36103C0069 F.FL. ELEV.= 10.5 =1
GAR. ELEV.= 9.0
DATUM NGVD . v
G044° (11
Od
'eZ�Al
V' DWELLING - WELL I. k.
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oLOT NUMBER 18 WELL
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sET six (8.2) S 21'14.40"E / 10' easement i 198.84' (5.1)
(8.3) •
661 FD. FVPE
o prop. driveway f
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Int- -CO)
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\PI 0
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25'
CgI prop. ,
garage 16
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ow (9.5) .% (9.5) N 3
, \ _ covered porch m
'�►.,�." 40 8• = z
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0 �� dwelling r.) 0
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67.0'
P. aLI °a
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In
R=20.00' -
L=31.42' 156' 1
.w ... . ....... . .... _..•�_».. PROP
;=ii:FI'[,: YC A;Nr o `;ice PAr ?r�!`sEN'i fr: 17,4- LTH S R.VICES:4 WELL WELL
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`�d •.".I'AON 1011'$Eb
(72.0)m. pips.
P��.:�! '15 �`Os't.�s•+,'.g12:av�r�p ,t�r`O; vl,m*'.,•�. � N 21'14'40"W 166.00' 7.3'E
:".;INGL !'A LV RIDSTDENCE ONLY
)ATE r— 'f HS REF. N0.62:-,0 - y 1V1��1T� - - QIL4 T
PLEASE NOTE
lPPROV 'L< _Ill _'.40," - Minimum distance between ei
OR' 'X.IMU !d OF.4_. +•C)MS , i II ' 1 a a _ . _
EXPE S THREE YEARS FROM DATE OF APPROVAL - '
N/F WHCOM INVESTMENT COMPANY - VACANT : z- t--
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cprn
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v. OFFStiS ion P?M NS1ONS) 'T";" GUARANTCES YWD:CATED HiiHac,-re H_ .
@4OWN HEI ON FT3OM THE SHAD. raIN ONLY TO THE TcRSJ°7 JOB No. 00-434 FILE t9i-tIGRArsIDVIeir rreSTATES
TRUOLIRES TO THE N O ERTY -C w:':: THT SUI"Y_`( IS P( -
IP E$ ARE FOR A FFEC: PU^- P.'. '�, AND C`I ;-:'S BEHALF TO 'y ;.SS
kr1ga' AND LIs1 Ain 1117.7`'N.':'-'.2 ,.7 Ir (71 r;�i, 4,F.N. SURVEYED FOR JOSEPH DIMINO
1,1 IU(JT INV:i4��';.) "t G' oA', F,. _. _ ,',)•.:N,_I �i
FtCCTION or c;X: S ,I Fti0 Tc. LOT NUMBER 19 .3:FIT_ice --.0
• ;•ALLS, r-OOLS, P(, r,'.. __ r `i-• ,0,r MAP OF GRAND VIEW ESTATES AT ORIENT
Num, AD9h1CIN ;i,'r:-..."..:.. y..-_,.IPS
)F`?,r1Y0;;!•RCiJMfi..'.ia:7: ('-s - • — • I. lavP1 SITUATED AT ORIENT
it/AUTHORIZED ALTc^ATiON C' C. ..-,,.
\DDITION TO THIS suaVi.-( r;, A TOWN OF SOUTHOLD - SUFFOLK COUNTY N.Y.
'O1A1 ON Of SLCTION 7_s7.9 C, C0-:^2 C7 7...3 ::,...$717Y ti.AP t •,
NE NEW ''OTt4C STATE EDUCATION SeA1.ik0 1-: L=,.T) i,:YCH: SCALE 1' = 40' DATE 9-28-2000
VW. I NXED L 03 [ SOSSLD STF
S i,LL NCir - C.C.•,SOa.' TO e.
FILED MAP No. 7083 DATE 6-8-1982
CE • TAX MAP No. (REF ONLY) 1000-14-2-3.23 DISK 500
EXCAVATION ECTION REQUIRED
FOR SANITARY SYSTEM HAROLD F. TRANCHON JR. P.C.
Y HEALTkI DEPARTMENT LAND SURVEYOR
/1",_,Iij F-rAQ,, 1866 WADING RIVER-MANOR RD. WADING RIVER,
NEW YORK, 11792
N.Y. LIC. No. 048992 631-929-4695
HAROLD F. TRANCHON JR. PENN. LIC. No. 2115-E
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