HomeMy WebLinkAboutTraponi ELIZABETH A.NEVILLE,MMC Town Hall,53095 Main Road
TOWN CLERKP.O.Box 1179
I Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631)765-6145
MARRIAGE OFFICER Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER = www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICERa
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Sabrina Born,Southold Town Clerk's Office
DATED: February 21,2019
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4701 for a Cesspool/Septic Tank Construction
Permit submitted by:
Robert I.Brown for Joseph&Vicki Trapani.
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
Signature
Dated
ELIZABETH A.NEVILLE Town Hall,53095 Main Road
TOWN CLERKzz. 7:1 P.O.Box 1179
CD
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS -rft
41F Fax(631)765-6145
MARRIAGE OFFICER Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
RECEIVED
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT Southold Town Clerk
CESSPOOL or SEPTIC TANK
Residential @$10 or Non-Residential @$25 Application No: 0
Permit No.
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Applicant Name r- -j11- i
Applicant Mailing Address
Septic Tank or Cesspool
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Brief Description of Proposed Construction or Alteratioii i �
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Location of Proposed Construction/Alteration:
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Owner of Property
Owner Mailing AddressrU7. —6 1 W
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Owner Property Address: L-
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Name and phone number of contact personJa
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Tax Map No: Section__7L —! Block Lot &4
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH Hl ALT
'II-DEPARTMENT APPROVAL
Date
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Received by:
ALL DWELLINGS WITHIN 150'
wl PUBLIC WATER
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(3)LEACHING POOL 5 1 1°3T I O"W BA5ED ON SURVEY BY:
8'DIA.x G-O'DEEP 201.53' KENNETH M.WOYCHUK LAND SURVEYING, PLLC
DATED:05 OCTOBER, 2018
EL 13.0 ° rL G ' 5CTM 1000-70-09-G4
i EX LP L`P EL 12.G AREA: 22,513 SF (0.52 AC)
i ZONED:R-40
TE5T HOLE EXISTING NOTE:ELEVATIONS HEREON REFER TO NAVE) 1,385
LOCATION f/ 500 GALLON NO ADDITIONAL
P t ST 5 TIC TANK(TYP.) IN-GROUND POOL UNDERGROUND
EX15TING SEPTIC IN 1 Y 8' IA.x-0-O"DEEP UTILITT5
TH15 AREA TO BE ti 5' TEST n
ABANDONED f EANOUT TO BE LOCATED McDONALD GEOSQENCE
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SITE PLAN WILLOW POND LANE
REVISED:zSJANUARY,zoiq
500 GA;ON EArnitiG-POOL SCALE:E"=zo'-o'.
EXISTING EXCEPT A5 NOTED ALL DWELLING5 WITHIN 150' se= -Al
Robert I. Brown
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