HomeMy WebLinkAboutPezzino ELIZABETH A. NEVILLE,MMCF °f � Town Hall,53095 Main Road
TOWN CLERK � P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS �� � Fax(631)765-6145
MARRIAGE OFFICER �, ,w; a Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER " � Ep
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Southold Town Clerk's Office
DATED: August 9, 2019
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4775 for a Cesspool/Septic Tank Construction
Permit submitted by:
Robert Brown Architect PC for Peter Pezzino
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:
Signature
Dated
ELIZABETH A.NEVILLE �� "a Town Hall, 53095 Main Road
TOWN CLERK `w. P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS �� � p Fax(631) 765-6145
MARRIAGE OFFICER -
1800
MANAGEMENT OFFICERm � Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER " " southoldtawn.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
.PPLICA" 'I �I
CONSTRUCTION r ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential 1 or Non-Residential plication No.
Permit No.
Applicant xancrv.�--� � r
Applicant Mailing Addressm._-- ��._� �i._ _� �. �_:�. ....... m.�..
. ................ �
Septic Tank
�r�� p
Brief lestrition� of Proposed
' .�
i .
Location of Proposed Construction/Alteration:
Owner of Property: - ®. ...... . . ..,...
Owner Mailing Address:,
-_ � . .. e. i�:i .V,� � . ......... .........
. .._
...
�.Owner Property Address:._ �.„���r � �.... ....... .m . .
Name and phone number of contact person
Tax Map No: Section Blockt
. �Cross Street ._ 11tu.....�
NOTE. LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES .1T IIP J, .- PAl;rrM N" APPROVAL
l
.. .. � /
Sigturc o ,,'7 ply nt Date
Received y: . .. .. �.�� e....m -.-e.
TEST HOLE DATA DA5E[)ON 5L)P,.VffY DY:
,YcDONALD GEOSCiENCE PECONIC,5URVrY0P5 P,C
—2,12212019
EL. 15.51Yom ---Z4RK BROWN LOAM OL EL 11.1' DATED: 21 MARCH, 201?
0-5, --�-- -3 ,TM: 1000 1 1C).-08-2_1,1
BROWN SILT ML 111/1'Cirl ZONED; R-40
11 EL 11 117' 'Tbs��lc IS" ARFA: 14,,.-)75 5F(0,25 ACKff3)
WD
PALE BROW FINES ND SP
EL 15.0'
i ; WATER
CA METER
O TQE 7-A L 1 J TH
El. 0.3' 15.2' / "PEN, EL=1 5.5' A - 7 00 00,cc�'
I
WATER IN PALE BRO SA, Ep
5)
17' STONE FEWATER
WALL
NOT
WATER ENCOUNTERED s5. "BELOW (2)LEAC j
SURFA CE -,I-IING PO)L METER
, !TEF 8'DIA, x G'0 0''D E. �El- 16.3'k'
LP
-Jb-�
C) LP
N/O/F FRANK J. ZORY JR,
DWELLING
PUBLIC WATER me
5T
00 G i- ON, EXISTING WELL
5ffPTIC TA ABANDONED
8'CIA x 4 (1YpI DLA IG 9,
erL
71
P P C))
6,4'
WIRE
IRE FEN, 0
FE END STONE WALL
0.L. HEDGE
SABRINA PEZZINO LJj STONE STEPS AREA OF EXISTING--------
ELLING SEPTIC TO BE EXISTING WELL
WATER C) ABANDONED ABANDONED
(D)
InN/O/F ROBERT LEHNERT
7'yO
(c)
R/O
36. DECK
CD
EL 18 ' ''I /' ',
SO
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t )v EN
TD
IQ
X173
00
CIO'T'l
0"
N/O/F RAMSEY REVOCABLE TRUST 0 '50
DWELLING EL 20.6'
PUBLIC WATER
SUFFOLK C tNTY OF HEALniSEFt=E$
rIIEo Arn/ROV�kI.'Or CON S TN/O/F JEFFREY GPATHWOH
F,E ri m I R U C'U.WLrrqft A
SITE FLAN FAMILY!Rrl,=:NCr t.TP7 Y WATERs
R)
�kFD AP
EX15TING EYCIfF7 A5
NOT AUG 0
SCALE 20' -00'
Em"ROOMS
41
XPIRE_S-f'IiRE YEARS FROM DATE OF APPROVAL
IN
TI
200 G-uO.
fl(_TINI4 I1- 0 Drrl
0 DEff
PEZZINO RESIDENCE
i8oWICKS ROAD NEW SUFFOLK,NY 11956
7
10 JULY,2019
5 j i
� aru rte tr G. SCALE:I"=20'-D"
Robert I. Brown,�
Architect, P.C.
2r)5BayAve. Greenport NY
In oCat-ibi^owriii,chit:ect:,corri
SEPTIC CR055-5ECTION 631-477-9752,
rWUITO 5c,,"F
BEOR0011 1-10.15t .1NIVII. wZ '
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