HomeMy WebLinkAboutMessina ELIZABETH A.NEVILLE,MMC � Town Hall, 53095 Main Road
TOWN CLERK p t P.O.Box 1179
�y �w Southold,New York 11971
REGISTRAR OF VITAL STATISTICS i��' �� 4 Fax(631)765-6145
MARRIAGE OFFICER � ���� Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER x�1 ' www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER ��Of�°
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Southold Town Clerk's Office
DATED: January 14, 2020
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4285 for a Cesspool/Septic Tank Construction
Permit submitted by:
Chuck Thomas for Louis & Catherine Messina
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
,of F014r
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOWN CLERK `w P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 0 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.
Permit No.
Applicant Na e �,,,
...IT .. .... _._..... .................
___
Applicant Mallin Address,,,
Mailing
Tai
tic
Se �ik or Ce. .... ..
Septic �sspool
Brief Description f
p n of Proposed Construction or Alteration
Location of Proposed Construction/Alteration.
Owner of Property: ^.6' � �' .. ' 71�
Owner Mailing Address: e
Owner PropertY Add
ress:�w. � "�
p p '
Name and hone number of contact person dry
Tax Map No: Section Block Z Lot a
Cross Street W ) ° .... ..
NOTE: LOCATION MAP MUST BE SUBMITTED WIT11 APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY�1T 111" iEALT DEPARTMENT
Signature ofA �pr�Applicant
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Received by.
T OF HEALTH K VM
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Survey for:
1 UIS MESSINA
KERINE MESSINA
'/o Lots 203 & 204,
ed Map A, Nassau Point"
Town of
Southold
'folk County, New York
.M.: 1000-104.00-12.00-012.001
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DEC. 10, 2019 S.CD.H.S REQUIREMENTS
NW 08, 2019 IND.PROP.STRUCTURES
AUG. 01, 2017 INDICAN TGPGGRAPHY
ATE:MAY, 22, 2017 Survey for:
°B N°:20,7-290 LOUIS MESSINA
CERTIFIED T0:
LOUIS MESSINA & CATHERINE MESSINA
CATHERINE ME Plo Lots 203 & 204,
JUDICIAL EC)�S60 OMPANY
"Amended Map A, Nassau Point"
Town of
Southold
o Suffolk County, New York
50234 �� S.C.T.M.: 1000-104.00-12.00-012.001
SAND 40 0 40
DAVID H. FOX, L.S.P.C. N.Y.S.LS. #50234 SCALE:1"=40'
FOX LAND SURVEYING NOTES:
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TEST HOLE DATA
SEPT-19,2019
MCDONALD GEOSCIENCE
EL-29.0 0.0
BROWN SM
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PALE MOWN
FINE SAND
NO WATER 110