HomeMy WebLinkAboutReddy, Thomas E~LI~I~ETH A. NEVILLE
~ TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
FROM:
DATED:
Transmitted herewith is a copy of application No.
Permit submitted by:
Thomas Reddy
Southold Town Building Department
Linda J. Cooper, Southold Town Clerk's Office
3291
for a Cesspool/Septic Tank Construction
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
recommendationsAPPROVE: ~
DISAPPROVE
Comments:
Dated
ELI .ZABETH A. NEVILLE
TOWN CLERK
REGISTBAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
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 Name ~
Applicant Mailing Address c~ q '7'l~_lr'3qo~y~
Septic Tank or Cesspool v/
Brief Description o f Proposed Construction or, Alteration o ~
Location of Proposed Construction/Alteration:
OwnerofProperty: ,Lee dV/~
Owner Mailing Address: / ~-/O "7 C~O--<~ ~)~
Owner Property Address: l Tqq P{a 26
It q' q
]24'am¢'~l'ld phone number of contact person
'r,,.x~apNo: S~tion /£ Blo~ ~ Lot .~(..6~
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
Signature of Applicant Date
Received by: ·/~k..]~''-~
TAX I.D. No. 1000-18-06-26.8
JOB No~ 03-38
N\F pHILLIPS
OVER 150' TO WELL
AND SEPTIC
N/F LATHAM
VA_CANT
19.6
10' WOOD POST / WIRE FENCE
S 32°45,40.E 266.88'
PROPOSED
WELL
18.2
L~THAM F
NUR
17.6
pROPOSED SINGLE
FAMILY DWELLING
FF 19.0
GAR 17.5
104'
15.8
15.8
N 32°45,40,,W 260.14'
LOT 1
VACANT
FLOOD ZONE X
FIRM MAP No. 36103C0068 G
ELEV IN USCGS DATUM
FILE MAP No. 9001
SEPTEMBER 28, 1990
TIE 1787.16' TO MAIN ROAD
PLATT ROAD
and on his bet~a~ to the Title Company,GOvernmental Agency and I:~nd n~ . .
SURVEY OF:
MIN'
MACKENZIE
ORIEN