HomeMy WebLinkAboutMonaco, Andrew ELIZABETH A. NEV~J,E
TOWN CLERK
P, EGI~TEAR OF VITAL ~TATISTICS
MARRIAGE OFFICEH
RECORDS I~Ai~AGF_~ENT OFFICER
~E~,VO~ OF ~Oa~T~O~ O~C~
' OFFICE OF THE TOWN CLEHK
~ ~ ,~ ~ ~ TO~ OF SOUTHOLD
TO: ~,~ ~ ' ' ;~So~thol6T~ B~dmg D~enr
FEOM: ~ J. Cooper, Southold Tom Clerk's Office
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
sou~hoidt~wn.nor tl~fork.net
DATED: April 23, 2004
Transmitted herewith is a copy of application No. 3311 for a Cesspool/Septic Tank Construction
Permit submitted by:
Andrew Monaco
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 J
DISAPPROVE
Comments:
Signature
ELIZABETi~ A. NEViLLE
TOWN CLERK
REGISTI:h&~ OF VITAL STATISTICS
MA~.RIAGE OFFICER
i:~ECORDS MANAGEMENT OFFICER
FREEDOM OF INFOi:h~CAT[[ON OFFICER
Town Hall~ 53095 Main Road
P.O. Box 1179
Southold. New York 11971
Fmx (631) 765-6145
Telephone (631) 765-1800
southo~dtown.nor~hfork.net
OFFICE O~' THE TO%VN CLERK
TOWN OF SOUTHOLD
SOUTItOLD WASTEWATER DISTRICT
APPLICAT][ON
CONSTRUCTION or ALTERATION PERMIT
CESSPOOl_ or SEPTIC TANK
Residential ~ $10 '.~ or Non,Residential ~ $25 __
Application No.
Permit No.
Applicant Name /~ fi~,,2
Applicant Mailing Address
Septic Trunk /or Cesspool /
Brief Description of Proposed Construction or Alteration
Owner Property Address:
Tax Map No: Section
Location of Proposed Construction/Alteration:
Owner Maihng Address: ~ ~ ~/
Block _~ ~ Lot 0 0 /
NOTE: LOCATION M~ MUST BE SUBMITTED
CONSTRUCTION ~QUI~S S~Y~H HE~TH ~EP~T~NT
RECEi¥ D
~ ~ ~ /¢-4~,x]~ o SUFFOLK dO~TV
. //7~ y ~'~ ~ ~
S, ,NO ~ ~ ~e --~ f' ~ ~ ~ PROP. ~ _50
nLkYE' I~'~ ~SIGN ~ x, ~ ~ ~/ ~
/ .56
AN~ NdT SHO~ ARE NOT ~ ~
UNA, ~RIZED AL ~RA TION O~ ADDITION
TO ;~1~ SURVEY IS A ZOLA TfON OF ~,~ ~ ..... ~ -"
~ Y MAP NOT BEARING ~ ~ -~ ........ *~* Gw .~",,~';i~fi5~0~¢~
EMBPS~D SEAL SHALL NOT BE CONSIDERED c~'~',,: ........... .......... ~ ...... ./~
GUA ~A~ES INDICA TED HEREON SHALL RUN 't¢.~L 5 ~¢7.~-,~% ~¢~ .......
ONL ~ ~ ~E PERSON FOR WHOM ~E SURVEY ~, ........ ~ ~: ........... ~' . -
GO~RNMENTAL AGENCY AND ... ~.
N~IN iNSerTION LIS~D HEREON, AND ~ -- ~ ....
TO [H~SSIGNEES.OF ~E LENDING INS~- _: ~?.~'¢&~.~"~{~S ~.~,~~-~'i~LO~{ij~'''k ' ~ ~: ' 'z-
TU~ ~N,'~ GUARANtyS ARE NOT TRANSFERABLe. ~ ...... ' " ' ~ --
SUR*~ OF: DESCRIBED PROPER~
[ ' KENNETH H.
[ . Su~e~ng and Land Planning
SI~ ~ D~~N: EAST MARION 1814 Middle Country Road
0~1 F: SOU~OLD . ~u~ D
T gzdge, N,Y ~961
o cou, . ,,w
DAli:: 0/01 JOB NO, B01-6277 SCA~: 'I"= 50'
DIST. SEC. BLK. LOT , , '
, S.C.7 M.[ NO. 1000 021 02 001