HomeMy WebLinkAboutFredricks, George ELIZABETH A. NEVILLE
TOWN CLERK
REGISTR~,R OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
F R E E DO M O_~jF [ N F~P~a~4~'~ FF ICE R
Fi/,~ ,, ,~,~ I1~[*, OFFICE OF THE TOWN CLERK
i~~, Jlin L ~ g'l'lL~ ~.L'~i TOWN OF SOUTHOLD
/ ~,,,:. ,(sc,,~r!:~.:q---J . .
tTJ:)~ .........S6-uthold Town Building Department
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fe~x (631) 765-6145
Telephone (631) 765-1800
sout holdtown.northfork.net
FROM:
Linda J. Cooper. Southold Town Clerk's Office
DATED: June 23, 2005
Transmitted herewith is a cop.,,' of application No. 3482
Permit submitted by:
for a Cesspool/Septic TaRk Construction
Gendot Homes
Please review the application and location map and advise if the pro.iect has received Suffolk County
Health Depamnent approval and if this office ma3, issue the pet'mit.
Please complete the [bm~ 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 ~
DISAPPROVE
Conlments:
ELIZABETH A. NEVII,I,I~,
TOWN CLERK
REGISTP~ 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.nor~hfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10 ~f or Non-Residential ~ $25 __
Applicant Name ~¢tl~57/' ~]'O ~-~
Applicant Mailing Address . ~)~/
Septic Tank ,/ or Cesspool
Brief Description of Proposed Construction or Alteration
Application No. gq ~x
Permit No.
Location of Proposed Construction/Alteration:
Owner of Property:
Owner Mailing Address:
Owner Prope~ Ad.ess:
Name and phone number of contact person
Tax Map No: Section 7~
Cross Street 11/]11/ ~
Block 7.~ Lot q
NOTE: LOCATION ~,L~P MUST BE SUBMITTED WITH APPLICATION. NEW
Signature of Applicant Date
Received by: _e~.~ ~
LOT AREA : 29,232 SQ. FT. NOTE: NOT IN FLOOD ZONE- SEE PANELSI6161~2 0~473
F.FL EL.. 16.0'
..- ~'~ uOU, V?y
· ~EST HOLE
-- ~ ~,,~ ~ ' ~i': ~v.,~.o.
'~ - '~ " "' "~ / ,?' ,," ~I
~ ~ ~ / ~?x ,' ~o,-
/-
~ / elevation top of pipe 02.7')
n'Ls' ¢~' ~%~ / ~ ~ . ~ ~ .O ~ elevation of ~rnd at pipe [10.2')
/ ,, ~- '~ / I- 'o ~ /~ ~ I ~ ~ sE.~c S~ST~M NOTES:
/ ~ D' q~ % ~ / ,~.~ ~ ·
~_ ~.~ ~ ~ .... ~1 -- x /
~o~//il~~ ~o 0~''~°°~ ,,, ~-_ ..:,,: Ii: i" i' "~,. I!~'
/ :I1
.o~:.o.~,o~o~o,.~sw~,c~oo~ ~ ~. ~.~
~u~.~..~. I~ 'i~
/
i'
I
j~ J :NS' ~vt,c~ gl ~ SITUATED AT PECONtC
~~~,i~ r)~w~M ~ TOWN OF SOUTNOLD - SUFFOLK COUNTY, NEW YORK
TAX MAP NO. lO00 - 074 - 2- 9 (REF. ONLY) DISK247
HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
P.O. BOX 616
NEW YORK, 1 ~792
N.Y. LIC. NO. 048992 631'929-4695
~ HAROLD F. ~CHON JR. PENN. LIC. NO. 21115-E