HomeMy WebLinkAboutTaglios, Peter ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
....... RECORDS MANAGEMENT OFFICER
?REEDOM OF INFOlq2~4ATION OFFICER
iJ~i qrp I 6 ~OOS ~"..' OFFICE OF THE TOWN CLERK
[__ ...... __.j } TOWN OF SOUTHOLD
I
TO: Southold Town Building Department
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
FROM:
Linda I. Cooper, Southold Town Clerk's Office
DATED: September 15, 2005
Transmitted herewith is a copy of application No. 3507 for a Cesspool/Septic Tank Construction
Permit submitted by:
Nemsehick Silverman Architects, P.C.
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 /
DISAPPROVE
Comments;
Dated
ELIZA~ETIi A. NEVILLE
TOWIq CLERK
RE~ISTP. AR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MAIqAGEMENT OFFICER
FREEDOM OF IIq-FOtt3/ATION OFFICER
Town Hail, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
F~x (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
Permit No.
Applicant Name~
Applicant Mailing Address__
Septic Tank or Cesspoo?'
Brief Description of Proposed Construction
Location of Proposed Construction/Alteration:
Owner of Property:~
Owner Mailing Address: - '
Owner Property Address~
Name and phone number ;f contact pers2n, ~~'7
TaxMapNo: Section '~ Block ~ Lot Il,4
Cross
Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
t~'igI~tu~'e ~ App lie ant/~/~
Received by:
SURVEY OF PROPERTY
SITUATED AT
BAYVlEW
TOWN OF SOUTHOLD
~'="~-~,-' SUFFOLK COUNTY, NEW YORK
.~ ' S,C, TAX No, 1000-78-05-16
SCAE~ I "--30'
:t~~ FEBRUARY 22, lggg
~' JUNE 29 1991 AOOED ~ ~
THE EXISTENCE OF RIGHTS OF WAY
AND/OR EASEMEHT~ OF RECORO, IF
ANy, NOT SHOWN ARE NOT GUARANTEED.
~tlp Su~e~ - Sul~li~io~e - ~te ~a~ - C~ ~ut
PHONE (651)727-2090 Fax (651)727-1727
~ES L~ AT ~UNG ~E~
522 R~KE A~UE P.O. Box 1951
~H~D, ~w Yo~ 11901 ' Ri~ead, ~w Yo~ 11901~
~l~[ll~ ~ ~J'iIA~ FROM DA'~ OF ~VAL
.
D SEPTIC SYSTEM AND ~ m~ ~ ~ ~ ~
. . . ~0 .
, ,,,,
~ ~. · ........ ~ ........ ~~ :.~ -
~ [~~F~ L~~urvey~r.
SUI
SUFF,
S.C.
JULY 10,;
PROPOSED SEPTIC SYSTEM AND
RETAiNING,WALL DESIGN BY
FREDERICK' S. KEITH, P.E. OF
SAG HARBOR ENGINEERING.
TENT HOlE DATA
pgp~MIT ~OR APPROVAl, O]~ ~irORA
SINGLE I~AMI/.Y m~ng~K~g Olfl,T
EXiql~ ~ '/BA,~ i~OM DAT'B OF APPRQVA].,
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PHONE (63
O~/C£$ L,
322 ROANO
Rt~:RHEAD, N.
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