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Home My WebLink AboutManzi Homes (3) ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER i ~ i! iii OFFICE OF THE TOWN CLERK T4 lOV~ aiotldwld?Town 13julldmg 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 J. Cooper, Southold Town Clerk's Office DATED: October 24, 2005 Transmitted herewith is a copy of application No. 3534 Permit submitted by: for a Cesspool/Septic Tank Construction Manzi Homes, Inc. 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 =ts Signature Dated ELIZABETH A. 1N~E'VTT,L~ 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 SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential ~ $10 /r Non-Residential ~ $25 Application No. 3 .~ ~ Permit No. Applicant Name Applic~t M~ling Ad&ess ~. ~ tlT? S~fic T~k or Cesspool Brief Description of Proposed Cons~ction or ~teration Location of Proposed Construction/Alteration: Owner of Property: ~ A ~'~'t 141~ (r'}~ d~ Owner Mailing Address: '~. {~ ~ Owner Property Address: II~O ~/~ t~ t~'~ Name and phone number of contact person TaxMapNo: Section !!.'~ Block 6 Lot 33 NOTE: LOCATION M~ MUST BE S~MITTED ~T~ ~PLICATION. NEW Received by: ~ ~..~,) 9~ . Si~e~App~ Date ~ILTT' LO~"4 OL 0,'/' E~![OHN 5tLTY ~t~OI,,*,iN ~,ILT l,lL HATER ELV. 2.5 F. FL. EL. I0.1 SLOPE INITHIN ,2~' OI= SANITARY 9¥5T~ .50' REAR YAI~D .GETIDA~K · ro BI~ REI,,IOVI~D ¢°0~"50" E