HomeMy WebLinkAboutAliano, Nicholas ELIZABETH 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:
Nicholas Aliano
Southold Town Building Department
Linda J. Cooper, Southold Town Clerk's Office
October 21, 2005
3529
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
recommendations:
APPROVE
DISAPPROVE
Comments: ~
\
Signature
Dated
OFF~CE OF THE TOWN CLERK
TOWN OF SOUTHOLD
~7~d~ETH A. I~VI/.LE, TOWN CLERK
P,O. BOX J 179
~OI. ITI-IOLD, NEW YOP, K 11971
Telephone
(63~) 765-1800
Application N o._~
Construction
Alteration /,
$10.00 - Residential
$25,00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE '
SEPTIC~ CESSPOOL ~ ~{
t). g
LOCATION MAP: Must be attached hereto before permit may be issued,
LOCATION OF PROPOSED COI~TRU~CTI(~N OR ALTERATION:' ~-IE~I C0(~J~
(~ ~ur~ of~pllcant
Wown Clerk';i Of~e
DATE: ~ ~5
N
LOT NUMBERS REFER TO "MAP OF VISTA BLUFF" FILED
IN THE SUFFOLK COUNTY CLERK'S OFFICE ON MARCH
15, 1968 AS FILE NO, 5060.
ELEVATIONS REFERENCED TO N.G,
FO~ M.~,X'~,ff~M OF
ID(PIRF. S THRF~ YI~ARS FROM DATE OF APPROVAL
I
I
/
I
/
I
SURVEY OF PROPERTY
AT CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
1000--83--01--14
~CAL~ I°--30'
JANUARY ~ 2~
Moy 10,2004 (B.O.H.)
Nov. ~, ~4 (revl~
(
II/!
CROSS SECTION SEPTIC SYSTEM
AREA=22, 117 SO. FT.
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A t4OLATION
OF S~C TtON 72090F THE NEW YORK STATE EDUCATION LA ~
EXCEPT AS PER SEC~?ON 7209-SUBDIVI$10N 2. ALL CERTtFTCATION$
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF
SUBSURFACE ~EWAC.~E
DISPOSAL SYSTEM
DE~...~cD BY
~0 D VIRIOBA~'
BAR TIL UCCI
CONSUL TIN~ ~ERS
(.
(630 765-5020 FAX
P.O. BOX