Loading...
HomeMy WebLinkAboutEdgett, Scott / Town Hall, 53095 Main Road P,O, Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown,northfork.net EUZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OF~.l RECORDS-MANI<~T\(tl'\l<;ICER ~DOM[OF;~F:Ord4~Iqt:',pIfFICER \>\I\R'2. ()' 0 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD , -..-.- TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: March 15,2006 Transmitted herewith is a copy of application No, 3573 for a Cesspool/Septic Tank Constmction Permit submitted by: Scott Edl!ctt 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: ~~..2d~~-;;:~ -~~ -,/~~ rn-~~ Signature ~.,'2..Q, ~ " Dated . ., ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 530915 Main Road .. P,O, Box 1179 Southold, New York 11971 Fax (631) 765-61415 Telephone (631) 765-1800 sou tholdtown ,northfork,net ~ OF.F.ICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD W ASTEW A TER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $IO~ or Non-Residential @$25_ Application No. 3S 1) Permit No. ApplicantName S;(ot! ~Or+t Applicant Mailing Address 3 ~ () 1'::- i~) i D rJ A. u t? (V11'\- H-d'"'!"" L k... f'.-l'y \\'1'')1- Septic Tank~or Cesspool2:..- Brief Description of Proposed Constmction or Alteration rJ e....' ~.:>~"-\~ ~,"",c='N~ Location of Proposed Construction! Alteration: 1'-\ "" ('I ,,- !>,;J ,,- 1"'\<\ 1h'~ll::.. Owner of Property: tJe ).,r,\ 6'( ""oj e.tt- Owner Mailing Address: 2.0 L1DrV ~('o...(\ l2.odL R..~ t-t\:<,t "",,,,'()h,J tJ Y II q '57 Owner Property Address: "l7c ('v,6.,~I€ L~ L"--il\-l:hJ-",L1L- tJJ. \\~') "L- Name and phone number of contact person \01 Tax Map No: Section 1,'.30 Cross Street Cl(C< r-'C ~vE: NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY,.. !J..,HEALTH DEPARTMENT APPROVAL " i [~ 1/ t; . Signature of Applicant Date )~6t+ Ed~H O~ Block ~ (.1,1 L~') 4-o2-B ~-]'I Lot Received by: .:JlPn ~ l/'-. ' ~IOIII ~....... ~ t \te.lll'Ot 'O"d -- toe~1 ....A .... -_ __nr jV 1I1L'f:101 S3:JWO 'CJU,lf .~w'lV .&ON ., MOMS .1DW 'AN\' II '_ JO _lIO(... UYM jQ .1HDlM Jo .~ JM1 , LUt-LU(~tll) ><OJ OIQZ-LU(ltll) 3NOHd lnMo1l/CiPN~ - ~ ~ - ~ - &4'auJS .,lU. ~ g~-:J I I <"-J =1:- I':!::!J.... @O:l l.LJ I':!::!J I..L. ~~ 'N "'Mil. .PI M S*Ill~ 'NOU/U -wu..ONlCIO'1ltU.:IO ~.1ML ell (JNCIIW~~...~~ "o.l'l'MGI~CIN'f'~ II AWltlS.ltU JIIItlHM ~ J<<lIRBd lH1 OJ. J.M Nml TMi5 NO'Jdo4 ~ ~ 'Arfl)O lNU. CJl'1W. V 31 01 ~lII.IDWTMlS_~ *' .... cDl4Nl ~ (M1 ]H1 ONlIMlI.LOHoMtJ.3NffiSStKLJO$3WOO .." NOIJ..Vtlil(D 3J.VU )MIQJ.. MJN ]HL JO llOU NOlL.:QS JQ **''i'ialh If S. J.lIW$ SIU. OJ,. NOuIO(W yO 1'tOlJ.W11'W QJZIWOH.l1"NNn Jo,(aAlns PUe, ou6a6uI 'V 4desor ~o^' &0- lV ,;..~ "~~ -!of) ?JIJ' , ~ to' ,., +1>d.p AOllddY dO &L va WO}Ul Sll i3J. 3ffilH..L smndXll ./ ~ swoOllcm:a 77 .'1:0 WOW! 11011 , ." ;::.;; #' CItlAO'NcLlV g'1.W /1' -SP-O\ ". ;iOjr;,-z.f2, 'm.va '!NO VNllWSQ A'IIWYJi 3:'1~m.~ ;::1 IJ.:)!llLLSIIl03110 '1'1 AmMo{\' t!Od.LIWll'.!ld o . w~a3 llOOS 'OJ, U3U/J,1I3:J }sol c;-zj~ sa.l!dx:tr lfMD.,;J:dV IIGld pSS:A9fI ,L< :.(,~j)) ~ ..t:.,.....'t..'~ ~~.....\~,:, . ..,~<~~t';.r .~,.:1"..~~.. ',1.f\ot.:-t(..;. ~ ;;,'~;i'......I~ ,1,.......,.~ ,l.;~..,~v~.. ~ ,,'~~'1',:-."'. ~~~-..;.(~..~"l '::'i,;~4J,~~~ ,{:,-. '~~o\\,~1 f\"~"'~K(','j.. . "Joi..~\" ..~, '" '~:i'\' ~~';~:'''~'''''~i '.."::..~~.~~~I... :w.;,~(~, ;t~t;~'::1i~~t' {~~,~\:,~::.. '~~:(',f',,:,:~ """".:!i.!'i,~'~. \.)~I~Prt~~ :cI$OH'l'Sl'I"lICBI'tOJ.lMl:l~7lVd .;'Z fItS QtrM;.iJWO"I NMOIftiI .. ", .:' ,., " 10 1W01..wMi ~ *V(l ,0 66' 'z I li38yj303a NO 30N3/0S0.>D O'T'tNOO,," ),8 Dna 3701; jS3j) V.Lva :nOH .LSJI.L ~~-ol, 'ow X>>QiIW3II 'S'H'Cr.)"S .. , 'MH,U) I'tOI.:I CDtI\'.&.IO YJ.'fCl WJ/fa/If WWAl.'fNdllCl aw ..,. JW NOlOt NMOHS S'1OO.IIIJ:) 0N'f' STDM J1J NOll'tOO'l 3Hl "; lIHYl ~ .....m 'lOOIIl fHN::J'I'7I G:3IOomI ~ lOOtl tQINItJIIQ ~e 'DIJ .J 'GIG ,II f"loo,f & ''QIf'f' l1YMJQIS N " OOS st JStIOIoI I'tOOlIfCI]I ,. Q.l I , 101 lU1.5Ja IINItQQ1 ...... ~ .aJQ ..i. - " 'JCIIM .1'-," ..." ,. l1Mf.l. 1 'SMl7TMl 000' I II JSnOt.I NOOMbI ,. OJ. ~ y *U SlUt.Wm _.1 :IIWJI ,.,..... 'r ""'ofOOO'\:/I<WIl.-OOSlOlllflOJlQL~'IQ/Itt:X1NOll "0001.4 Wii.-<lOl "'*" &D\7I Ja ~ IJGW CIfW' l71IJt lW1"101I tMLI.SS3'1 SV1IN~ IWM MO~ I tftMJ.Sl1JO MWIO ~ ~ ClOIYI.:I lN3I.-oal JO SV3lN ~ WI.l.-oao IJ.... :,lC lIIIOZ ~ SHOll'MJU OOCJ'U MIl 'f3t 3NOZ o ttolClOhl1l: 'Ot4 m 11. ...,..... QClO"IJ :1tCMU MIllY! NOUVIIM1M ~ QOO'IJ 'E :snH.l. MMOMI JWV I3Nn InCUHOQ oNUIlla '8fVU ...... JIlt ~ !ltNIIlQ NlUlQ Atl 'G'A"8"H OJ. OJONIIUII JW IHOttYAJ1J "L ~ . , 't-~ /~~ l.N3W ~'td3a IU1'1f3H AS --------- W3J.S S A~'f.LINVS ~O:.:l a3Hln03~ :)3ciSNl NOI1VJ\V~X3 :..~ , . ~, 'I .~!~ ~rM ;;~ Ii ~~ ~l "~)\) h ,~". ;j, j; 'i' I. HI .1/' i ~t1~ ; / ~ "j" -:a ~~ \~~" \\ Z-:t ~~ '\ ct., ~ o \>> ./ ./ - ..... ..... - ..... .".. .....';) \ "'';:I!. o ........~7 Z>;r. o ..., ~~...--' I"~ -el.,'::;d "'.:.---;. ?""~ ~ . .----. .~:.ft'(- ...-- ..--- ~..... ..-- ..-- ...-- ..-- ...-- ....) ,......$0 .".,) ,.".~ ~ ... "ltlMn... aLl '11- """",...,,.. a"lOH~aiIlI\JlIIlOllIW>>ltf'iNt ~iIi- ',..... l$OOM !.VP.. '.~ ~ l'B' ~... 868 I 'S I U80!:lO ,o;C.l ~ I 'S:-S:O-LO 1-000 L 'ON XVi ':)'5 )llIO). M3H ',uN no:> >t10,;/,;/ns a10Hlnos ,;/0 HMOl :>i;) fl.LIJ.L VYi oLY a:JoLYfl.LlS ~H3d03d ~O AaAHflS ). JP.:.....~~ .---.....{-"'- .~ .--- ~ ~ ~a:..... ,,;:)~~'ii ~\~~a:~ ~~~f! .., lo:"l ~ AI'o\'ia ~~~ ~i~ Jii'" 0 ... - .".,) ""'~