HomeMy WebLinkAboutWood, Daniel H
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
_00__0__,_0-'00,,0-r.-r5'
-, \ 'C,. '. ~, 1,.",
. 0 .. Tc>~ flaIl, 53095 Main Road
'il 0,'.' P.O. Box 1179
( , . ~ Southold, New York 11971
Fax (631) 765-6145
; Telepfl.one (631) 765-1800
o. ';:::''''Ot1th1l1'dtown.northfork.net
, .
-----
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
Southold Town Building Department
FROM:
Michelle L. Martocchia, Southold Town Clerk's Office
DATED:
May 22, 2006
RE:
Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 3600 for a Cesspool/Septic Tank
Construction/Alteration Permit submitted by:
Daniel H. Wood
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
*
*
*
*
*
*
*
*
*
*
*
*
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
~
DISAPPROVE
Comments:
~~~~ ~?:-ff' ~ - ~~
~~~4
Signature
&rA~ftb
, ,
Dated
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
.~ Town HaIl. 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 766-6145
Telephone (631) 765-1800
BOU thoIdtown .northfork .net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
<
SOUTHOLD W ASTEW ATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential@$IO'/ or Non-Residential @$25_
Application N<3<o 00
Permit No.
Applicant Name tJ4~i€L 1/. f,PCJ(/:P
Applicant Mailing Address \3'1,7tJ ;!p?,/((' ,{(.iT h. .
,
-- Jtf4,jj #1'/;2.; (1,.1 /
Septic Tank..L..or Cesspool~
Brief Description of Proposed Construction or Alteration
/.0 . ;5(/\1' $ B
Location of Proposed Construction! Alteration:
Owner of Property: I'll (J i c J- J.I. vJ 0 d'f7
Owner Mailing Address: PI . A(/f S~3
.EA6T IM,t..,'o# ,,u .y, 1/1-37' ?lSy3
.
Owner Property Address: .g y,z?/ ;tt>"'''tr ~ /iJ7 "e /J.
[.467 J'111A.-il,V ,tltf.
Name and phone number of contact person .;C'E7,E IL /J E f< t E ;e 7'1 'f - t1 'II J
Tax Map No;l.::?t?O Section ;;l ( Block i( Lot ~
Cross Street
NOTE: LOCATION MAP MUST BE SUBJ\1l'n~D WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURvEY ";fH HEALTH DEPARTMENT APPROVAL
. fA: A -' 5/drHOb
Signature of Applicant Date
Received l:iy:j\M\'f\ QA ~
L~J.i '. " ,
~
, ..
I " - ...:. ~
.,- '"
.. c .
1 '^ 2 ~l
J' i<
, 0 ~()
J Z '"
::J; I ~ II ~
c i
1 ~ ~iI.
---
, ,
;c:
~
lib
~
<(
U
,
',-
........
"
'"
""
'"
'" ~ .e-
......;f'
\:)
'-~
"
!Q
"h1i'
*
?
r
~
,
~
._~~.,_..~
-
~
o
U
o
..,,' .
,
~
0.
~
Q::
~
=
~
~1
I
~i
...\(. I
~I
-~
"l
jJ I
~Q..
'" I
J f
,
j.
tf~
,
l
I
I
I
f
f
I
I
I
j
!
~I
.
(/'J
lJ,1
p<l:
.~
r;::
Id
(.:') ~
i"'~ .' n
.'
.
,
f,)
-..J'
'D
9.
~'J
:." 11,
~; ~
;.; :.
..' -~'. ..'
~; i',:,';1
">- b [Ji
~.~ ,~i :.,,~_,!
:;} ;',
"I - ~;'3
, ': ,-
'" l'-"
'/t :':'i
;:" ~;7
t~ ~
c""~
I'
-'
~
0\
rt:1
~I
U.
o
~
o
::
o
FE
~ IfIJ
~
~~
" lli
~W
::: 0::
3 ;:l j!:
> I-' tI)
,) <) !/;l
(:; I ~ i- r'.
~
C)
'~
{ ,
ft)1
".
( ~,
ci ~
~
- \ tn '
1'-.\ ~ ~
~--_ _..rsl...~_. _~__
.
j--,-
'f
\)
(f\
\
-y
~
i
I
I
!
i
I
f
,
I
(
I
I
I
,
i
1
i
I
I
I
I
I
,
!
i
i
"1-
~
::j-
.
..$
;
!
~
~( ~V~
l'\o ~t--
... cl d ...
U<c.1
,
I
j
i
I
,
\
,90'-'b
~ii,
-'-'-
t
.
i
I
I
i
i
,
!
I
I
j
i
I
I
,
j
I
i
I
,
.
!
p;,!
~/
'- ,
~
,
,
.
1
i
,
!
i
I
I
I
/
i
I
I
I
j
;
f
I
I
I
,
,
.
i
. , I
\
\
I. I
\, f
I
!
i
I
!
r.::) I :.< -
lJ.l ~\/ !) ::t
.. V) UlI~ ~ ....
~ 0 0')
c./ \ q; (1J
, I \ 0 " - I--/~-I- .".1
,
I \~
I
'.
\
I \ --
,
/ -S
--
Y ,
,
=1 '\
It)
.B I?J~ ~
'.
. .
V\
o
...:\
3.
..-
0>
o
o
,
<1
)oJ
-
i
1
~
oq
'-
f'2
.~
~Q
\~ ~
l~ -- (
,."..."-~ -. - .::.... \ '"
_ ____,_.~+_l
~~~
c:s '.
i
I
I
I
J.oi
-.../
--. 1
i
1--!),
~i
I
I
;' -
,
i
I
I
I
I
I
I
I
I
!
i
,
,
,
,
,
I
,
,
!
I
I
I
I
I
~p,.
E' v1
~}:
s. ..Q
i;;
"'<.. ';
~I' +
...
Roe I<'y fa '''J r /v.o,-,.O
-
G I'
o / !
.5 "-
- I
~ '
l
.
I
d}/
... /
...l '
-t.
J
i
!<.-"
I .(
. '.
!~
,
I
,
i
!
.ij
"
"
, i
.... 1
!
I
I
/
/
- ,
t...
a()t I V" :
"
r
,
--9-C(
-
~~~
.l> fc
o
'4
..,... ,.....
,. /~~
:t