HomeMy WebLinkAboutFrankola, Bruno
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) 765-6145
Telephone (631) 765-1800
southoldtown .northfork. net
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I' OCT I 2"06 I I
L LIO; ~ . Sout10ld Town Building Department
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- FROM:-- Linda J. Cooper, Southold Town Clerk's Office
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
DATED:
Transmitted herewith is a copy of application No. 3637 for a CesspooVSeptic Tank Construction or
Alteration Permit submitted by:
Bruno Frankola
Please review the application aod location map aod advise if the project has received Suffolk County
Health Department approval and if this office may issue the permit.
Please complete the form below aod return it to me.
Linda J. Cooper
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I have reviewed the application aod location map of the project cited above and make the following
recommendations:
APPROVE
v-
Comments:
DISAPPROVE
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Signature
/0/1,1 ftb
Dated ' ,
; .
ELIZABETH A. NEVILLE
TOWN CLERK
.....
Town Hall, 53095 Main ReI
..
P.O. Box 1179
Southold, New York 1197J
Fax (631) 765-6145
Telephone (631) 765-1800
sou tholdtown.northfork. ne
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $1 0 x: or Non-Residential @ $25 _
Application NO.21aOJ.
Permit No.
Applicant NameJ$0 ~J c::-=FvttA-N \<-"OL-c,1),-
Applicant Mailing Address 8Cf 0 No rL:rn P II:::::Z.--O (' A-r--'e
So 0D-(o LAD, ;0'-( I l'1. l \
Septic Tank v: or Cesspool_. '
BriefDescri~ of Proposed Construction or Alteration fJ t::"W SI JV('lt: nl'\ll'-^t '--<-{
-DWt-:VUl I\JG- uJ L- S EWf]C\ '-\ S \'-.""-^-
Location of Proposed ConstructionlAlteration:
Owner of Property: ~ [-.I 0 ~vC-OL-A.-
Owner Mailing Address: 15'-1.0 f0c:>CL\\\ Ft C::::lAD ~ts
SI:) U\\--"\.u'-\j) ( r0 l.-{ I' 't l t
Owner Property Address:
Name and phone number of contact person "'::, I _
Tax Map No: ( b Ol::l Section Ii
Cross Street /11- (?1A;fl-11..,A, <; r \
NOTE: LOCATION MAP MUST BE SUBMIT ED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES Y H ALTHDEPARTMENTAPPROVAL
Block
.<::'- "5 7 -<:I
I Lot
Iou
/<1
Received by:
SUFFOLK COUNTY DEPARTMENT OF HE!'~_TH SERVICES
PERMIT FOR APPRCV.<\!. OF C.CJN<;I RUCriCiN FOR A
SINGLE FAM!LY RES!DENCE Ai'rD
DATE~
APPROVED
TOTAL MAxiMUM BEDROOMS Fe)
EXPIRES THREE YF.P,,,? f~;r:' . ^'.TS OF N"pqOV/l.L
SURVEY OF PROPERTY
A T BA YVIEW
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000 - 71 - 01 - 19
SCALE: 1" = 30'
JUL Y 28, 2003
March 31, 2004 (Slake Hse. & Seplic SyslemJ
Sep-l. /4, 'Zoo+ (ru/~'''''l
Feb.I,2OOS
LOT COVERAGE = 4%
LANDWARD EDGE OF TIDAL WETLANDS AS DELlNEA TED BY
SUFFOLK ENVIRONMENTAL CONSUL TlNG, INC. ON MA Y 23, 2003
FLOOD ZONES FROM FIRM
361 03CO'6e G 514198
1':,' WETLANDS FLAGS
The localions of wells and cessPQols
shown hereon are from field observalions
and or from data obtained from others.
ANY AL TERA TlON OR ADDITION TO THIS SURVEY IS A VIOLATION
OF SECTION 7209 OF THE NEW YORK STA TE EDUCA TlON LAW.
EXCEPT AS PER SECTION 7209 - SUBDIVISION 2. ALL CERTlFlCA TlONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE: SURVEYOR
WHOSE SIGNA TURE APPEARS HEREON.
ADDITlONALL Y TO COMPL Y WITH SAID LAW TERM' AL TERED BY .
MUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY
OF ANOTHER SURVEYOR'S MAP. TERMS SUCH' INSPECTED' AND
. BROUGHT - TO - DA TE - ARE NOT IN COMPLIANCE WITH THE LAW.
CONTOUR LINES AND ELEVATIONS ARE REFERENCED TO N.G.V. DATUM
.
. .
I am faml/iar wilh the STANDARDS FOR APPROVAL
AND CONSTRUCT/ON OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAUlL Y RESIDENCES
and will abide by the condilions set forth Iherein and on Ihe
permil 10 construct.
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P. O. BOX 90
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SOU THOL D, N. Y.
- 797
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