HomeMy WebLinkAboutZanaboni, Patrizia
,
ELIZABETH A. NEVILLE
TOWN CLERK
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765.6145
Telephone (631) 765.1800
southoldtown. northfork.net
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATIQN-eFF(~R
-- . I:~'.
~'
\ D'CC \ 1. {"1
\
bFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
----
J
TO: \_-"'~'
-.-"
Southold Town Building Department
FROM:
Linda J. Cooper, Southold Town Clerk's Office
DATED:
December 11, 2007
Transmitted herewith is a copy of application No. 3768 for a Cesspool/Septic Tank Construction
Permit submitted by:
Patrizia Zanaboni
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:
Signa/~ jJ-- h
Dated I /
~
.
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
.d Town Hall, 53095 Main Roa
P:O. Box 1179
Southolcf, New York 11971
Fax (631) 765-6145
Telepllone (631) 765-1800
sou tholdtown. northfork. nei
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 7 k, ~
Permit No.
Applicant Name PA,\2..\<-IA ZA r-ir1 DONI
Applicant Mailing Address \ 2> Rs- HI NN'E-H1'l1-f l'9
B)..vh
,=::~:"'-"Hn L. 1'> N'1 I ,q 71
Septic Tank_or Cesspool_ '
Brief Description of Proposed Construction or Alteration He: \IV "KE: "" ,:no- No 11'1 I- 1+0M E
Location of Proposed Construction! Alteration:
Owner of Property: I'ATexz I A 7 A >-I A ~} ,
Owner Mailing Address: tJ AM r-c A <; J4 ?'(")..' E:
Ovmer Property Address:
6AMe. AS A,"'>o.JE.
N~l11c ~nd phone numher of eont~ct person ?f\T~\, , A
Tax Map No: Section?J 1 Block
L,':lHIClPoNI
:) Lot
71,;,5. ICf20
?-3
Cross Street
Oi>e:.Gl\E:.~
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURvEY WITH HEALTH DEPARTMENT APPROVAL
. 9aJiul.;.c.~o,~ \~S/O'
. ~ ~_OOfApPli=t Dm
Received by:
"
.
Tesl Hole
by ftlcOontlld Geogclence'
o 6A2I07 ELJ6.9
Dr. ...
-,r'-
0.3------
tw"'t,
3" - - - -- -
". ...
.. ...
.
-----
".., At
.....
... .
,
IiL V.
1\[/7'
e\ n.t
e \lln\gr)
d--+!. ",IY
'-\1"
(pu" '
, .I:.
0-"
'loP
.
SCDHS REF # Rlo-07-D093-
\
SEPTIC SYSTEM
.. 'IIEDROOII HSE
2' SEPLEATlCCHNIITANK I1'RECA~OOO G.4L.
$AN) coJ:ii'S tr rtfTH 3"
...
?-
~
o
o.
o
o.
~
c::..
o
W~'{
l(JW ~.,.
W DOSTNG HOUSE .TO BE REMOVED
EXlSTNG II'El.L. TO B€ REMOVED OR FLLED '"
DOSTNG CESSPOOLS ro BE REMOVED
OR FLLED '"
PROVIDE: 2 DIIlYI'ELLS '0'" 6'DEEP
~ss't'
t.4 t-tE .
~O/f ",~/I,hf3 oJe() .
of. I' >I' _&.
( JD IC- _.L ,....-:.
P . ~.....-
, ~
O' f:.
'56'0
1'1. 10
0/"
0:; 11.1-
~
!z.'
~
~\
~~ ,.
..
\
'i.
\
-\
-
FLOOD ZONE X
FIRM' 36103COl66 G 5/04/98
AREA = 17898 sq. ft. ~
V o-c-fYn
If>
SURVEY OF PROPERTY
A T LAUGHING WATERS
TOWN OF SOUTHOLD
SUFFO(K COUNTY, NY.
7000 - 87 - -03 - 23 '
SCALE: 7" = 20'
APRIL 22, 2003
NOV. 6, 2007
NOV. 15,2007 (f>W,..tlSE)
MlV. H,' 1!OO7 /REVISIONS}
f
"" 0 .
ar8 ~/(l!))
e'J"!r~I"
....Ie S4"'reN\
I""".~j
l' .sl \&.9 ..---
I2t el EY ~o'
~
o
-
"t\
R ___ _ -~~ \
',I'" 'l"lJ"N'~~DEl'~R:il~EN~OF~:nALTHSERVICES \i
J ,~.:"o....~ "'" I .
f"''tlrITf trOll ,\l''i'ROV AI.. OF CONSTRucn~N FOR A
, .", I 1:.m:C:l,.l<; F'AlVilL'l RESIDENCE ONL
:\ DATE~&. $ D 1- HSREF.NO. 1<-1007- 001'3
:q
'j APPROVED '
i' FORM F ..1-BEDROOMS .
l EXPIRES THREE YEARS fROM DATE OF APPROVAL
4NY AL TCRA TION OR ADOITION TO THSSlmVE'Y IS A VIOLA TION
OF SECTION 7209 OF THE NErI YORK STATE EDUCATION LAW.
C'XCU'T AS PER SECTION 7209 - SUBDIVISION 2. ALL CERTFICA TIONS
"EREON ARE VALID FOR THS UAP AfoD COPES THEREOF ON/.. Y F
SAID UAP OR COPES BEAR TfE IAlPRESSED cSEAL OF THE SURVEYOR
fHOSE SIGNA TI.JRf: ~ARS HEREON. .'. . .
ADOITIONALL Y TO COI/PL Y WITH SAJD LAW TERM . AL TCRED BY .
MUST BE USED BY ANY AND ALL SURVE:YORS UTLIZING A COPY
OF ANOTHE:R SURVEYOR'S MAP. TERMS SUCH . "'SPECTED . AfoD
. BRouGHT - .TO - DATE' ARE NOT '" COI/PLIANCF WITH THE LAW.
I am lamINar w11h /he STANOARDS FOR APPROVAL
ANO CONSTRUCTION OF SUBSURFACE, SEWAGe
DISPOSAL SYSTEMS FOR SINGLe FAMfI.. YRESIOENCES
and riI abide by /he candiliong Sill larlh ",.,.in and on lhe
pMm/I 10 cans"'ucl. .
..--
~o
c:.. ~
lTt'\.
- \ '
G) ~ c.i
.~ ~~;
~
<.. (\
'> ~
'%.
,
~
~~
-~
~.
,~ ~
'\J\ ~.
\J\
-,.
0('\
~.....
oC
..
-,
\,.---
\
\
~.,...
tt,'"",....-r.. :
........ I
I.
I ~
I '
I
CW'I
,
~
-
.Thll locations 01 Willis ond ellsgpools
shown hereon orll Irom lield observations
and or Irom dolo oblained Irom olhers.
~
<lO
,
el 15'-;
s'mi"
aIF .w
11'10'00 .
S. 88'
S. 88'/1'00' W. 95.02' ACTUAL 31.
. ( 94.9' D~ ~ @ ~ 0 W ~ ill
OPECHEE A VE ~ NOV 2 9 Z007 ~
. ( PUBLIC WA 1CR IN STRffTJ UU
.Qlwel/,/-; I/b//& Wa.;7 "".l
el.I-+'?
03 - 147