HomeMy WebLinkAboutHassildine, Scott & Sarah
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hal!, 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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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
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Michelle L. Martocchia, Southold Town Clerk's Office
DATED:
February 7,2008
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No. 3777 for a Cesspool/Septic Tank Construction
Permit submitted by:
Scott & Sarah Hassildine
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and retum it to me. Thank you.
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I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
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DISAPPROVE
Comments:
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Signature
().;2-~08
Dated" ,
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ELIZABETH A. NEVILLE'
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential@$IO-""- or Non-Residential@$25_
Town Hall, 53095 Main Re.
,~ P.O. Box 1179 .
Southold, New York 1197:
Fax (631) 765-6145
Telephone (631) 765-1800
BOU tholdtown.northfork.ne
Application No. 3711
Permit No.
Applicant Name Scott ,. 50.1"'0."" l-\o..S-.')ilc:Lne.-
Applicant Mailing Address 2 Tl ") West Cced<' Ave..
t,lJ_ 'h:j"\D::)'.).~, NY II c, ~S
Septic Tank_or Cesspool_
Brief Description of Proposed Construction or Altemtion J.'(",n" l.t f'l'tS-h"j G. "J (\<1 "kvJ
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1<1cation of Proposed Construction! Alteration:
Owner of Property: SeD\-\- -t .'3O..('o..h I-lCt551IcJ;ne...
Owner Mailing Address: lll.) We Sf Cr-ec: K Ave
[LA tc-ho~e...1 NY /lQ3S
Owner Property Address: 2. 715 W~')+ Cree k Ave..
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NarneandphonenumberofcontactPerso~J.5J(l1h .~ 103/- 5)~-Io2AlCI
Tax Map No: Section 110 Block OS 1<1t Ot{
Cross Street () IrJ (b_sfv", e. f(('a.oI
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURvEY WITH HEALTH DEPARTMENT APPROVAL
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S' ature of Applicant . Date
Received b~.A -krM, a 11 J 0 ~
SEPTIC SYSTEM CROSS SECTON
,- 1000 .. I'tIECUT $O'TIC T....
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BY McDONALD GEOSCENCE
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SURVEY OF PROPERTY /<~\(:;";~'o\,-t- \
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TOWN OF SOUTHOLD /~';;''''"/'-' \ \
SUFFOLK COUNTY, NY
1000-110-05-04
SCALE: 7"=20' /<'(')' .,,<c"\> '" , .' .~.:."'-/ .L ~ /
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OCT. 6, 2006 IPROP. 2STY AId ~~,,-,. S\ . -,
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APRI.. 14, 2007 IADOITIONI V" ~ . ,~>/ o' ...J
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CROSS SECTION RE#lFORCED
RETAINING WALLS
PART OF EXISTNG HOUSE TO BE
REMOVED A/ID REPLACED WITH
26' If 36' 2STY MODIAAR
IEST HOLE #2
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MXED $AND AND LOAM
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AREA = 9,959 sq.ft.
ANY AL TCRA nON OR Aj)OlnON TO THIS SURVCY ,S A VIOLA nON
OF SCC nON 7209 OF THf: Nelli YOH/( S T A TC f:DUCA nON LA 111.
CXCCP T AS Pf:R SEC nON 1209 - SUBOIIIISION 2. ALL CCR nnCA nONS
Hf:Rf:ON ARf: VALID FOR THIS MAP ANO COPICS THf:Rf:OF ONL Y IF
SAIl) MAP OR COPICS BE:AR THf: IW'RESSCO SC,aL OF THf: SURVCYOR
IllHOSE SIGNA TURf: APPE:ARS Hf:Rf:ON.
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- 1797
FLOOD ZONES FROM FRM
MAP NO. 36103COl63 G
MA Y 4, 1998
STREET
1/9711
ELEVA nONS ARE REFERENCED TO N.G. V.D.
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