HomeMy WebLinkAboutFlotteron, Joseph 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
TO:
Southold Town Building Department
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
SEP - 9 2008
FROM:
Carol Hydell, Southold Town Clerk's Office
DATED: September 8, 2008
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No. 3822
Permit submitted by:
Fred Weber, Architect for Joseph Flotteron
for a Cesspool/Septic Tank Construction
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: j
APPROVE
DISAPPROVE
Comments:
Signature
Dated
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
TOWN OF SOUTHOLD
SOUTHOLD V~ASTEWATER DISTRICT
APPLICATION
Town ttall, 53095 Main Road
PO. Box 1179
Southold, New York 11971
Fax (~531! 765-6145
Telephone i631) 765-1800
southoldt own northfork.net
CONSTRUCTION or ALTERATION PERMIT
CESSPOOl, or SEPTIC TANK
Residential (ez $I 0 .?<Q. or Non-Residenlial (q! $25 __
Applicant Name ~t'~o6C)
Applicant Nlailmg Addrcss
Septic Tank or Cesspool
Application No. .~ ,y
Permit No.
Brief, Description of Proposed Construction or Alteration
Location of Proposed ConstructioWAlteration:
Owner of Property: .~ ~ ~~
Owner Mailing Address: ~ ~~ ~
mock Lot 14:, \
Owner Property Address:
Name and phone nunlber of contact person
Tax Map No: Section 4.) lt~P
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEXt'
CONSTRUCTION REQUIRES SURVEY~WLTH HEALTH DEPARTMENT APPROVAL
Signature of Applicant
Received by:
E×ISTING WELL
~N ~ESIDENCE
0
EXISTING 5ANITAI~¥ SYSTEM' ~t
TO BE PUHPED OUT.
BACKFILLEO ~ITH CLEAN SAND
AND ABANDONED
WETLA
~ S~rG'lce, Burg /
/ ~ ~ ~ ~4'-4" ~eIo~
/ ~Exp) /
/' ~rade (Tgp.)
.- <ISTING ] /
o ~FSTING -~ PAVED [ /
~ ~-' .../ /
/ /
/
EST ~m~' (Tgp.)
HOLE " P~OPOSED EL ~0 0
GAEA.GE ....
..
.." ,, o PARTIAL
__ 5tone ~et~m,ng I" = 20'-O"
~n Or,Ce ~~ F~EDE~ICK ~EBE~, ARCHITECT
~~~ 41 EAST mAPLE ROAD
PROPOSED .,.
E~ANITA[RY
N
~4GOo
NORTH
51TE PLAN (~
FREDERICK I. UEBER, ARCHITECT
"11 EAST MAPLE ROAD
Revl.scd: JULY 2~. 2008
lot' 2
RECEIVED
JUL 3 1 2008
BUFF. CO. HEALTH 8ER~CE8
OFFICE OF WASTEWATER MGT.
COUNq~ DEPAP,'fi,~ENT OF ~ FJ~L'R4 SERVICESFOR ~
FOR Av~ROV~:~ OF CON~Ruc~O~hND
EXPIRES TI-IREE YEARS F'~.OX~ DATE Ot
FLOTTERON RESIDENCE
;I; CLEARIIIAI'L:R LANE
CUTCHOCtUE, NE-BI yORk:
PROPERTY OIUNER:
JOSEPH argl NORA FLOTTERONi
GR~ING PLAN AND/OR PLOT PLAN