HomeMy WebLinkAboutDunning, Susan Magrino ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.nor thfork, net
TO:
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Southold Town Building Department
FROM:
Carol Hydell, Southold Town Clerk's Office
DATED: September 8, 2008
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No.
Permit submitted by:
Susan Magrino Dunning
3824 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 remm 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: ~
Dated
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-0145
Telephone (631) 765-1800
southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10 or Non-Residential @ $25 __ Applic&tion No. ,-~ ~0,~ ¢
Permit No.
Applicant Name ,~.~j~) ~"~.~,* ~x ~ ~
Applicant Mailing Address q~ ~ff~~ ~
Septic T~ ~ or Cesspool ~ ..
Bhef Descfi~ti°n °f Pr°p°sed C°nstmcti°n °r Alterati°n ~ ~' ~ ~ ~
~cation of Proposed Constm~io~A. lter~tion:
O~er of Prope~y: ~~ ~~~O ~ ~t~
Owner Mailing Address: ~ ~ ~ W~ ~ ~~
Owner Propeay Address: ~S' ~'f~ ~ ~ ~
Name and phone number of contact t
Tax Map No~OOC) Section ~__ Block
Cross Street '~.
NOTE: LOCATION MAP MUST BE SUB~ITT~ WITH APPLICATION. NEW
CONSTRUCTION ~QUI~S~~ H~ DEP~TM~N~ -- '
. ~a~e bf lpplicat Date
Received by:
SUR'v'E'r' OF= PROPERTY
51TUATE.. ORIENT
TOk',IN.. 5OUTHOL~
5IJFFOLK bOUNTY, NT
5URVE"r'FD OI-20-.2OO5
REVISED O"/-IE,-2OO5, IO-2.4-2OO5
II-Oq-2OO5, 1-06-2006, I-O2-2OO-/
4-14-200`5, 4-21-200`5, ,5-15-2OO,5
E~UFFOLK C, OON'T"¢ TAX ~t
IOOO-I-/-I-2.1
.5,UFFOLK C, OUNT'r' DEPT. OF HEALTH
5ERVIC. E5 I:~EF. H RIO - -05 - OIqO
TO:
~USAN MAG~i~O D~G
APPROVED ~,,, ,~,~/ ~ ....
~P~S ~F.S FROM DATE OF ~PROVAL
existing sanitary s?tem must be in
Submit
\
HONUHB~T
0 PIPE FOUND
PARC, EL AL.50 5HOJ"~I ON 5UP, VE¥ OP THE "C, EDAP-.5" F'P-.,Ch°EI~T'Y OF
HAIRY Pl. 5'r'EPHE'NSON FILED JULY II, IqO~), FILE No. 421 AS PART OF
PLOT I= ~ PAP. T OF PLOT X. 'i
ELEVATION5 P-.,EFEI~tSNC. E N~VD'2q
FLOOD ZOHE'ANROTATED t=~OPI FIRPi MAP HUHBE'P. ~10~C, OO~4 ~ HAY 4, Iqqt5
C, OASTAL EleCtION HAZARD LINE ANNOTATED FROPI COASTAL EROSION HAZARD AREA MAP
PHOTO No. 4'"/.-~51-~'~ SHEET I,~ oF4q
~RAPHIC. ~C. ALE I%
AREA = ~-7,405 5.F. or' 0./>~ ACRE
FOR SANITARY SYSTEM
.%,
JOHN C. El-Il.ERS LAND SURVEYOR
6 EAST MAIN STREET N.Y.S. LIC. NO. 50202
RWERHEAD, N.Y. 119O1
369-8288 Fax 369-8287 REF. -\\C ompaqserveflpros\05~05 - 105 NEW HSE 08-15-2008 .pro
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08/I ~/200S
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