HomeMy WebLinkAboutAngelina Properties 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 th fork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
FROM:
DATED:
RE:
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
October 3, 2008
Cesspool Construction Application
Transmitted herewith is a copy of application No. 3831 for a Cesspool/Septic Tank Construction
Permit submitted by:
Samuels & Steelman Architects for Angelina Properties LLC
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:
APPROVE J
DISAPPROVE
Comments:
Signature__
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
Fe:~ (631) 765-6145
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 ~ $104 or Non-Residential ~ $25 __
Application No. ~_ ~ I
Permit No.
Applicant Mailing Address 'X 5-~ % ~F vm ~ ~ ,~ ~',
Septic Tm~ 4 or Cesspool~
Brief Deschption of Pro~osed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: l~,e4
Owner Mailing Address:
Received by: [3.3`
Owner Property. Address: C) ¢ 5'-
Name and phone number of contact person
Tax Map No: ,'c,cc~ Section / /
Cross Street (~ 6 ~ ~ ~ M
NOTE: LOCATION M~ MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION ~QUI~S SURLY ~TH HEALTH DEP~TMENT APPROVAL
Si~at~of Applic~t
%
2~
Abandonment ofexis, mg s&~imry system must be in
comformance with department requirement Submit
completed form WWM-'~ as proof.
- NCE ONLY
~{N'G~ ' ~LY R[SIDE
APPROVED
FOB M~×lm::~OF ~ B~OR00~S
Excavation Inspection Required
For Sanii:,~ry System
By Hefftth Oepad~ment
24.
AT ~NIT~I~t' ~Y~
I=I~OPO~ED E~=PI'I~ 5¥~T~M
~ ~ LINE EL.EVATkDN Iq-~ Fl'.
I..INE
120.0
FT.
IIE. +l$.b'/'
iI=.+lq.r't,
. I~'-.O" t~ESIDENC.,E , &'-O"
SF-PTiC P~OFILE RESIDENCE & GARAGE
_SITE DATA
SCTM #
PROPERTY:
ADDRESS
OWNER:
1000-110-07-03
995 WEST ROAD
CUTCHOGUE, NY 11935
ANGEUNA PROPERTIES, LLC
c/o PAT IAVARONE
6 SUTTON PLANE
MANHASSETT, NY 11030
SITE: 34,932 sf = 0.802 ac
ZONING:
SURVEYOR: NATHAN TAFT CORWIN III
PO BOX 1931
RIVERHEAD, NY 11901
LICENSE # 50467
DATED 114/08
'9
TEST HOLE
/
BY MARK McDONALD
GEOSCIENCE
NO SCALE SOUTHOLD,
NEW YORK 11971
TEST HOLE DATA (5/20/08) +1- 24.0'
1.0 FT. DARK BROWN LOAM OL
$.0 FT, BROWN SILTY SAND SM
NEW
PALE BROWN FINE
TO MEDIUM SAND SP
NO WATER ENCOUNTERED
LOCATION MAP
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¢
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