HomeMy WebLinkAboutLazio, Ernie & Carmela ELIZABETH A. NEVII.I.E
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OI"FICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
TO:
FROM:
DATED:
OFFICE OF THE TOWN CI.ERK
TOWN OF SOUTHOLD
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
October 15, 2008
Transmitted herewith is a copy of application No. 3832
Permit submitted by:
for a Cesspool/Septic Tank ALTERATION
Ernie & Carmela l.a~io
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.
Carol Hydell
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE ~
DISAPPROVE
Comments:
Maintain required setbacks from adiacent wells, buildings, property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
Signatur~ /, .
Dat~/~//~~
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAi~E OFFIOER
REOORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
.~Town Hall1 53095 Main
· Pos
P.O. Box 1179
Sou/hold, NewYork 11971
Fsx (631) 765-6145
Telephone (681) 78§-1800
sou tholdtown.nor~hfork,ne~
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 ~ $25 __
Application No. ~ ~ ~'"~
Permit No.
Applicant Name ~rT. ff/,l'f~-;d ~:'/~/~-/,-~ i ~Z
Applic~t Maihng Ad.ess ~ ' ~ ~S ~W
~eptic T~ ~ or Cesspool
B~efDescfipqon of Proposed Cons~ction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: ~"~A~/~" ( ~m ~ .~ X 1 ~
Omer Ma~g Ad.ess: ~ -~ ~,$ ~
O~erPrope~Ad~ess: ~O ~ ~
Name and phone nmnber of toner person 0fl ~L ~ ~h~/O
T~ Map No: S~tion/~ O Block ~q' O~ ~t
NOTE: LOCATION ~ ~ST BE 8~TTED W~H ~PLICATION. NEW
CONSTRUCTION ~Q~iS~Y ~. ~TH DEP~T~NI mPROV~
Si~e of ~plic~t Da~
Received by,'
¢¢~UUNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY iS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
COPIES OF THIS SURVE~K MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY.
GUARANTEES INDICATED HEREON SHALL RUN ~
ONLY TO TBE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENOY AND
LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI-
TUTION. GUARANTEES ARE NOT TRANSFERABLE.
Note; ALL SUBSURFACE STRUCTURES;
WATER SUPPLY, SANITARY SYSTEMS,
DRAINAGE, DRYWELLS AND UTILITIES,
SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS,
ELEVATIONS REFER TO ASSUMED DATUM.
THE £XISTENCE OF' RIGHTS OF' WAY
II:.
//
// ~XI~TIIf6 5~OTIC TANE AI~
CESSPOOl TO ~E ~OVED
A#D A~ANDOtVED PROP~'Ri¥
F~PO$~D "NBV' ~NITARY 5YS'TF. Af
(2) g'g X g' D~EP I.~4Ctt1#6 POOH
-- fSO0 ~ALLON ~I~I'IC TANK
[016
LEACHING ,c'OOL DETAIL
CYLINDRICAL 1.500 GALLON
SEPTIC TANK W/TH DOME
NOTES;
,' /
/
/
/
/ /
/
/
/ ~'"'
/
/ /
/
! ~l~ f~M'~
I .
SING~ FAMILY RESIDENCE
7T.5'T HOLE DATA
LAND
SURVEYING
JOHN MINTO, L.$.
9,3 SMITHTOWN BOULEVARD
SURVEY OF LOT 6
OF REY~ON COURT
S~PTEMBE~ 17, 1987 ~LE NO. ~g5
situate at
BAYVIEW
Town o~ Southold
Suffolk County, N.Y.
S.C.T.M. #1000-79-05-16.006
Scele 1"= 40' M~rch 15, 2007