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HomeMy WebLinkAboutRiccio, Robert & ClaireELIZABETH A. NEVILLE, RMC, CMC 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.northfork.net TO: FROM: DATED: OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Southold Town Building Department Carol Hydell, Southold Town Clerk's Office July 28, 2009 TOWN 0~:'S0I]T~010 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 3886 Permit submitted by: Frederick Weber for Robert & Claire Rieeio 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. Carol Hydell I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE ~ DISAPPROVE Comments: Final approval required from the Suffolk County Health Depatlment, Signature Dated ELIZABETH A. NEVILLE ' '~ TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER REGq2)RDS IVlAIqAGEMENqP OFFICER FREEDOM OF INFOR31ATION OFFICER APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK .~Town Hall, 158095 Main l~$ P.O, Box 1179 Sou~hold, NewYork 11971 Fax (681) 765~614{5 Telephone (681) 761~-1800 sou tholdtown.nor~hfork.ne~ Residential ~ $10.~>~ or Non-Residential ~ $25 __ Applicalion No. ~ ~/' 2 ~ Permit No. App!icant Name Applican( Mailing Address ~ ~_..,, ~ ~ Septic Tank..~or Cesspool Brief Description of Proposed Construction or Alteration Location of Proposed Construction/Alteration: Ownero P ope. : Owner Mailing Address: O~mer Property Address: Name m~d phone number of contact person Tax MapN0: S~tion ~6 Block & ~t I ~oss Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW Si~a~ of~ bate J ~" / ~iv~ ~ SANITARY 5YSTEH POOL , ,-o., ~ ..-o.-----~ ......... ;:. 'I ...... rHdl~) ~oo° TEST HOLE APPROVED IN ACCU~Um~u~. ~v ~ i n ~,~ REVIEW DETERMINATION DATED q/Z~/O~ Abandor~ment of existing sanitary system must bo in comformanc¢ with department requirement Submit completed form .W~..M- O~ ~spmof. r E,XCAVATION INSPEOTION REQUIRED // FOR SANITARY SYSTEM ,J,'~ '_ BY H',~ALTH DEPARTMENT SURVEY IN FoRr~ATION= PROPERTY O~NER~: ROBERT I CLAIRE RICCIO (&$12 INDIAN NECK LANE. L.I.C.) 51TUATE: PECONIC TOKIN OF $OUTHOLD SUFFOLK COUNTY. NE~ YORK LOT AREA: 2&JSO d (O.~.O Acres) ZONING; R-80 LOT COVERAGE (MAX.): SITE C*reenla~n, ~Y IIq~O September 4. 2008 Revmsed: December 14. 2008 ~eVlsed: Januar~ 2~. 2OOfl NORTH PLAN I" ~ 40'-0"