HomeMy WebLinkAboutGrillo, RobertF,I,IZABI~'i'~I A. NEVIIJ,F,, 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:
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
2 4 2010
BLDG. DEPI.
TOWN Of SOUTHOLD
DATED: February 23, 2010
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No.
Permit submitted by:
Swimming Pools by Jack Anthony
3934 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 retum 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: j
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
Signature (
Dated
RE(HSTRAR OF VITAL STATISTIC~
M~P~RIAGE OFFICER
REOQRDS MANAOEMEN~ OFFICER
FREEDOM OF INFORMATION OFFICER
P,O. Box 1179
Sou~hold, New York
Fax (631)
Telephone (681) 76~-180
sou tholdto~.no~hfork.n
OFFICE OF THE TOWN CLERK
TOWN OF $OUTHOLD
$OUTIIOLD WASTEWATER DISTRICT
APPLICATION
Residential @ $10.. ~or
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
·
Non-Residential
Permit No.
pplieant Mailing Address ~7(~ ~,
Septic T~ or Cesspool
Brief Description o f Proposed Consmcfion or Alteration
~cation of Propos~ Constmctio~teration:
Owner of Prope~:. ~o~ ~,~
Omer Mai~g Ad.ess:
Owner Properly Address: / ~ a~ ~ L~/f~ [
Name and phone n~ber of~n~t person ~t ~ ~
T~ Map No: S~tion / 2 / Block
NOTE: LOCATION MAP MUST'BE SUBMITTED WITH AP,P~LICATION. NEW
CONSTRUCTION REQUIRES SUR~Y WITH HEALI~I/-D~IIIENT APPROVAL
· /rx~/} . , Signature ofApplic t~ -- I~at~: C
S 87'35'00" £
~UFFoLK COUNTY D~pAp, T.~Sr..,~T
PERMIT FO~ APPROVAL
z~,PPROVED
FOrt
EXPIRES
r:'. lqO.
N FOmA
MLY
~DRO051$
DATE OF' APP
81.25, ~ 0" 'N
~/o/x
soF~o~
S 86'56'00" W
544.94'
coO~~
230.31' N 89'41'00" W 110.86'
SUFFO~ COUN~ DEPT. OF HEALTH
~ ~~48 HOURS IN ADVANCE,
HUDSON CITY SAVINGS BANK
ROBERT M. GRILLO
CATHERINE M. GRILLO
SURVEY OF PROPERTY
SITUATE
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-121-04-8.4
SCALE 1"=60'
DECEMBER 12, 2000
MAY 11, 2005 UPDATE SURVEY
AUGUST 8. 2005 ADDED PROPOSED HOUSE
AUGUST 15. 2005 REVISED PROPOSED HOUSE
SEPTEMBER 20, 2005 FOUNDATION LOCATION
MARCH 10. 2006 FINAL SURVEY
JULY 15, 2009 UPDATE SURVEY
NOVEMBER 10, 2009 AODED TOPO
DECEMBER 24, 2009 ADDED PROPOSED POOL
TOTAL AREA = 202,698 sq. fi. 4.655 ac.
TEST HOLE DATA
)F NEW YORK
Nathan Taft Corwin III
Land Surveyor
PHONE (631)727-2090 Fox (631)727-$727