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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