HomeMy WebLinkAboutBattaglia, JosephELIZABETH 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
southaldtown.northfork.net
TO:
FROM:
DATED: April 12, 2010
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No.
Permit submitted by:
Joseph Battaglia
OFFICE OF THE TOWN CLERK
TOWN OF SOUTH OLD ~__~_~ ~ ~~--~
Southold Town Building Department ~I j[P[I ,2 20]0
Carol Hydell, Southold Town Clerk's Office ~ ~g~.~un~l~0t0 ..
3942 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 Department,
Signature
ELIZABETH A. NEVJLI,E
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
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 __
Applicant Name
Applicant Mailing Address
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration
ApplicationNo..~ C) ~.} ~
Permit No.
Location of Proposed Construction/Alteration:
Owner of Property: ,_/' O3' t~,,~'~
Owner Mailing Address: o2~
Name and phone number of contact person
Tax Map No:
Cross Street
Section //d~'~//~'~t Block
tg,
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY V~ITH HEALTH DEPARTMENT APPROVAL
/~i~ture of Applicant t Date
Received by:
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SEPTIC TANK (1~
DRAINAGE SYSTEM CALCULATIO~
ROOF AREA: 3,543 sq. ff.
3,543 sq. ff. X 0.17 = 602 cL
602 cu. ff. / 42.2 = 15 verflc
PROVIDE (3) 8' die. X 5' high
PROPOSED 8' DIA. X 2' DEEP DRY~
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVh.
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
SINGLE .t;'A~4IL'~ RES~D£NCE ONL~
FOE M~IMU~ OF ~ BEDROOMS
~PIRES T H ERE YEA~ FROM DATE_., OF~. ~ A~PRO~
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