HomeMy WebLinkAboutSinesi, Ike & ValerieELIZABETH A. NEVILLE, RMC, CMC
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
FROM:
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
~LDG DEpT~--'*''-'~
---____ TOWN OF SO/JTHOID
DATED: June 11, 2010
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No. 3959
Permit submitted by:
Doug MeGowan for Ike & Valerie Sinesi
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
reconunendations:
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
ELIZABETH A. NEVILLE '~--
TOWN CLERK
REOISTRAR OF VITAL STATISTICS
lvlARRIA(IE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTPJCT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10 r Non-Residential ~ $25 __
Application No.'~ ~4~
Permit No.
App!icant Name Dov~
Applicant Mailing Address
.~Town Hall, 63095 Main R
P.O. Box 1179
Southold, NewYork 119
Fsx (631) 765-~]145
Telophone (681) 76§-18£
sou tholdtown.northfo~k.~
Septic Tank ' or Cesspool
Brief Description of Proposed Construction or Alteration ~ ~,~4~,. 5,~- y, ~
Location of Proposed Construction/Alteration:
Owner of Property:.
Owner Mailing Address:
Owner Property Address:
Name and phone number of contact person 5o06 ~c¢ ~,~
T~MapNo: S~tion ~ Block ~ ~t ~ o~
Cross S~eet ~% ~ .
NOTE: LOCATION ~ ~STBE S~ED W~H ~PLICATION. ~W
R
O!
APPROVED
FOR
EXPIRES
RECEIVED
HAY 2 6 2010
SUFF. CO. HEALTH SERVICES
, OFFICE OF WAST£WATER MGT.
¥ OF
L C'F CONSTRL
~MILy
FROM DATE OF APPROVAL
×~
G
For Sanitary S~
By Health Department
TEST
(TEST DUG BY
PROPOSED SEPTIC SYSTEM DETAIL
SEPTIC TANK (1~
SURVEY OF
LOTS 33 & 34
MAP OF
RAVATONE REALTY CORPORATION
FILE No. 539 FILED DECEMBER 22. 1950
SITUATE
CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-110-04-09
SCALE 1"=40'
APRIL 8, 2010
MAy 2~-. 2010 REVISED BY $CDHS
AREA = 17,500 sq. ft. 0.402 ac.
HOLE DATA
THIS OFFICE ON APRIL 10, 2010)
Nathan a-r-Tt- Corwin III
Land Surveyor,
PHONE (651)727-2090 Fax (631)727--1727