HomeMy WebLinkAboutJP Modular HomesELIZABETH A. NEVILLE, RMC, CMC
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hail, 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
TO:
FROM:
DATED:
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No.
Permit submitted by:
J. P. Modular Homes~ Inc.
Southold Town Building Depa, h~ent
Carol Hydell, Southold Town Clerk's Office
October 7, 2010
3984 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 lo~l:ation map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Final approval required f~om the Suffolk County Health Depa~hncot
Signature
ELIT~BETIt A. NEVILLE ': ~
TOWN CLERK
REOISTR.~R OF VITAL STATISTICS
~GE OFFICER
~E~S ~AO~NT OFFICER
FREEDOM OF INFO~TION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
.~Town Hall, 63095 Main
P.O. Box 1179
Southold, NewYork 1197]
Fax (831) 765-614,5
Telephone (631) 785-1800
sou tholdtown.nor~hfork.ne
Septic Tank or Cesspool
Brief Description of Proposed Constmct{on or Alteration ~*..--d ~"-~^~c4/.~c~4~k
/
Location of Proposed Construction/Alteration:
Name md phone nmber of mn~t person
T~MapNo: S~tion ~ Block ~ ~t ~J,~
NOTE: LOCATION ~ ~STBE S~ED W~H ~PLICATION.
C~NSTRU~ION ~Q~S S~Y~H ~TH DEP~T~NT ~PROV~
N
S
TESt HOLE
· THIS PLOt PLAN [DEVELO~D UTILIZIN~ AERIAL
PHOTO~I~APHY, C~ONVENTIONAL ~RVEYIN~
TEC..HNId~UEe, AND FR,E~.OW..D DATA.
¸%.
AREA = 2.D&&4 AC, RED
UPLANZ) AREA -- 1.1'7~1 AC, IRED
· .~J~iDIVISION - "MAt~ tDAXTEf~" PILED IN THE OFFICE
OF tHE C. LEPJ( OF E:~IFFOLf( C, OUNt¥ ON NOV. 14-, 200&
AS FILE NO. 11~4
· VEf~TtC, AL DAtMH = N.~,.V'. ~ATUt~ (M.S.L. Iq'~q)
· .GOUNDIN~ ARE REFEf~.~-NCE~',TO HLY~I (ALPO
Young & Young
400 Ostro.'n. de'r Ave~,'u.e, Rive'rhea, d, New York
631- 72?'-2303
Ho~va~d If. Young,
Tho~o.s C. Fo[pe~, Professiona[ E~g4~eer
Robert C. To~s~
flPJvl ZONE AE (EL ~) xx x ATION
X~. ' ~. o~GLE F~Y ~NC~ ONLY
¢ . ' ,
SUB,IT ER. OR E.A.
OF
FOR FI~LAPPROVAL. ~R~ FOR
Be inspected By The
Of Health Sewi~s. ~---~ I I---------.-,,
Hours In Advance, ~,~',-"""~,-,, ~-,,-~-,,~
~1~. ~ILE
0
LOT 2 "HARK-. BAXTER"
At, tDclyvle~, to~n o~ 5outhold
ATTACHED SPECIAL CONDITION
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D~. 2~2_02~_~2~_02~1~_r~ I ~ 5 ~ ~