HomeMy WebLinkAboutVerity, MichaelELIZABETH A. NEVILLE, MMC
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS OF 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
TO: Southold Town Building Department
FROM: Carol Hydell, Southold Town Clerk's Office
DATED: July 25, 2011
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No.
Permit submitted by:
Michael Verity
4027 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.
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
~Signamre
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 MEn 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 t/~ or Non-Residential ~ $25 __ Application No..~0 ~.~
Permit No.
Applicant Name
Applicant Mailing.~ldress
S~tic T~ ~ ~Cesspool
Brief pescfi~o~lof Propose~ons~ctio~ or Alterat~n
~cation of Proposed Co~ctio~Alterati~n:, ~ .
Omer Mailing Ad&ess:
erop
Nme ~d phone nmber of ~ ;~son ' ~~
T~ Map No: S~fion
Cross S~t ~
NOTE: LOCATION ~ ~ST BE SUBMITTED ~TH ~PLICATION. NEW
CO~STRVCTIO~ ~OU~S SU~V mt~t~t~ ~VROV~
r°L cc° rvorp^Rr rroF ^LrsssRv,cEsMICHAEL J. VERITY
PEP'M~FORAPPROVALOFcONsTRUCT/ONFORA Lot 4, "Michael Ve~iy"
ONLy A t
Gree~port
~°~mao~nvaoo~s Suffolk County, New York
1. TOTAL AREA = 23,614 S.F.
AREA EXCLUDING FLAG = 20,477 S.F.
~ ~d~ 2. B = MONUMENT FOUND, · = STAKE FOUND.
~ ~ 5, SUBDIVISION MAP "MICHAEL ~RlT~ FILED
% IN THE OFFICE OF ~E CLERK OF SUFFOLK
k COUNTY ON JULY 26, 2007 AS FILE NO. 11545.
DATE: MAR. 17, 2010
JOB NO: 2010-059
CERTIrlEO TO:
MICHAEL d. ~RITY
~ H. FOX. LS. ~.C.
FOX ~ND SURVEYIN~
64 SUNSET A~NUE
WESTHAMPTON B~ACH,
(631) 288-0022
TEST HOLE DATA
FILED MAP
1.0
DWG: 2010-059