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HomeMy WebLinkAboutVollo, LouELIZABETH 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, NewYork 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net TO: FROM: DATED: OFFICE OF THE TOWN CLERK Southold Town Building Department Carol Hydell, Southold Town Clerk's Office August 18, 2011 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. Permit submitted by: William Kelly for Lou Vollo 4033 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 ELIZABETH A. NEVILLE '-- TOWN C, LERK RE(H~TR.a,p~ OF VITAL ~TATI~TIC8 MARRIAGE OFFICER Iq, ECORDS MANAG[EMENqP OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOU'FHOLD WASTEWATER DISTRICT .~Town Hall, 68095 Main Roa P.O. Box 1179 8outhold, NewYork 11971 Fax (681) 76§~6145 Telephone (631) 765~1800 sou tholdtown,no~hfork,ne! APPLICATION CONSTRUCTION or ALTERATION PER/VIIT CESSPOOL or SEPTIC TANK Residential ~ $10 / or Non-Residential ~ $25 __ CONS TRUCTION RE Q U IltES~~ (///ZS~gua~ff'~e o f At~ li¢ ant/ Application No. L]0 ~..~ Permit No. Date Applicant Nmne_ ~~ Applicant MaiLing Address ZT~,~ Septic T~ ~ or Cesspool Brief Description of Proposed Cons~ction or Alteration ~cation of Propos~ Constmctiotff~teration: Owner of Prope~: ~0 Name~ldphonen~berofcon~ctperson ~ ~ d~('~-~ - NOTE: LOCATION ~ ~ST BE S~ED W~H ~PLICATION. NEW DEP~T~ ~PROV~ T£ST ttOL£ DATA 12' /. £or [~ LOT~ VACA ~? RECEIVE--'~ SUFF, CO. HEALTH SERVICES © ~0 VACANT SCALE 1'=' .000' LOT [~] VACANT SItELI 1 OF 2 SURVEY OF 'f /~rp MAP OF ;~ ARADI~E SI TUA T£ ARSHAMOMAQUE TOWN OF $OUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-53-06-46.7 SCALE 1"=100' SEPTEMBER 15, 2010 CERTIFIED TO: Nathan Taft Corwin III Land Surveyor uo-so6d