HomeMy WebLinkAboutGoggins, WilliamELIZABETH A. NEVILLE, MMC
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS OF MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hail, 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
TOWN OF SOUTHOLD
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
August 15,2011
AUG 1 6 2011
BLDG. DEPT.
IOWNOFSOUTHOLD
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No.
Permit submitted by:
William Goggins
4035 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 CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
..,Town Hall, 53095 Main Ro~,
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.ne(
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Application No, qO '~ J~
Permit No.
Residential ~ $10 ~ _ or Non-Residential ~ $25__
Applicant Name ~'L~,
App licant Mailing Address
Septic Tank or Cesspool
B~efDeschptioa of Proposed Con~ction or Alteration
~cation of Propos~ Consl~ctioW~teratiom
O~er Mai~g Ad&ess: .~O..~ ~ &C '
N~e ~d phone nmber of con.ct person
T~ Map No: S~tion
NOTE: LOCATION ~ ~ST ~E S~TTED W~H ~PLICATION, NEW
Silage of ~plic~
Da~
a~iv~ 6y:
SUFFOLK COUNTy
PERMIT FOR APp
Water Line
Suffolk
Calf 852.5
To',
~O~s
No.
DATE,
Dept.
48 Hours In
24 6
24 5
S 85'48'00"E
100.10'
CONc
250x
x250
x25.2
x 23 2
5¸8'
WOOD FRAME
RESIDENCE
MAiN FLOOR = 225
EL 12
N
75.01
b
PECONIC BAY
N 85"48'00"W
24.85'
4
SURVEY OF PROPERTY
SITUATE
NEW SUFi~'OLK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-117-10-14.1
SCALE 1"=40'
APRIL 12, 2011
MAY 25, 2011 REVISED AS PER SC.D OHS
AREA = 41,205 sq. ff. 0.945 ac.
NOTES:
./'or,%'j'..~Pectin,,.,
i~ '~u/ta '.'u Ne ·
Y liealth ~Z 3YSte~"qUirecl
~Partrn~'t
DA TA
A2RK BROWN I
CERTIFIED TO:
WILLIAM D. GOGG[NS
DONNA M. GOGG]NS
COMMONWEALTH LAND TllLE INSURANCE COMPANY
TITLE COMPANY GOVERNMENTAL AGENCY AND
LENDING INS1]IUTION USTED H[~EOF~, AND
:~,r.'.th[:FI Taft Corvdn III
Lend Surveyor
PHONE (631)727-2090 Fox (631)727 1727
31-043A