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Home My WebLink AboutMilazzoELIZABETH 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 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: FROM: DATED: RE: Southold Town Building Department Carol Hydell, Southold Town Clerk's Office December 29, 2011 Cesspool Construction Application Transmitted herewith is a copy of application No. 4063 for a Cesspool/Septic Tank Construction Permit submitted by: Rose L. Milazzo Revocable Trust 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: j APPROVE DISAPPROVE Comments: Final approval required from the Suffolk County Health Department JAN 3 2012 DLDG DEPT. TOWN OF SOUTHOtD '% Signature Dated~/t~'~/2''' ELIZABETH A. NEVILLE ToWN CLERK I~ GISTiL~R OF VITAL STATISTICS MARRIAGE OFFICER RECORDS 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 SOUTHOLD WASTEWATER I~ISTRICT APPLICATION, CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential ~ $10 ~ or Non-Residential ~ $25 Application No. ~ 0~o--~ Permit No. _ Applicant Name ZO~ {~,,~t ((~'O X-~(D/OC~J[¢ Applicant Mailing Address iX ~- ~-'%3 ~oo~ Septic T¢ or Cesspool Brief Description of Proposed Co~ction or Alteration 5cation o[Proposed ConsmctioffAlteration: Owner o f Prope~y: ~ 0 ~ t' Owner M~l~g Ad.ess: Owner Property Address: Name and phone number of contact person -~OS, ~ /1~, ICao ! g$1-23¥' ~'g7 ~ Tax Map No: - Section ~r'~¢ Block ~ Lot ) 0 C;oss Street ~.~ (c..¢j~ ~, ¢,~,~ ~.,¢, [~,~e.~[~o ,"~{ NOTE: LOCATION ~ MUST BE SUBMITTED ~TH ~PLICATION. NEW CONSTRUCTION ~QUI~S SURVEY WITH HE~TH DEP~TMENT ~PROV~ Date Received by: SUR'v'E'r' OF PROPERT'r' SITUATE,, A AHOHOG E E, UFFOLK TT', 5Le, VEYED HaY I, 200f~ PROPOSED ADDITION Ma'r' 2q, 200-/ REVISED JAN. 6, 2COq, HAY iq, OCT. Iq, 200q, DEC,,. 2q, 200q, JUL'f' 20, AL.~. ]2, 2OIO, OCT. O5, 2OIO, Nov. Iq, DEC. ~,, 2OIO .~,UFFOLK COI.~IT'T' DEPT. HEALTH . REF. ~ RIO - O"/ - .E:~I=FOLK COUNTT' TAX HAP NUME~R IOOO-5"/-2-20 CF~i'~Jb~;D TO: ROSE L.M~O~L~UST Tes[: Hole EL=II' ivic [Pono Id ®eoscience 4-©-Oq EXCAVATION INSPECTION FOR SANITARY SYSTEM BY NOTES, · MONUMENT FOUND 0 PIPE FOUND Water Line(s) MUST Be Inspected By The Suffo!k County Dept. Of Haalth Sarvic, es, ~l.-Iours In AdVance, To Abandonment c / ~ystem must be in corn f,'2rma.nce with departrn_e~ requirement Submit completed fom~ WWM- 0~'U,.. as proof. AREA OF EXISTINc~ E:,EPTIC A5 LOCATED BY OI',INER EXISTIN~ E~PTIC TO ~ EXCAVATED AND BACKFILLED I. fllTH OLEAN 5.AND PER S.C,.D.H.5. ,~TANDAf~25 FEHA FLOOD ZONE LINE ANNOTATED FROM FIRi~ HAP NO. ~IO~C, OI,Sq N A~A = IO~22 5.F. OR 0.24~t ACRE (DEED DES. CRIF ELEVATIONS REFERENCE NAVD '66 DATUI"I ®RAPHIC SCALE I"= N ORAINAG-,E CALCULATIONS: W E S 2 6'-0" DIA, X :~'-O" DEPTH DRAINAE~E POOLS 6 V.LP. PROVIDED F~OPOSED ROOF (DkqELLIN~) 1.276 X O.1-~ X I.O = 216 G.F. 216/ 42.24 = 5.16 V.L.F. PJEOUIRED F:~OVIDE LOT OOMERA~E LOT AREA TO EDgE OF ~IETLAN~S '7,~24 S.F. EXISTINE~ CONDITIONS= EXIE~TIN¢ ~E 51l ~.P. EXISTINE~ DECK 64 S.F. EXIE~TIN~ LOT COVEI~JkOE PR. OPC;~ED CONDITIONS~ REC, ONSTRUCTED/RAISED PORTION OF EXISTIN~ HOL~E PROPOSED ADDITION 6.54 PROPOSED DECK, 214 TOTAL PROPOSED CO'v'ERA(~E 1,4q2 N'r'~DEC ADJACENT AREA LOT AREA I~E'rP,~EN IO' CONTOUR AND TIDAL Y, IETLANC~ t~UNDARY = 2,~'lq SF EXISTINOGONDITIONS= EXISTIN~ ~E, 4~5 ~OPOSED AA GO~E = 511 S.~. OR IT.g5~ JOHN C. EHLERS LAND SURVEYOR 6 EAST M_AIN STREET N,Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.-C:kDocuments and Settings\OwnerkMy Docur~.entsWIy Dropbox\06}06\06-171 mv!s~ed2 2-,2,~972009.pro'