HomeMy WebLinkAboutFour S PropertiesELIZABETH A. NEVILLE, MMC
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS OF MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
FROM:
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, NewYork 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.nor th fork.net
AUG 1 3 2012
BLDG DEPI.
TOWN OF SO[I~HOLD
DATED: August 13, 2012
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No. 4101
Permit submitted by:
Frederick Weber for Four-S-Properties
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 J
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department.
Dated
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
,REEDOM OF ?raCER
I/~,¢ (] t~- OFFICE OF THE TOWN CLERK
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Town Hall, 53095 Main Road
P.O. Box 1179
Southald, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.nor thfork.net
Residential ~ $10'~ or Non-Residential ~ $25 __
Applicant Name
Applicant Mailing Address
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration
Application No. ~ [0 [
Permit No.
Location of Proposed Construction/Alteration:
Owner of Property: f~9.Of~o~ ~-~ LJ~)
Owner Mailing Address: ~- ~ '~. C 3
Owner Property Address: ~4~ ~:> ~J/~L~-~ [).gg~
Name and phone number ofcontact person ~O.~(-4~ ~~,(L%~')'I-W~5~-~S~
TaxMapNo: Section Block ~:>~:, Lot 1~
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SUR~I~J~ HEALTH DEPARTMENT APPROVAL
Si~ature of Applicant ' ' Date
Received by: O~
R=EIS. qS, /
,,, /
- /
Sanitay system to be
installed exactly as
~hown on approved survey.
t
PROPOSED SANITARy SYSTEH Suffo!k Coun~
,E~ ,DUSE ~* BEOROO,- ,*X.) Call 852-5700. 48 Hour.~
I000 GAL. SEPTIC TANK
· oo s.~. s~o~L~ ~.E~ O~ L~C.~.~ ~OOLS To Sch~ule Inspection(s)
..........................
~ ¢ /
LOT ~
SITE PLAN
PROPERTY O~NER:
FOUR-S-P~OPE~TIE5 LLC/
JAHE5 ~[LEY
ADDEE55: 34flO VANSTON ROAD
SITUATE: NASSAU POINT
TOSN OF SOUTHOLD
5UFFOL~ COUNTY, NE~
P/O LOT
Fded ~n th~ Offlc~ of the Clerk of Surfak C~nt~
AHENDED HAP "A" of NASSAU POINT
on August I&. 1~22 as FILE NO. I~
LOT A~EA: 43,403 sr fO.~4 Acres), To T~e Line
FLOOD PLAIN: X
SURVEy INFORMATION:
NATHAN CO~IN, LAND 5URVEYO~
lES& MAIN ROAD fPO ~OX
JAMESPOET, NY
(&~l) ~2~-20~0 FAX f&3D
,~;2'
R=8&.28'
O3'
SUFFOLK COUNTY DEPARTMENT Of HEALTH SERVICES
PERI,lIT FOR APPROVAL OF CONS?P.U£T~ON FOR A
SINCLE FAL~iLY ~'E~[DT. NCE ONLY
DATE_~ i H.$, RE::.-, ~0.
EXPIRES THREE fEE:RS FROM DATE OF APPROVAL
R=188.48'
L=11.~12'
DEC _0Z 2011
BtDG DEPT,
TOWN OF SOLJTHOLD
FREDERICK UIEBER. ARCHITECT
41 EAST MAPLE ROAD
GREENLA~N. NY
OCTOBER ~, 20Il