HomeMy WebLinkAboutMastro, ElizabethELIZABI~Fti A. NEVII J,E; MMC
TO~I~' CLEILK
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 CI,ERK
TOWN OF SOUTHOLD
TO:
FROM:
DATED:
RE:
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
September 18, 2012
Cesspool Construction Application
SEP 18 2012
BLDG. DEPt
TOWI,~ OF SOUTHOLD
Transmitted herewith is a copy of apPlication No.
Permit submitted by:
Elizabeth & Louis Mastro
4108 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: J
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Depa~:hiient
Signature
Dated
·OWN CIA~RK
RF~ISTRA~ OF ~TAL ~PATISTIC8
MARRIAGE OFFICER
REOORDS MANAOEME~I~ OFFICER
FREEDOM OF INFORMATION OFFICER
oFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
.~?own Hall 680911 Main P,o~,
P.O. Box 1179
Soul;hold, New York 11971
Fax (631)
Tolephone (61tl) 765-1800
sou tholdtown.nor~hfork.net
$OUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~$10 ~or Non-Residential ~$25
Applicant Mailing Address ~21,~_ C_.~ t°lg,~c-.
Septic Tank or Cesspool ' -
Permit No.
Bfiof Description of Proposed Constmotion or Alteration
Location of Proposed Construction/Alteration:
OwncrofPropexly.'. ~Lt2~t,,~E.~ d~l..Oot~
Owner MaJling Address: ~[~ ~_xi)p[aolk,~,~.
Lr mvrocou; Ir'lq'l=,
Owner Prope~ Addr~s:
Sibn0dum of Applicant Date
II HAREM 2OIO - ~DH~
26 PlAY 2OIO - 5021-15
REVISED
AREA ~,,JRR4X,~DIN~ 5EFrlG TAt, g. HOUND AND
LENIN5 POOL HOU~ TO BE B,~ILLED
AND REE, P, ADED. 51~ LEACHIN~ POOL AND
5L=FrI¢ T,N~ DETAIL5 FOR FINISI-ED E~.ADE
E/.E'VATIC~5
(5) ~,'
ABANDONED, VERIFY L.O6ATI(~J IN FIELD
51NC:~LE FAHILY RESIDENTIAL
ADJACENT PP~i¥:51NE, LE F.a~flLy
P, ESII~ Nlm P!~IC HATER
5U=PLYANO SEPTIC, TANK~IN~
PGGL SEPTIC, 5YDll~H
· NJ./~gJ,~ P.'~ HIIl'IIN [50 FI~ ARE II'PI~ 5INI~ F.N'IILY I~D~,
NO E:OPPLY HELL5 INITHIN 150 PI~T. ALL PI,~IC, HATER CONNEC, TIOI~.
DlffJRIC. T I000, 5EE, TION 52, BL~ LOT q
5INGLE FANIILY RESIDENTIAL
ADJACI~ EtOFCII"(:~tNSI.I[ FAMILY
RESII~E HITH F'gl~l~, HATER
FO¢- 5EFflC 5YS'r~4
PLOT PLAN
OITE INFORMATION OBTAINED FROM E:O~VE¥ PREPARED
I~LANP ~1~~= LAND 5URYEYQR5 - FEE~ I-t, 2010
IO.g'l
'
ASPHALT DRIVE
lO.lq'
LOT AEEA ~ '=1,5OO .56f'JARE FEET (O.21 ACR. ES)
51TE PLN4 FRL=P,N~,ED BY. RIGI'~ I~ ,,~,RC, HITE~T - ~16) '/~1- ~
20~' RICkHON~ AVENUE, HA$~N:~E~U& N.Y. 1115~'
C°Lo/v~.
RECEIVED
MAY 2 8 2010
SUFF. CO. HEALTH SERVICES
OFFICE OF WASTEWATER MGT.
Mr'. ond Firs. FiASTP-.O
15q5 BAY'VIEH AVE
,~ou'rHoI_D, NY' I I~-/'1
(5 I~,)
HOI~E RENOVATION HITH 5F:OOND 5TORY
RICHARD DOYD - Ar'chiller,
DBIONB~5 - PLANNtEFL~ - I-IOH~ INE:~i::GTOI~
.SC, ALE, ,'kS ~
DALE: 2~ HAY 2010
DRAJ~I BY: 5G
I01=4