HomeMy WebLinkAboutCarnation Properties, Inc 1r
II Town Hall,53095 Main Road
ELIZABETH A.NEVILLE,MMC text, '� > ,�,®may
TOWN CLERK ;' ® il, . -'.•'4.-'7'., ' .'', P.O. Box 1179
CA .° M ; Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ; ,_ '' -:;'•-: `'r .� Fax Fax(631)765-6145
MARRIAGE OFFICER - "' ®". .9� Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER ---Z6:1 �� ..�
---~,,,o0
-I'."'������ www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK1 i` 7 — .
TOWN OF SOUTHOLD !ID)
I
cI t,_ <1
OCT
TO: Southold Town Building Department U 1 2015 j
FROM: Carol Hydell, Southold Town Clerk's Office
DATED: October 1, 2015
Ole"
Transmitted herewith is a copy of application No. 4D-97 a Cesspool/Septic Tank ALTERATION
Permit submitted by:
14-ed_.,,, _,.,ek/,__ 1:),—..e,,, ,takL,4ed-,,,, __
Please review the application and location map and advise if the project has received Suffolk County
Health Department approval and 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
7
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells, buildings, property lines and water
Bodies. EXCAVATION INSPECTION RE•UIRED. 211.--'1X-----'—'' • " '' -
.
914-4e--'67,7‘ ',)
Signature
/ a ®6/6--
D a t e d /6--
Dated
'i``L`ELIZABETH A.NEV LLE O' � �O4Town Hall,53095 Main Road
TOWN CLERK d P.O. Box 1179
i IS • Z ; Southold,New York 11971
REGISTRAR OF VITAL STATISTICS C rr n7
MARRIAGE,OFFICE 4 4, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER 4# a0.is Telephone(631)765-1800
FREEDOM OF INFORMATION OFFICER 1 / ,�� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
• TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10)( or Non-Residential @$25 Application No. 143 4 Li
Permit No.
Applicant Name hn l�.'/y'e(, LA-kArr 4 Er ! X'
I, �
Applicant Mailing Address b Mx 60 R
Pcontc , nY 1 (Q
Septic Tank or Cesspool
Brief Description of Pro used Construction or Alteration C.1 - -11 -.. , G9i nQ
/ocR-1-ion -6 -401k (dP4y .4694, 2-/,ce<, ,S2i 1cp,-h
Location of Proposed Construction/Alteration:
Owner of Property: (33roc94roo !R I4ies1 T(nG
Owner Mailing Address: PO )( 419
GArden C4v , n y iX530
Owner Property Address: (--93I 95 mAin 's2d
Ctyk t1Qt nLf t(93.5
Name and phone number of contact person, ?n f ee( /- 815
Tax Map No: /000 Section /09 Block 0/ Lot 70.
Cross Street A 1 t/A i)5 LAne
NOTE: LOCATION'MAP MUST BE SUBMITTED WITH APPLICATION NEW
CONSTRUCTION REQUIRES SURVEYHEALTH DEPARTMENT APPROVAL
g dl/c
fZ'
nature of Applicant bate -
Received by: e-41
'.iii.-'71T _r-SSS •"3: ..".2-.1:ct"e'''-Y•s"y..C:ti=1.: =t'.+6�& ..... _ —�
r.
\ \. , ...7-
\ WATER
UNE u/G \
` OIL
TAidK \ _
•
ELEC_ �-
UNE \ ELEC/v!Ft' p' ,
llNE \ {,:_
icb f� ��ocn` ` WATER �F�.\ . 'LINE -
81‘ -. ,
��( ' fie.\\s - -,__ r
) apher
\ .
-�- ,doe ;
15� e� i000gd�y .,,--/-
= �-�t• z WELL ,.
n �, � C.C.ma �. `\ ', \ '
'3"+.
H (515 .x . ie yoc
��yAillb,•
�` / :
;0010V
LP
i'r ----wad-It-pi Vir' U1� ` opii; til!„
, UTILITY :
A�� ', � GAS `� POLE • ±.
I_ O
\ \,3
.-Z
•
, / _ \-\•
\ UTILITY
rz
POLE - \ ,
.._ \...\\ _
. -.....,._ Ix
,...,
' _._ z
. . . . ... . _ SCALE: 1 ,
= 30