HomeMy WebLinkAboutFragola, Fred J
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ELIZABETH A.NEVILLE,MMC may. y Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
C* Southold,New York 11971
REGISTRAR OF VITAL STATISTICSp .� Fax(631)765-6145
MARRIAGE RECORDS MANAGEMENT OFFICER y��l � Telephone(631)765-1800
www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
o L�C�L�ObG
TO: Southold Town Building Department
artment D
DEC 1 6 2016
FROM: Sabrina Born, Southold Town Clerk's Office
BUILDING DEPT.
DATED: December 16,2016 TOWN OF SOUTHOLD
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4451 for a Cesspool/Septic Tank Construction
Permit submitted by:
Fred Fra2ola
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
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Signature
D / 09
Dated
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ELIZABETH A.NEVILLE `� V ®� Town Hall, 53095 Main Road
TOWN CLERK ® P.O. Box 1179
REGISTRAR OF VITAL STATISTICS CIO Southold, New York 11971
MARRIAGE OFFICER ® ® �. Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ��f®1 ��®� Telephone (631) 765-1500
FREEDOM OF INFORMATION OFFICER 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. l
Permit No.
Applicant Name �2 r
Applicant Mailing Address Ave-
IlAee Fd igo
Septic Tank or Cesspool
Brief Description of Proposed Constructio or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: jta'e
Owner Mailing Address: Z
Owner Property Address: 6 ZN
'C06W I� dtha �
V Weelz) fibeir At <
Name and phone number of contact person
Tax Map No: Section Block (j 2- Lot d
Cross Street 741Y 'T l ee f-
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY EALF1 DEPARTMENT APPROVAL
Sigdature of Applic nt Date
Received by.
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SURVEY OF
LOCKING CAST IRON �
DESCRIBED PROPERTY COVERTOROPOS
GRADE
1/8-IFT PITCH 10,14.
1/4%FT.PITCHMIN � PROPOSED GRADES T PROP FF.15.5'- / �5%MAX SLC'PE 1 /12'MI gg a'L j: `✓�� P TF7 ti 7 �i q�Aj 1 j �Z Rwc s
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SUFFOLK COUNTY,NEW YORK INV 117' INV.11.2' LP'S Rcsi�=�'=C ar �'/
S.C.T.M. DIST.: 1000 SEC.. 48 BLK.:02 LOT.'44.2 _ IN 10 s' 3'MIN
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GROUNDWATER
90 105 v— 04
15 8 SCALE., I"=3030 45 60 75 DATE.'JUNE 25, 201420 135 IPPR z ;
PARCEL ALSO KNOW AS PART OF SEVENTH STREET& PROPOSED SANITARY CROSS•SECTION
LOTS 50&51 ON A MAP ENTITLED"PLAN OF THE S. BUEL CORWIN ESTATE" Er," p -. -c'S
FILED IN THE OFFICE OF CLERK OF THE COUNTY OF SUFFOLK ON DECEMBER 23, 1930 ,
AS MAP NO.:548 4-- ,dam
METES AND BOUNDS DESCRIPTION PER DEED LIBER 6265
PAGE 278 AS RECORDED NOV.20,1967 S.C.D.H.S.ENDORSEMENTS
LOT AREA:9,541 SQ.FT. =0.219 ACRE
ELEVATIONS HEREON REFER TO NA VD 1988 r^
NO SURFACE WATER EVIDENT WITHIN 300' vJ
ALL PROPERIES WITHIN 150'ARE IMPROVED
AND SERVICED BY PUBLIC WATER
X JATION INSPECT?Oil RF-GUIRED
ANT i F'SRY Sri S f E11M
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IMPROVED (� IMPROVED
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CERTIFIED T0:ADF VENTURES, LLC _ —^- - --^ /% ^ ^ �_^ OVERHEAD GREs �
VENTURE TITLE AGENCY, INC. �� �rUTIUTYPOLE `� ^ ^ ^ unur�PocE�. p
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SIZE 8 LOCATION TD BE DtETERMNED BY'OTp1Ek: _ -- u Uri
WIN STREE—hi-
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. . . _13.0' EDGE OF PAVEMENT EP 127' EP 14 B' O
JOB NO.:2014-214 — —
MAP NO.:548 +, W <
FILED:DECEMBER 23, 1930 i I/ W I W
REVISIONS: I c ASPHALT ����
S 88038'20"E 17 .13' _ \_
ADD ROAD ABANDONMENT 4/03/15 625`84' I 25.1,3 a o1 6'25.9 ' I i49.00� �— 1� Q
PREP FOR SCDHS APPLIC. 1?J23/15 _. I i, / IN2 I 160W
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TEST HOLE DATA Z COD Q �� g f Q I� / 0 5 M✓nL 152_01' M MAS
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COPIES OF THIS SURVEY MAP,EITHER PAPER OR ELECTRONIC,NOT BEARING
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TEST HOLE BORING BY IMPROVED -m.N Ti,%°fir m�o
THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE SHAWN M.BARRON,MS 7/6/14 Trounox cEnnFiu ONSN T°`TRA 5 F3 AS E
CONSIDERED TO BEA VALID COPYAND SHALL NOT BE USED FOR ANY PURPOSE. AT ONAL INSiITUnON50RSUS5E0UENT
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