HomeMy WebLinkAboutMacDonald ELIZABETH A.NEVILLE,MMC v Town Hall,53095 Main Road
TOWN CLERK <= P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICSFax(631)765-6145
MARRIAGE OFFICER '}
RECORDS MANAGEMENT OFFICER Telephone(631)765-1800
- -� - `
FREEDOM OF INFORMATION OFFICER ``� wwwsoutholdtownny.gov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Sabrina Born,Southold Town Clerk's Office
DATED: January 22,2020
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4832 for a Cesspool/Septic Tank
Construction Permit submitted by:
Mattituck Property Management LLC/George MacDonald Jr,
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:
Signature
Dated
ELIZABETH A.NEVILLE ok Town Hall,53096 Main Road
TOWN CLERK P.O.Box 1179
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER Fax(631)765-6145
RECORDS MANAGEMENT OFFICER Telephone(631)765-1800
FREEDOM OF INFORMATION OFFICER southoldto—.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 X Application No.
Permit No.
Applicant MacDonald, JR
Applicant Mailing Address 14 Inlet View Path, E. Moriches, NY 11940
Septic Ttnk X or Cesspool X
Brief Description of roposed Construction orAlteratinon-conforming I
septic system to new SCDHS approved system.
Location of Proposed Construction/Alteration:
Owner offroperty� Mattituck Property Management, LLC f George MacDonald,Jr
Owner Mailing Address: 14 Inlet View Path, E. Moriches, NY 11940
Owner Property Address,. 1795 old Main Rd. Mattituck, NY —
Name and phone number of contact person Richard Searles, RA 631 744-2852
Tax Map No: Section 122 Block 07 Lot 6.7
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
-Signature ofApplicant Date
Received by:
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