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ELIZABETH A.NEVILLE,MMC �'@�� Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
Southold,New York 11971
REGISTRAR,OF VITAL STATISTICS Pd � Fax(631)765-6145
MARRIAGE OFFICER Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER P
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FREEDOM OF INFORMATION OFFICER d , www.southoldtownny.gov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Southold Town Clerk's Office
DATED: February 7, 2020
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4836 for a Cesspool/Septic Tank Construction
Permit submitted by:
Thomas Burke
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
DISAPPROVEw
Comments: __.._ ...................... _ w
Signature
Dated
ELIZABETH A. NEVILLE Town Hall, 53095 Main Road
P.O. Box 1179
TOWN CLERK cz
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER �� Telephone (631) 765-1800
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
Jor Non-Residential $25 Application No. 43- �o
Residential @ $10 @ pp
Permit No. (-- 10 - l Q- 00q&
Applicant Name .
Applicant Mailing ��
en- AZA '-
Septic Tank or Cesspool t/ �
Brief Description of Proposed Construction or Alteration _ec-Lll _.
Location of Proposed Construction/Alteration:
Owner of Property.
Owner Mailing Address:-J .....
Owner Property Address;
Name and phone number of contact person—/.. -1
5.._ —
f2-7
Tax Map No: Section. Block Lot
..._�.
Cross Street _� ..,......-.,, ..._
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
DEPARTMENTCONSTRUCTION REQUIRES SURVEY WITH HEALTH
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Sr' of Applicant riatur�e� � -...
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Received by:
JOB No. 15457 — A13049 SUFFOLK COUNTY TAX MAP
DISTRICT 1000
NOTE: SECTION 126.00
1. LOTS SHOWN REFER TO 'MAP OF SECTION 1 PROPERTY ' BLOCK 007.00
OF G.I. TUTHILL AND OTHERS', FILED JANUARY 15, 1929
PARCEL 026.001
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MAP No
RECEIVED
LOCATIONS OF
STRUCTURES DEC 2 3 NUT �1011 of ...........
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69 SURVEYED: APRIL 9, TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
ROBERT A. SMITH,
S P.C.
S. H. W. and S., UP AREA = 15,000 S.F. (0.344 ACRE)
SQUIRES, HOMEN, WE,ISENBACHER & SMITH SCALE: 1 = 20'
LAND SURVEYING — LAND PLANNING — ENGINEERING
SOUTHAMPTON — NEW YORK
15457.dwg B 857 P 108,109