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Home My WebLink AboutLoiacono Town Hall, 53095 Main Road ELIZABETH A. NEVILLE,MMC TOWN CLERK �o P.O. Box 1179 1 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS �� n at Fax(631)765-6145 MARRIAGE OFFICER "p' Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ° rG # www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER Yg OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: September 8, 2020 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 4865 for a Cesspool/Septic Tank Construction Permit submitted by;. Melissa Butler for Joseph and Susan Loiacono 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 Town Hall, 53095 Main Road ELIZABETH A.NEVILLE TOWN CLERK P. o 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax( 1) 765-6145 MARRIAGE OFFICER `� �* Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER sotolto . ortor . et OFFICE OF THE TOWN CLERK . TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential 0 0r Non-Residential Application No. Permit . lic t N amc..... �� _ ....-..� ,,. a Applicant Mailing .�lress,_��'�"° ._�. �-- ._...-. ��..,.�. --_-_._...� _.�... a..k . Septic Ta e�or Cesspool Brief 1 r ftcratior -- � �VI It1CTI d��rC��C� C :�' .� Ct1011 O Location of Proposedons cti li : caner of r : . ,,, ._.._ Owner Mailing Adcbress:.,-,,— I .. Owner Property .d(dre ss:�. . � Name and phone number of contact person Tax Map No: Section Block Lot ��Crass Street � . �� .__.��_:�._�w� �� ..�......,._.......... �� ....m.. .....—... NOTE: LOCATION MAP MUST BE SUBMITTED T 1 APPLICATION. NEW CONSTRUCTION RE � l PS S � _ LP .T T APPROVAL 6� �� 2,0 Sigiiature of pplics%ut Date ceive y: Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 09/08/20 Receipt#: 274565 Quantity Transactions Reference Subtotal 1 Septic Permit- Construct- Resid. 4865 $10.00 Total Paid: $10.00 Notes: Payment Type Amount Paid By CK#5698 $10.00 Butler, Melissa Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Butler, Melissa 206 Lincoln Street Riverhead, NY 11901 Clerk ID: BONNIED Internal ID:4865 _ m........m rv...... — .............. ......... ........... h II I C� � f- Z � � � •��f� � tP °. � � �.) r-- p� I Toar fid„ � ® �s r _ LU W — Or pdr fir` r l5. LU � „r.._ Q)x LL � ';, r div m-I ILLll_I _ I— LU r Jly x OL LU z �r r n' a IT, uj < h � 111 — Ul40, w _ LL �. F � O_ Z f ll 0 dJ a Pte r Ln C(7 Q Sc r �. LU fy 1.C} M i rV LL fy ty a LU WLH C �1 I Y (YZ .------ _._ V f Ev V. ” k00 .. f4 Q °� '�"""'"' „�..,, r -. �'L.,r/ " r `r..._°'�'� �' �� ,,...r.,F r r`m�„..� .. ,, , �,� t lY} :d �+• q ,,' "q fP P N v o 1 : �r 4s i ,..� ...,M...., � �I IL 4.r a– h 111 LLI o ILL Qf '`"N U) C�1 z CL t a W ;� t 10 LL 101 Cl z \ / LU — Lu LI _. M/ .... �� G,'' _4 ¢ � 7 — Z r f } c 6 j Lu CLQ P „ Iq t ZLL LU LL } i L y 1 r �s..f. C y 7 z "`d t.L.1 w S u i D/ CL J � —K f � " � y • I �� '.. N �„� tL — L _f O 11,.14".. �^ Y�� L� d � _ ° o � � o g t.�._fi.Lu I LA cm — o" VJL y�l pffo ..... ,.,_` "_ �..�,_. . o ._.., Lo ., �,P+"jP L4. LL LL 1 � ._._ 4T IJ U d` f o LU o" Y LLQ 1 1 Z ' ............ �/� .........,m,.,,. . .,..,�i ......,..m. ,�..... �.,,,.,.... �.,,,.......�,.. 11 LY �� Z��"�, ��.' I �LUZ 1 Ifll CY t31 f1 _.. (I tL.. LIJ !� .� LU fC� + L4— _, �},mm��