HomeMy WebLinkAboutMcKeon ELIZABETH A.NEVILLE,MMC �� Town Hall, 53095 Main Road
TOWN CLERK �� �, Ft
P.O. Box 1179
" 4P Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Mp Fax(631)765-6145
MARRIAGE OFFICER v � �`r'
<<� Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER www•southoldtownny.gov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Sabrina Born, Southold Town Clerk's Office
DATED: February 2, 2021
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4941 for a Cesspool/Septic Tank Construction
Permit submitted by:
Christine McKeon
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.NEVILLEs ellown Hall, 53095 Main Road
TOWN GLE �y � � �� P.O. Bann 1.11
Southold,New York. 11971
REGTSTRAR OF VITAL STATISTICS
MARRIAGE OFF A" Fax(63 n) 765-61.45
RECORDS MANAGEMENT OFFICER Telephone (631) 765-]1.800
FREEDOM OF INEPOTMATION OFFICER ���� sau ioldtaun.nor:hf'on".k.net
OFFICE OF THE TOWN
TOWN OF SOUTHOLD
sourHOLD WAS,rEWATERDISTRICT
T
APPLICATION
CONS'.1'RUCTION or ALTERATION PERMIT
CESSPOOL or SEP`1`1c ,rA.NK
es:u.d nfial @p.f'p...mm:.. ............ orNon-Resod nnfial Application n y ou �
Brief Descriptioii of Proposed Construction orAhoratior�
Location of.prop used Construction/Alteration:
Owner of Property:
Owner ailixn . ddr ss � ��" r �:��. .� .. _�� ....�.° :.V
__._.
Owner Property Address:.. a.t _ ( .
Name and phone nuinber of contact p rsonn .c ff) ��� .�� ". � �" �.. �� ��_ � 3
Cross Street
OT1,0CATION MAP . .UST" BE S19. 541":FTE WITH . , PLICA.'1:70 a NEW
('.(.)NS'rRlJc,rj.ON RI QUIRES SURVE .. IT11- :p'.: mEPARrM1',N °APPROVAL
P ..W,.A
S�(AA
.W'off" `pI � .reran , Dal
A �
'coved. by: A
� �-
R— SURVEY OF PROPERTY
AT QREENPORT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
1000-33-02-35
SCALE:
1=30
- - _ --
SEPMEiR t7,2020
^WARY S 202/(UWW)
€
� �
€ • a
7 8 9 5'D F _
F
2-89 r 8 €P a--osem
�S 4,LE aA7A
I.
r -
mc�
LOT10 -
-
r�E�*
3
� -•r- ,..r-` � �--mss->,
KEY
earn-, a AREA
a gzT