HomeMy WebLinkAboutMiller Ostler Bldg. Corp ELIZABETH A.NEVILLE,MMC u Town Hall, 53095 Main Road
TOWN CLERK 't P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS �ti4nt Fax(631)765-6145
MARRIAGE OFFICER Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER ' , d�)y www.southoldtownny.gov
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Southold Town Clerk's Office
DATED: March 2, 2021
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 4945 for a Cesspool/Septic Tank Construction
Permit submitted by:
Jennifer Leeds for Miller Ostler BuildinL, Corp.
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 of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 03/02/21 Receipt#: 278230
Quantity Transactions Reference Subtotal
1 Septic Permit-Construct- Resid. 4945 $10.00
Total Paid: $10.00
Notes: 33.4-20
Payment Type Amount Paid By
CK#169 $10.00 Leeds, Jennifer
Southold Town Clerk's Office
53095 Main Road, PO Box 1179
Southold, NY 11971
Name: Leeds, Jennifer
134 Sequoia Drive
Coram, NY 11727
Clerk ID: JENNIFER Internal ID:4945
Le(.!d.s Expediting
11'.34 Sequoia Drive
Coraim.,New York 1.1727
631 509 424.8
Jen.ri.iferLee(.I.sO255@g-iry.iail.cor.i�i.
February 9, 2021
Town of Southold
Town Clerk's Office
Town Hall
54375 NYS Route 25
Southold,NY 11971
Re: 660 Sutton Place, Greenport
SCTM# 1000-33-4-20
Dear Reviewer:
Enclosed herein you will find an application, SCDHS approved plan/survey and check
for construction of a septic tank for a new residential construction at the above-mentioned
location. If you require any additional information or have any questions regarding this
application, please do not hesitate to call or email me.
Yours very truly,
tennifer ds
ELIZABETH A.NEV LLE Town Hall, 63095 Main Road
TOWN CLERK P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631) 766-6145
MARRIAGE OFFICER « „
RECORDS MANAGEMENT OFFICER �w Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF TRE TOWN CLERK
TOWN OF SOUTHOLD
I
SOUTOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
i
Residential @$10 or Non-Residential @$25 Application No.
Permit No.
Applicant Name... t . .... .:�.O. . _ -_ s
Applicant Mailing Address
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escrX tion
efO .Pro �.��....__.__.
Septic Tank or
Cess ool �
B-' "p f posed
Location of Proposed Construction/Alteration:
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Owner of Property:,
Owner Mailing Address"',_ y.. _...�. ..
Owner Property Address:,��
Name and phone number of contact person. .. � �". . ....,. _�� '"5�
Tax Map No: Section 33 Block Lot oZ�
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH ET T ENS°APPROVAL
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Si i tore of Apl 1 ant a mate..
Received by: ._.... .. _ _mm...a
PROPOSED SANITARY SYSTEM
SURVEY OF PROPERTY 1 500 GALLON SEPTIC TANK(S.TJ
(1)B'DIAM X 1 2'DEEP LEACHING POOL(L.P.)
LOT 53 - MAP OF FUTURE EXPANSION(F.E.)
O=341 C F REQUIRED , 1'lIT w
EASTERN SHORES AT GREENPORT DRAINAGECA CULATION` p µ
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TOWN OF SOUTHOLD McDONALDGEOSCIENCElad �g6
DATE:DECEMBER B•2020 11 Ti�.FEN N74 04'1 0"E 0p 1 1 1.1 3
SUFFOLK COUNTY, N.Y.
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DATE SURVEYED:DEC. 1 1,2020 a
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PROPOSED
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PHONE: 631.846.9973
EMAIL: AJC246@OPTONLINE.NET
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