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Home My WebLink AboutLindh ELIZABETH A.NEVILLE,MMC y' � t t a�'e Town Hall, 53095 Main Road TOWN CLERK 'i? P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER 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: Southold Town Clerk's Office DATED: March 12, 2021 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 4950 for a Cesspool/Septic Tank Construction Permit submitted by: Direct Drainage-Inc. for Courtney & Alex Lindh 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 ww -- Dated C ELIZABETH A.NEVII.LE �" Town Hall, 63095 Main Road ,�»„� ��, TOWN CLERK P.O.Box 1179 11971 Mw NeYork REGISTRAR OF VITAL STATISTICS ° Fax(Southold,, No York 46 MARRIAGE OFFICER tt„ Telephone(631) 766-1800 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICE " southoldtown.northfork.net R ,:.. ,4 OFFICE OF T1-IE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT W, „ . fN CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK 10 or Non-Residential $25 Application No. m.. Residential @$ � Permit No. µ Applicant N �a.nc._r �... �” w l Applicant M iliiw A l pe s ��.°.�.w. " .. w �.. ....w,. ._ ....... __... ........... _ B i e e� tion,,oi'Pro used Construction A S�-c'_N� . Se tic Tank or Cess ool I 1 p tion or Aj9ei°"'aio1.�...� .�'�� 1:. .'�"�� .�.� .. Location of Proposed Construction/Alteration: Owner of `: Und fn Owner Mailing .dae : :_�."- ... ... .. � ..�.mm, p, Owner Property .l ��J �� .�.. _`. __ ... ��.EIC ... .1 .�� _ .. � ...�._._. ... ........._� . p�Y �' Name and phone number of contact person , Tax Map No: 1 0 0 Section :VQ Block ._ Lot 49 Cross Street 1Q.�( < *'` �?��' -c�`e. NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES S ,1 V,j0( WITH HEALTH DEPARTMENT APPROVAL t : of Applicant Date Received by: Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 03/12/21 Receipt#: 278555 Quantity Transactions Reference Subtotal 1 Septic Permit- Construct- Resid. 4950 $10.00 Total Paid::. $10.00 Notes: 70.-5-48 (Lindh) Payment Type Amount Paid By CK#1105 $10.00 Direct, Drainage Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Direct, Drainage 363 N Dunton Avenue East Patchogue, NY 11772 Clerk ID: JENNIFER Internal ID:4950 COUNTY OF SUFFOLK STEVEN BELLONE SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES GREGSON H. PIGOTT, M.D.,M.P.H. Commissioner SANITARY REPLACEMENT/RETROFIT OK TO PROCEED Letter in Lieu of Permit March 11, 2021 Property Owner: Alexander Lindh Property Address: 2175 Pine Neck Road, Southold,NY 11971 TN4P#: 1000—070.00 05.00 -048.000 SHIP ID #: 20-01315 The pre-existing sewage disposal system at the above referenced property is being replaced/retrofitted with an innovative and alternative onsite wastewater treatment system (UA OWTS) in accordance with Section X.A. of the Department's "Standards for Procedures for the Replacement and Retrofits of Existing Sewage Disposal Systems for Single-Family Residences and Other Than Single-Family Residences"("Standards"), effective July 11, 2019. The installation of the I/A OWTS is being performed and reported in accordance with the Standard and Article 6 of the Suffolk County Sanitary Code, and the Department has issued an "Ok To Proceed"with the sanitary system replacement/retrofit. If you have any questions or comments regarding this I/A OWTS installation please call 631-852-5459. Sincerely, )Ukk(O-K Justin P Jobin SCMiS OK TO PROCEED Environmental Projects Coordinator RIEPLA E IEN 01F I=AILED S NITARYSYSTEM WIT11°IAN I/A O WTS !N' eclairn 4111), water q,i irrrt:roG ui My nm 4.nu-,uu9 u;7 'Ufa ,y, l rj DIVISION OF ENVIRONMENTAL QUALITY Publicliealth 360 Yaphank Avenue,Suite 213,Yaphank NY 11980(631)852-5811 Fax(631)852-5812 P-11M F1,11111 Q Z� zl� -IQ 1P low) LW NY COCJ oil CL- CL 0 < EVE- 6 0 LU C1,