HomeMy WebLinkAboutCleaves Point Const ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
sout holdtown.nort hfork.net
TO: SSuth01d T6w~-Building Department
FROM:
DATED: March 29, 2004
Transmitted herewith is a copy of application No.
Permit submitted by:
Cleaves Point Construction Corp.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Linda J. Cooper, Southold Town Clerk's Office
3297 for a Cesspool/Septic Tank Construction
Please review the application and location map and advise if the project has received Suffolk County
Health Department approval and if this office may issue the permit.
Please complete th~, form below and return it to me.
Linda J. Cooper
I have reviewed the application and location map of the project cited above and make the following
recommendations: j
APPROVE
DISAPPROVE
Comments:
Dated
OFF/CE OF THE TOWN CLERK
TOWN OF SOUTHOLD
,~ JT~h~H A. NI~VILLI~, ToWN CLERK
P.O. BOX 1179
sotrI'HOLD, NI~',V YORK 11971
Telephone
[516) 765-1801
TOWN OF SOUTHOLD
Appli~cation No.
$10.00 - Residential
$25.00- Non-Residential
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
fo r
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
OWNER NAME: ~Z.-,~,4V~' ~×~.'r'
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS:
OWNER TELEPHONE NUMBER:
TAX MAP NO.: Section ~> Block
CROSS STREET: /)']l~j/_.~,V~ /~cc~-
TYPE OF SYSTEM:
Septic Tank v/ New >'/ Existing
Cesspool ~/ New / Existing
Residential ~/ Non-Residential
Lot .)5
LOCATION MAP:
Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to building and closest road.)
RECEIVED BY :~~(~
' Town Clerk's Office
-%