HomeMy WebLinkAboutNew Suffolk Shipyard 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
southo]dtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED:
Transmitted herewith is a copy of application No. 3546
Permit submitted by:
Peconic Cess0ool
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 the 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:
APPROVE
DISAPPROVE
Comments:
Signature
Dated ~
TOWN OF SOUTIIOI.L)
SOUTHOLD WASTEWATER DI.%I'OSAI. I)ISIP, ICI
APPLICAT
for
CONSTRUCTION or AL'I'ERAI I(ff,l I'IiRMII
SEPTIC TANK or CESSI'()OI.
Permit No.
DATE .... ~.
APPLICANT NAME:
CESSPOOL
APPLICANT ADDRESS: p.o. BOX 9-/2
~wr~'~'ruc~,
.
~I~NL,~ PROPOSED CONSTRUCTION OR AL-['[~ItATION:
OWNER PROPERTY ADDRESS:
',,~v. ' ' ' JJ 7 Bloch
BUIlDING'PERMIT NUMBER CROSS REFER,
RECEIVED BY:
Town
,~Jglla[Llrl~ ol Apj'~cat'lt
NEW SUFFOLK SHIPYARD
1000-117-05-29.1
N/O/F MICHAEL J. WITHERS
.
Town Of Southold
P.O Box 1179
Southold, NY 11971
Date: 12/01/05
* * * RECEIPT * * *
Receipt#:
9188
Transaction(s):
1
Septic Permit - Construct. Non-resid.
Check#: 9188
Reference
3546
Total Paid:
Subtotal
$25.00
$25.00
Name:
Peconic, Cesspool
P O Box 972
Mattituck, NY 11952
Clerk ID: FRAN Internal ID: 3546