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HomeMy WebLinkAboutGallagher, Courtney ELIZABETH A, NEVILLE TOWN CLERK Town Hall, 53095 Main Road P,O, Box 1179 Southold, New York 11971 Fax (631) 765.6145 Telephone (631) 765.1800 southoldtown.northfork.net REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFO~ OFFICER --~\?: ',...\', ..- r \' \S \' " 0'(, I';, \\....,.-",,\ ,.,-_, \'.:, ~:,' \()",Y.-~ ! , \\ ; ,. ,\ !'" '..y~~__,~'-_/ i " " \~"C Ida ..1\ '[:\;10 .. \ 1" \ WI' \ \ \ \1 _ II \..- \ \' ' '. ......-l ~~__ __~ SoutiJ.dlOTown Building Department FROM: Michelle 1. Martocchia, Southold Town Clerk's Office OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD DATED: March 31, 2006 RE: Cesspool Constmctionl Alteration Application Transmitted herewith is a copy of application No, 3578 for a Cesspool/Septic Tank ConstmctionlAlteration Permit submitted by: Courtney Gallal!her Please review the application lmd 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 v~ DISAPPROVE Comments: ~~~~~tr~~ ~~ ~ ~ .??-'~/ /' .;.. Signature l(7 V'~' Gh~~ ..leo' Date ELIZABETH A, NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFIC]~R RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER '. - Town Hall, 53095 Main Road P,O, Box 1179 Southold, New York 11971 Fax (631) 765-61415 Telephone (631) 765-1800 sou thold town, northfork, net - f ,:p. OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $IO~L or Non-Residential@$25_ Application N3S 1 <2;: Permit No. Applicant Name CouriY"l,"\ C-,"'\ l~-c.r Applicant Mailing Address 'Po K ~D'-l7 R:,...-..:.er\ par./. N'r'llct144 Septic Tank.1".___or Cesspool_ Brief Description of Pro posed Constmction or Alteration Pd 'P~r ~rve.'7 Location of Proposed Construction! Alteration: Owner ofPropelty: H:rh..e.1 z-",,,,,'4-5 Owner Mailing Address: ~~ ~D().q",.(j)G:b oJ<.<. <,'>, R..,... r Krn. Q.d '1(. ('\~woocl ,..,).'( ol'tSk Owner Property Address: LUet;~ ~ ?".....tholc.l .u'r' 11'171 Name and phone number of contact person CoU.rl-nei Gzal \r\Q~.A '7t05 -4'10 0 Tax Map No: 1000 Section (:) '>'>~ Block b l,Q Lot 01 8" ,~ Cross Street ~ow ~ 1.....'{-1-1 e ?~<.~i'c 6......, R..d NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION, NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEP ARTMENT APPROVAL ~~ D3)3J!olf ~gnature of ~licant . . 'Date R""""'bY4~Q~j'-toF::( H . '" ...: l'3' ~ ~ ~ ~ 1>, Z CS ~ g:i I !:i UZ:.:r- <: ;:.;.0 I:l r.Li r<:'.'1 \ :I: fllu ~ 01.<. :2~~ Oe::1 ~ U- ~~ p:: ~~ ~ >~ ~ ~~ ~ ~~ ?3 t:l: ~ ~ c 15 ...., 8 \<0", ~ ~ ~ N\ ~ ~ [:! Vl <: o :g () . ",:;: fIJ l~~ ,~() it~ .~ J ~ -" $ J~ - q' ~ ~ ~ ~~ . ~~ . lIi ~JIi~). ~~~~ ~~IS~ ~Q'~ ~~~~~ E!i.~i!: ~~~~~ ~~~1i iiiiQ/'" ~;:)il I!:! ~ ~!/). ~II~ loi!iO ~CI) ~l3 ~ i~ el.~11 ~J~ ~g~~~~ ~~~~ ~~b~~ (~~~ ~~t;~ e~~~ ~I~~~~ :~~e ~~~~~i ~~ffi;" <lW"'~tll alll~~ ~~~I!I i~~~ ~ ~ ~ I.<. ~ 0 fil [:! Q:l <: ~~ ~, !::' ::;; g,l ;:l <: eg, ~ ~ i "" ell ~ Cl ~ ~ ~ F"'-{i ,~ ~l~ ~ t ~d ,f :!",i~~ )... Q~ J ~--- ~ 0 <: ~ ~ · ~ l Q.: ~ ;:t ).....~ ~ ~l ~ i ~ <:) ~ I- lei ~ ~~ ~~1~ I ~. lb lt~~~:!l~8mll/n ~ "':lm )...CI)'" C'II"'*IO-';'~~-Q i f ~ ~ 13 ~ Ll. (:) : ':: i1i~ ! ~ i m ~ .1 N"'O"~ ,'~'~"'} "Ii;,: fi!'~)"'1- ~Q)~mt; :>~",-\'o~~~' .. ~~~~ bIJ ~;:: t=:i! I ~I.i:: C {~-e ~\" ~. i""":S; ~'"'<:>-. ,~q~~ !~ i~'~ D:: Q If: ~ '~ ~ ~ ~~ ,. ,. ,. I- l:l;;: e:~ 11)- l.u~ ei>.: ::>:C",..J:C: !l:100lU ;:;!,OI::>: w, ~c:i \;!~~~~ ~""1tI ;t: 8;::<:icS ~~~5l . C& :.. ;., Co ~~ Ii 5 ~~ '; ~Ii! aj ~ .I 1It ~ ~t Ii ! .Ii E ., ~ Ii! ~18 hl dJ!l it ItI 8l - .; )... ~ Q) 01 Ill. is c:i ,~..,' " '~ :;,"'0':..'....,. it-' .r, I 'Q:;" ~Ile ~ ~ ~ '!,oJ ~ ll:: t.:: ~ ~ '~ ~' ~ !Il .oq: !.U ~' ~ "'. i:: 8 ~, C I.u ii c:l .I 13~ ~ ~~ :s ~'b ~~!i)& a:~~.!ii oq:~)...~ ~l.u~:lS li:.~~~ 11)\.0.: .2 ~~~-; ~II)~: ~~ .~ II)....~~ II O'C ~ .., - () :lS~\I)'" ""i::~~ . ~ ~-u \)iO"'" :::J tiE~~'ij . j.;;:1I)~ li ~..,Ja'" O~"() E'O.....!;;I- a ",)i~ -~~...!! oq:CS IS t .' ~ ,~/7- I~I / /~ / I ~ J / ( I ( I / { I \.e. / \' " \\ /, '0 " 0 ~ " V) , 'Q ~<. I~.sl I ~ I ~ / & ~ i .! 2 ,..,; .... 2' ~ ~ / / / ..,J / ~ 'Il w, LU lr ~ ;;: ~ ~ !!l I- -'t ~ \.u >,:10 ~ o~:c:gJ ,.. \I)~ ~i3~~c:i ' l.ulis~I-?l~ \J!.Uffi~~"'" ~Ol!)~~r' .~~~:tli)fJ !i.l1I)l!:! .... ~~~~ ~ ~ " ~ Qocwr .. i >Z ----