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HomeMy WebLinkAboutJKNK, LLC 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~A~CER F~~M pYWF~~~~l f;nFICER , ,\ ~ ,~_ ,c'..J!-..- -' I \ II \ I ;' . ~ , I \ , (" f'" ',' 1 APR -1 t ).1 j OFFICE OF THE TOWN CLERK \ TOWN OF SOUTHOLD '. "____.J :.' ...,.., TO: Southold Town Building Department FROM: Linda J, Cooper, Southold Town Clerk's Office DATED: Transmitted herewith is a copy of application No. 3584 for a CesspooJlSeptic Tank Constmction or Alteration Permit submitted by: Peconic Cesspool 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 ~d location map of the project cited above and make the following recommendations: / APPROVE . DISAPPROVE Comments: ~,~ Signature Lf- __/tJ --' () /. Dated I I. . Telephone (631) 765-1800 ~ Application ~ Con=otructlon Alteration $10.00 - I{esldentlal $25,00 - Non-Re=oldential' .L.-- Olnc;l!W:ru'lOWN <;UIlIt '. 'IQ~ or IO\IPIOLD 1lIJZABB'ritA:.HBVUJ.,B; TOWN CUlIlK P.o.BOXU79 sournOU>, NBW YORK 11911 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION -, for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No.9 Fee '$ DATE 3/'!dol,. , APPLICANT NAME: PECONIC CESSPOOL APPI,.ICANT ADDRESS: P. O. BOX 972 MATTITUCK, NEW YORK 11952' SEPT1C____CESSPOOL . DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ,r:,', ,'. ,\' 72J ~' ,~!f_.L..~'.~~__.y~..2;::: f ~:h:.' ~.. ,. LOCATION MAP: Mu=ot be attached hereto before permit lIIay be Issued. Lq~~TlqN OF PROPOSED CONSTRUCTION OR ALn:RATION: .. ':PWNER'. OF PRQPERTY: J k N k v i l t!.. , "tiQWNER MAILING ADDRESS: P,ll P:::>fi C. 07 O",eNi OWNER PROPERTY ADDRESS: ~ 1I"So M ~ .ILdi fVI~;T,.t(J~ K TELEPHONE NUMBER OF CONTACT PERSON: ~'i,qLS--j TAX MAP NO.: Section II If. ODlocl( \l _ _Lot 'J, If, OCl3 ~S STREET: ~~ ~ BUILDING PERMIT NUMBER CROSS REFER! KE :Jl" P-It .,~L_ ;l"r ? 0" I ~~",.I .~ RECEIVED BY: _ . own erk =0 Office DATE:~ ," , . ta1 , r l \..-c, ~ ~,~ . 1 . ~; /', .... 1:X(..Le.-6!~';:7 y ,J ~ '\ ~ "\: " .,} t,} ..'~ ,..),.) . I ,./\ ){~v 'JA" 'I t .,f l-J.-N \ I (" .? " ..(~'l.---1~~ ~/.L' ---'\~ eJf~ f ~ I " ~: , ,......- i ' , i " I l ; ,t ~ :! S> I , 11"/ ~,' ';'~'-Q~ al~ \-/" 1'l-1\ 11' "t' }/ / J I ,X ~ '" N I vJ " t: i I' , (" P. Ii t. 'i r !", f" (.l, ,i VI) If I I ::if'<- N~, LLe N~, ItDO -liCf- {I ~.}.I.f, 3 .-11' .1, "ft',- d.....,:..~ ! V;:,. ,'4""" Ai ~"1- ^ {4~ ' \ ~ Aft ('<-'4........_;.. "..--y .:,." ,.,.. j ';k.( ,./__..-1.......-"'. r--""'- I , J 'l g.l ~r1\ .J' tl Iq '1 - I , I I , I i I I I i I I t <;..4- L. . .L -,- .."'1 ....---;7'i' ( - / ' t..'.J>' f!." qt; ~ .-,--~-_.----------..... ,-