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
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REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS~A~CER
F~~M pYWF~~~~l f;nFICER
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APR -1 t ).1 j OFFICE OF THE TOWN CLERK
\ TOWN OF SOUTHOLD
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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
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I have reviewed the application ~d location map of the project cited above and make the following
recommendations: /
APPROVE .
DISAPPROVE
Comments:
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Signature
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Dated
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Telephone
(631) 765-1800
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Application ~
Con=otructlon
Alteration
$10.00 - I{esldentlal
$25,00 - Non-Re=oldential' .L.--
Olnc;l!W:ru'lOWN <;UIlIt
'. 'IQ~ or IO\IPIOLD
1lIJZABB'ritA:.HBVUJ.,B; TOWN CUlIlK
P.o.BOXU79
sournOU>, NBW YORK 11911
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
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for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.9
Fee '$
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
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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
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RECEIVED BY: _
. own erk =0 Office
DATE:~
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