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HomeMy WebLinkAboutTurnbull, Joanne & WilliamELIZABETH A. NEVILLE, RMC, CMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER '~30 9~O1B OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net FROM: DATED: RE: Linda J. Cooper, Southold Town Clerk's Office February 5, 2009 Cesspool Construction Application Transmitted herewith is a copy of application No. Permit submitted by: Joanne & William Turnbull 3855 for a Cesspool/Septic Tank Construction Please review the application and 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 Y DISAPPROVE Comments: Dated ELIZABETH A. NEVILLE '~.- TOWN CLERK REGISTRAR OF VITAL STATISTICS · MARRIAOE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT ..APPLICATION ...Town Hall: 53095 Main ~s P,O, Box 1179 Sou(hold, NewYork 11971 Fax (631) 765-6146 Telephone (631) 765-1800 sou tholdtown.northfork.ne! CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential Q) $10~or Non-Residential Q~ $25 .... Application No. 3°°'5-S'" Pm'mil No. Septic TankXr Cesspool Tax Map No: Section Cross Street Reeoived b'y: NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL .GURVE'r' OF PROF~R'I"r' 51TUATE~ ,~I~.tAHOHA6~IE TOI'flN, .. LD ~171~B~ 02-22-2OO5, ~~..0'/-200~ ..... I~"v'LS~D 02-2"/-0'/ ~LK, ~_..~r~ TAX # Tes~ Hole 02-1-7-20©5 El.= 20' sUFFoL[( COUNTY D~PAR~ OF ~,T[..I SF..~I/IC~ N pERMiT ~R ~PROVAL 01~ CONSTRU)C'~I~yON FOR A + ~-]~GLE FAMILY RESIDENCE ONL )A~ 0F ~OV~ )fexi~ng sanimy ~ wilh department completed form WWM- t ~' ~ IvlO~ FOUND DRAIN t=:~;~:;~O~ED' DP,¥ PIE. LL AREA = ~P, APHIG 5C_.,AJ._E I"= JOHN C. EHLERS LAND SURVEYOR MAIN STRis~i' N.Y.S. LIC. NO. 50202