HomeMy WebLinkAboutHinsch, James TOWN CnERK
REGISTRAR OF VITAL STATISTICS
MARPJ~GE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Msin Road
P.O. Box 1179
Southold, New York 11971
Fsx (631) 765-6145
Telephone (631) 765-1800
southold~own.northfork.ne~
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10__~ or Non-Residential @ $25 __
Application No. ~ 5 (2) ~' ..
Permit No.
Applicant Name
PECONIC CESSPOOL
Applicant Mailing Ad&ess P. O. BOX _ ?87
LAUREL, NEW YORK 11948
Septic Tank i pr Cesspool. "' ;-
Brief, Description of Prop¢osed~Constmcfion or Alteratien ¥6~a~
Owner Mailing Address:
Received by:
q~t-t,V
18/13/2889 28:28 6312984965 PEGONIC PORTAPOTTIES PAGE 0~ ~ ~ -
Lester, here is a sample copy of a cesspool ~.~rtification letter, Make sure
you sign the letter and put in your Suffolk County Consumer Affairs license
number on the letter.
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
Bob Ghosio, Jr.
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Permit No.: 7191A
Date of Receipt of Application: October 19, 2009
Applicant: James Hinsch
SCTM#: 126-11-10
Project Location: 7290 Peconic Bay Blvd., Laurel
Date of Resolution/Issuance: October 21, 2009
Date of Expiration: October 21, 2011
Reviewed by: Trustee James King
Project Description: To replace the existing septic tank and cesspool.
Findings: The project meets ail the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code. The
issuance of an Administrative Permit allows for the operations as indicated on the
application received on October 19, 2009.
Conditions: None
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth in Chapter 275 of the Southold Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
Jam~f~ F. King, President'
Board of Trustees
T~c,)
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