HomeMy WebLinkAboutSterling Harbor IncELIZABETH A. NEVII.I.I~; RMC, CMC
TOWN CI~RK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
sout holdtown.nor th fork.net
TO:
FROM:
DATED:
RE:
Southold Town Building Depadment
Carol Hydell, Southold Town Clerk's Office
May 13, 2010
Cesspool Construction Application
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Transmitted herewith is a copy of application No. 3950
Permit submitted by:
Joseph Read for Sterling Itarbor Inc.
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.
Carol Hydell
I have reviewed the application and lo~ation map of the project cited above and make the following
recommendations: /
APPROVE
DISAPPROVE
Coma-nents: Final approval required from the Suffolk County Health Department,
Signature /( C,/ /
Dated t~ ~// / 7// 0
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
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 __
Applicant Name 'a~E:ne~k/x. ~-~..o~ ~
Applicant Mailing Address ~. e-~.,:L ~ ?
Application No. ~? 5~-~
Permit No.
Septic Ta~..__~. or Cesspool
Brief Description of Propose~l Construction or Alteration k]o .-x'~ ~x~,rnoq~_ ~
Location of Proposed Construction/Alteration:
Owner of Property: ~-~ ~,~.
Owner Mailing Address:
Owner Property Address:
Name and phone number ofcontact pcrson (-.~'~l ,,~'X_~..~--' ~_~'~7~<~ ~T~ ~j2>
Tax Map No: Section ~c~ Block ~ Lot [~. ~
Cross S ect
NOTE: LOCATION MAP MUST BE SUBJ~I~TED WITH APPLICATION. NEW
Silage ~Applic~t v ~ t Date
Receiv~ by: ~
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