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Home My WebLink AboutMcCall, WalkerELIZABETH A. NEVILLE, RMC, CMC 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 TO: FROM: DATED: OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Southold Town Building Department Carol Hydell, Southold Town Clerk's Office April 25,2011 APR 25 2011 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. Permit submitted by: BIOG. DEPT. TOWN OF SOUTHO[O 4007 for a Cesspool/Septic Tank Construction Nancy Steelman for Walker McCall~ LLC . 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 location map of the project cited above and make the following recommendations: APPROVE ~ DISAPPROVE Comments: Final approval required from the Suffolk County Health Department Signature / Dated ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Mean Road P,O. Box 1179 Southold, New York 11971 Fax {631) 765-6145 '['elephone (631) 765-1800 southoldtown northibrk act 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 Applicant Name ]x,~j;ci Applicant Mailing Address I Application No. L~(~07 Permit No. Septic Tankfi~ or Cesspool Brief Description of Proposed Construction or Alteration Loc~ion of Proposed Constmctio~Alteration: Owner of Property:__ -- Owner Mailing Address: Owner Property Address: ~g~ K~m ~d . Name and phone number of contact person Tax Map No: Section Cross Street 2_~VD ~ ~OTE: LOCATIONI ~ MUST BE ~B~ITTEDrWlTH APPLICATION. NE~' CONSTRUCTION ~QUI=S SU~plTH H~tWDEP~TMENT APPROVAL ~ S~a~f~ ~ ' bate Received by: