HomeMy WebLinkAboutCutchogue 6291 LLCELIZABETH A. NEVILLE, MMC
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
ln~l ,,,o , 8 'mll IIU~,FFICE OF ,HE, TOWNfLERK
u 1 or 8ouT.oL
BLDG. DEPI.
): ~ ilding D~ent
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, NewYork 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
FROM:
Carol Hydell, Southold Town Clerk's Office
DATED: August 17, 2011
RE:
Cesspool Construction Application
Transmitted herewith is a copy of application No. 4037 for a Cesspool/Septic Tank Construction
Permit submitted by:
Melissa Butler for Cutchogue 6291 LLC
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and retum it to me. Thank you.
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments:
Final approval required fi.om the Suffolk County Health Department
Signature
SOUTHOLD WASTEWATER DISTRICT
/~PPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
l~Residential (~ $10 or [] Non-Residential ~ $25
Application No.
Applicant Mailing Address: 20(:::' /.--I/~.~)/~ ~')'.
Brief d~scription of Propsed Construction or Alteration: ,
/
Location &Proposed Construction/Alteration:
Oyster of Property: Cutchogue 6291, L.L.C.
Septic Tank o~rCesspoo112
Permit No. t.~ O ~
Owner Mailing Address: 331 West 84~ St. #4
NY. NY 10024
Property Address: 6291 Oregon Road
Cutchogue, NY 11935
Name and Telephone No. of Contact Person: Steohanie Guilpin 212-5866502
Tax Map No.: Section: 82 Block: 02 Lot: 3.2
Nearest Cross Street: DUCK POND ROAD
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY. ~ ~IE~LTH D~EPARTxIVIF_aN~ APPROVAL.
( '~/~ Siganture o[Applicant ? 7 Date
Received by: --I[ I (/ I
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SUFFOLK COUN~ DEPARTMENT OF HEALTH
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A /
SINGLE FAMILY RESIDENCE ONLY /
DA~~ REF. NO. ~-06-00~ PARCEL ~2 /
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..... A~ NI~ R.O~. = I~O~OD.~D ~.FT. = 4.~ ACRE9
~5~ GLEA~D OF TOT~
EXPIRES T~ YEARS FRO~{ DATE OF APPROVAL LOT ~~ = ~0 ~.FT. / ~1~5~2 ~.FT. = .0~1 : &.l~ /