HomeMy WebLinkAboutRussell, TheresaELIZABETH A. NEVILLE, MMC
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS OF MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, NewYork 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
TO:
FROM:
OFFICE OF THE TOWN CI,Et
TOWN OF SOUTHOLD
Southold Town Building Department .
Linda J. Cooper, Southold Town Clerk's Office
SEP -8 2011
BLDG OEP[
TOWN OF SOUTHOLD
DATED: September 8, 2011
Transmitted herewith is a copy of application No. 4040
Permit submitted by:
for a Cesspool/Septic Tank ALTERATION
Peconic Cesspool for Theresa Russell SCTM #103-4-24
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.
I have reviewed the applicat~tion map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Maintain required setbacks from adiacent wells, buildings, property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
aECO~ ~tN~ ~
Fp.Z~ OF ~ATtON O~'~
P.O. Box 1179
~u~l, New Y~k 11971
F= (681) 76~61~
Te~me (681) ~65-1800
O~'~iu~ OF ~ TOWN ~-~K
~ OF SODTHOLD
$OUTHOLD WASTEWATER DISTRICT
CONSTRUCTION or ALTEP~T~ON PET. MIT
CF.~SPOOL or SEPTIC TAN~
Pemlit No. ,.
Owner Md~i%~ Address:
Oro~ Street