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Home My WebLink AboutPaasch, Paul �pf SO(/r�, ELIZABETH A.NEVILLE ��' Ol0 Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER G Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �� a0 Telephone(631) 765-1$00 FREEDOM OF INFORMATION OFFICER �'yCOU NT`I, southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3660 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : PECONIC CESSPOOL Address 1: PO BOX 487 City St Zip LAUREL NY 11948 Descripton of Proposed Construction or Alteration ADDITION TO EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner PAASCH, PAUL ------------------------------ Mailing Address 1 355 DELMAR DRIVE ------------------------------ ------------------------------ City St Zip LAUREL NY 11948 -------------------- -- ---------- Property Address 1 355 DELMAR DRIVE ------------------------------ ------------------------------ City St Zip LAUREL NY 11948 -------------------- -- ---------- Tax Map No. section 128.00 block 3 lot 6.000 ------ --- ------ Cross Street ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 9/09/08 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) M U ��[ BLDG.DEPT. T N F S �JTNOLt� 9 TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: September 8, 2008 Transmitted herewith is a copy of application No. 3823 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Peconic Cesspool for Paul Paasch Please review the application and location map and advise if the project has received Suffolk County Health Department approval and if this office may issue the permit. Please complete the form below and return it to me. Linda J. Cooper I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Maintain required setbacks from adjacent wells buildings,property lines and water Bodies. EXCAVATION INSPECTION REQUIRED Signature , � oo 0 Dated TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: September 8, 2008 Transmitted herewith isa.copy of application No. 3823 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Peconic Cesspool for Paul Paasch Please review the application and location map and advise if the project has received Suffolk County Health Department approval and if this office may issue the permit. Please complete the form below and return it to me. Linda J. Cooper I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Maintain required setbacks from adjacent wells,buildings,property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. Signature Dated ELIZABETH A.NEVILLE �Gy� Town Hall,53095 Main Road TOWN CLERK p P.O.Box 1179 C#* Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGE OFFICER • RECORDS MANAGEMENT OFFICER y�f� ��! Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER '� �' southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION i CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10A-1 or Non-Residential @$25 Application No. Permit No. Applicant Name PECONIC CESSPOOL Applicant Mailing Address P- O- BOX 487 LAUREL, NEW YORK 11948_ Septic Tank . or Cesspool Brief Des c� tion of P o osed Construe 'ono tera zpn ye Location of Proposed Construction/ eratio� Owner of Property: (/C `-' Owner Mailing Address: 5- C<. r r Lttt/ -Y&t t I q Owner Property Address:_ 55- �)61t 0/1 cut _ Name and phone number of contact person Tax Map No: Section Block "3 Lot Cross Street NOTE: LOCATION MAP MUST BE SUS TTED WITH APPLICAT N. NEW CONSTRUCTION REQUIRES SURVEY WI EALTH DEPART APPROVAL i I Signature of Applicant Date Received by: I Pad ��,s�ti 5s \ � �4letvvlw/ q� s � � n 18' 1