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Home My WebLink AboutKammerer, Olga & Michael Curtin OF SOUjyol ELIZABETH A.NEVILLE,RMC,CMC O Town Hall, 53095 Main Road TOWN CLERK J P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 G MARRIAGE OFFICER apQ Fax(631) 765-6145 � RECORDS MANAGEMENT OFFICERTelephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER yCOU 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. 3839 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : PECONIC CESSPOOL Address l: P O 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 OLGA KAMMERER & MICAHEL CURTIN ------------------------------ Mailing Address 1 ------------------------------ ------------------------------ City St Zip 0000 ' -------------------- -- ---------- Property Address 1 1470 PARK AVENUE ------------------------------ ------------------------------ City St Zip MATTITUCK NY 11952 -------------------- -- ---------- Tax Map No. section 123.00 block 8 lot 3.000 ------ --- ------ Cross Street MARATOOKA ROAD ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 11/20/08Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) 1 �k ELIZABETH A.NEVILLE �Oof SU(/ryOlO Town Hall,53095 Main Road TOWN CLERK i� P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER n_ Q Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER �li�'`OU southoldtown.northfork.net e OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: November 18, 2008 Transmitted herewith is a copy of application No. 3839 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Peconic Cesspool for Olga Curtin & Mike Kammerer 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 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 DatecY C y 1 �pF SO(/j�, ELIZABETH A.NEVILLE �� l0 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 �� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER �liycou southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: November 18, 2008 Transmitted herewith is a copy of application No. 3839 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Peconic Cesspool for 0111a Curtin & Mike Kammerer 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 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 %13F F81 ELIZABETH A.NEVILLE �`t` Gy Town Hall,53095 Main Road TOWN CLERK p P.O. Box 1179 H old,New York 11971 2 South REGISTRAR OF VITAL STATISTICS v � MARRIAGE OFFICER • Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER �'� 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 Application No. Permit No. Applicant Name PECONIC CESSPOOL Applicant Mailing Address P. 0. BOX 487 LAUREL, NEW YORK_ _ 119.48_ Septic Tank_ or Cesspool_ Brief Description of Proposed Construction or Alteration Location of Proposed Const uction/Alteration: � Cv" Owner of Property: V I `L Owner Mailing Address: � 70 0,,-,�~ l�W Owner Property Address: Name and phone number of contact person Tax Map No: Section ,�4 3 Block 09 Lot Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICA N. NEW CONSTRUCTION REQUIRES SURVEY WITH HE 1 '' DEPARTMENT PROVAL 1 �lod Signator o�ptDate Received by: r- 4 a'j 1470 S s k } ` � 1 i t ccss o� k