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Home My WebLink AboutSouthold United Methodist Church K a SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3634 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : SOUTHOLD UNITED METHODIST Address 1: CHURCH HOUSE City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration REPLACE BLOCK POOLS WITH PRECAST, SAME LOCATION APPROVED - MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS PROPERTY LINES AND WATER BODIES ** EXCAVATION INSPECTION REQUIRED ** Name Of Owner SOUTHOLD UNITED METHODIST ------------------------------ Mailing Address 1 CHURCH ------------------------------ ------------------------------ City St Zip SOUTHOLD NY 11971 -------------------- -- ---------- Property Address 1 54020 ROUTE 25 ------------------------------ ------------------------------ City St Zip SOUTHOLD NY 11971 -------------------- -- ---------- Tax Map No. section 61.00 block 4 lot 19.001 ------ --- ------ Cross Street WEST MECHANIC STREET ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 5/07/08 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) 'ELIZABETH A.NEVILLE � SOUryo Town Hall, 53095 Main Road TOWN CLERK ~� lO P.Q.Box 1179 REGISTRAR.OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER G Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �' a� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER oli�O NT'1,�� southoldtown.northfork.net OFFICE OF THE TOWN CLERK 3 4� TOWN OF SOUTHOLD �n TO: Southold Town Building Department 1u APR Pill'22003 q!1 "11 FROM: Linda J. Cooper, Southold Town Clerk's Office ;� ;,�• y'`;;'�n,7 DATED: April 11, 2008 Transmitted herewith is a copy of application No. 3795 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Coastline Cesspool & Drain for Southold United Methodist Church manse 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: r / APPROVE k/ DISAPPROVE Comments: Maintain required setbacks from adjacent wells, buildings,property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. Signature ®� Dated � �oF so�Ty .ELIZABETH A.NEVILLE �� Ol0 Town Hall, 53095 Main Road TOWN CLERK P.O.Box 1179 REGISTRAR OF VITAL STATIS`?'ICS Southold, New York 11971 MARRIAGE OFFICER G Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER ® �� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER �lij'`+om 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: April 11, 2008 Transmitted herewith is a copy of application No. 3795 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Coastline Cesspool & Drain for Southold United Methodist Church manse 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 ELIZABETH A.NEVILLEo`1` Gy� Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 n CA Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS �. � MARRIAGE OFFICER G Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �a southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK ,379-3 Residential @$10 / or Non-Residential @$25 Application No. Permit No. Applicant Name c'Y�0-\-Io6d l Dn ec31 Applicant Mailing Address S)A (70 C) Q-4. oat) nk Septic Tank or Cesspool � Brief Description of Proposed Construction or Alteration s u V�\nc_ c�s ��--h O'-e Cc�� L c�c�aA On � Location of Proposed Construction/Alteration: Owner of Property: Sa_-`oK:W ( �so\Agd 'D��1 SV Owner Mailing Address: Owner Property Address: L-L-_ Name and phone number of contact person �- - - \Lo q615 -�— Ctlj Tax Map No: � Section \ Block VT Lot _ Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL Signature of Applicant Date Received by: SURVEY OF PROPERTY N A T SO UTHOLD TOWN OF SO UTHOLD SUFFOLK COUNTY, MY 1000-61-04-19.1 SCALE: l=300 AUGUST 2-7, 2007 L ` 1 IA- 1%- ,e S 5 ` �o eap, - �1� 1 �0 Nom•\ , RB P � �a1G p 0� �w !/v ' / P� ly : 'k 0 0 W a'�R o 02o a. 2g � Ck w 00 s ? 0 Ttl r - W: