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Home My WebLink AboutZeller, Ruth SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3642 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : COASTLINE CESSPOOL & DRAIN Address 1: 4225 BRIDGE LANE City St Zip CUTCHOGUE NY 11935 Descripton of Proposed Construction or Alteration INSTALL SEPTIC TANK & 6X8 LEACHING POOL; REPLACE ABANDONED BRICK POOLS APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETACKS FROM ADJACENT WELLS, PROPERTY LINES, BUILDINGS AND WATER BODIES. Name Of Owner ZELLER, RUTH ------------------------------ Mailing Address 1 225 WILLOW STREET ------------------------------ ------------------------------ City St Zip CUTCHOGUE NY 11935 -------------------- -- ---------- Property Address 1 225 WILLOW STREET ------------------------------ ------------------------------ City St Zip CUTCHOGUE NY 11935 -------------------- -- ---------- Tax Map No. section 103.00 block 7 lot 8.000 ------ --- ------ Cross Street STILLWATER AVENUE ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 6/06/08 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) SOF SOUl�, ELIZABETH A.NEVILLE � Ol0 Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 u� �e Fax(631) 765-6145 MARRIAGE OFFICER G Q RECORDS MANAGEMENT OFFICER �� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER ��ycouffm c� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Carol Hydell, Southold Town Clerk's Office DATED: June 3, 2008 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 3803 for a Cesspool/Septic Tank Construction Permit submitted by: Coastline Cesspool & Drain Sve for Ruth Zeller 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. Thank you. I have reviewed the application and location map of the project cited above and make the following recommendations: / APPROVE 6� DISAPPROVE 2 ` � d Comments: Signa;4 , �� Ag Dated i ELIZABETH A. NEVILLE �� Ol0 Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 u� ,c Fax (631) 765-6145 MARRIAGE OFFICER G Q RECORDS MANAGEMENT OFFICER �` • a0 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �liJ'0 0 � southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Carol Hydell, Southold Town Clerk's Office DATED: June 3, 2008 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 3803 fora Cesspool/Septic Tank Construction Permit submitted by: Coastline Cesspool & Drain Sve for Ruth Zeller 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. Thank you. I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Signature Dated a , ELIZABETH A.NEVILLE �`Z` Gy Town Hall, 53095 Main Road a P.O.Box 1179 TOWN CLERK y Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 0 Fax(631) 765-6145 MARRIAGE OFFICER y �� Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER ?I0l �a� 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 V/ or Non-Residential @ $25 Application No. ,--'-'?) So3 - Permit No. Applicant Name Ca(�-H 1 n� C�e�S II ° Co)O,J Lk° Applicant Mailing Address 1394,06E LAAW �cnCNdC#U� Il3l-1 11935 Septic Tank ✓or Cesspool ✓ IJ Brief Description of Proposed Construction or Alteration _I-f�S�O) 1 hL) C' (t) )(8 reabono Location of Proposed Construction/Alteration: Owner of Property: Owner Mailing Address: W 1 1-,LO eUTC H01-roE N n 9L35 Owner Property Address: SQA b E Name and phone number of contact person ) 1 LL -5 I(o •9L13-15,3q Tax Map No: 1066 Section Block 07 Lot 0 8 Cross Street ST 1 Lc.W ATS R AVE- NOTE: VE- NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURA.ZEY WITH HEALTH DEPARTMENT APPROVAL 3 �`S Signature of Applicant Date Received by: �s1N-?G' 4% iTNU1 16 1� C��1ltiIT! IINs N/0/F ANN SAB A _ N. 46° 29' 30 E. 144.057� Deod N. 46 ® 29' 00 E. MOO 944.T1Act " � rnon. e Iz ® t0 fh Q � � L6 Lu !r tcos 666 so 'Xk 10 v '• " t sfy f�• � W q v k O two ®r wand aack LL Li, y Q�N I iii APs J 4 O s • I goo �o , -•.l Z m ' o ST FdL� I �- .,� I Ncw7 � i t� J I I K$ LIF I fes, Man 46° 29' 30 " W. 126- 70 Mon. zicridarde for title curvays us ecta�I. .,_:: foo o 1 _ 07 — Q8 The L.I.A.L.S. and approved and rid.. for cvch use by The Now York State Lo,j SCALE 1 tt e 3 0 t Title Association. SEPT. 17, 1985 MAR 18 l ?88 68RTIFIE 0 TO �? g. MST 'Q e1 2 �' CHICAGO TITLE INSURANCE N.Y.S., 1-10• NO• 49618 COMPANY OF NEW YORK _ ---.------ - S0U nlOL.D SAVINGS BANK VE S 91 ENGINEERS, P. C . PETER FERRIGAN PE VIRGINIA FERRIG AIV 4% 4041F 4 a- D TITLE NO. 8606 - 094573