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Home My WebLink AboutCostanolo, Barbara SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3644 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : PECONIC CESSPOOL Address 1: P 0 BOX 487 City St Zip LAUREL NY 11948 Descripton of Proposed Construction or Alteration REPLACE EXISTING SYSTEM WITH 1 TANK, 2 POOLS APPROVED AS SUBMITTED. MAINTAIN REQURIED SETBACKS FROM ADJACENT WELLS BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner COSTANOLO, BARBARA ------------------------------ Mailing Address 1 702 WEST SEVEN ST ------------------------------ ------------------------------ City St Zip LYNN HAVE FL 32444_ -------------------- -- ---------- Property Address 1 640 WOODCLIFF DR ------------------------------ -- --------------------------- City ----------------------------------------------------------- City St Zip MATTITUCK NY 11952 -------------------- -- ---------- Tax Map No. section 107.00 block 8 lot 12.000 ------ --- ------ Cross Street ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 6/06/08 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) ELIZABETH A.NEVILLE �� Ol Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 u� �r Fax(631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER a� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER O`ij'CDU e� southoldtown.northfork.net CX ' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Southold1T-own Building Department r ,�` ,fes S.r f.,,.✓�y,.f �ROM-�J,�`,-�:—`Linda J. Cooper, Southold Town Clerk's Office DATED: June 4, 2008 Transmitted herewith is a copy of application No. 3805 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Peconic Cesspool for Barbara Costando 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. N. Signature ir:p, coo/ Dated �pF S0 ELIZABETH A.NEVILLE O� �� Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER N Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER ��y'roUNT'I,Nc� 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: June 4, 2008 Transmitted herewith is a copy of application No. 3805 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Peconic Cesspool for Barbara Costando 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 4 9 o�osu�Fot,��, ELIZABETH A.NEVILLE �Gy� Town Hall, 53095 Main Road TOWN CLERK o P.O.Box 1179 C4 Z Southold,New York 11971 REGISTRAR,OF VITAL STATISTICS S Fax(631) 765-6145 MARRIAGE OFFICER • 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.Z&51 Permit No. Applicant Name PECONIC CESSPOOL Applicant Mailing Address P- O. BOX 487 LAUREL, NEW YORK 1194.8__ Septic Tank or Cesspool oZj Brief Descri . n 4 Proposed Cons Q�tipn or Alteration Location of Proposed Construction/Alteration: Owner of Property: &rgjJJb 4t.M Co stQ,{ o� o Owner Mailing Address: 70- W e o - 5e4&,A S14 LLJVIVY HcLjj& FL, :3J-, Owner Property Address: 64o , 00odc—UL4, YVoe' '`S Name and phone number of contact persons 5-60 _ l a Tax Map No: Section 107 Block Lot Cross Street NOTE: LOCATION MAP MUST BE SUB TED WITH LIGATION. NEW CONSTRUCTION REQUIRES SURVEY W HEALTH DEP MENT APPRO AL ' s gna re of Applicant Dat l Received by: i n _ cess 0 � � UIP 1ov�w� �I .ov POOL � r 44. i 6� �n �6 nAf