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HomeMy WebLinkAboutMastro o��g�FFO(,�cpG " ELIZABETH A.NEVILLE = y� Town Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 CA REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICERFax (631) 765-6145 RECORDS MANAGEMENT OFFICER y'J1pl �aO� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ` AUG 2 6 2002 lJ TO: Southold Town Building Department r L....._.. j' •`CGU?F�C3lD FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: August 26, 2002 Transmitted herewith is a copy of application No. 2998 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Peconic Cesspool for Thomas Mastro 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. * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Maintain required setbacks om adi acent wells, uildings,property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. Signature 'Z— Dated OFFICE OF THE TOWN CLERK (� TOWN OFSOUMOLD 'J CQGy Application No:�� d' ELIZABETH A.NEVUIE,TOWN CURK P.O.BOX 1179 Construction SOUTHOLD,NEW YORK 11971 Alteration Telephone �,� ��Q�' $10.00 - Residential (631) 765-1800 1 $25.00 - Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT s6 APPLICATION D for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE APPLICANT NAME: PECONIC CESSPOOL APPLICANT ADDRESS: P. 0 . Box 972 MATTITUCK, NEW YORK 11952 SEPTIC CESSPOOL p DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ��� /-2dy`�l_. Com' 4 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: OWNER MAILING ADDRESS: .1130 Cv__,L s- OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section ' y(� Block /l Lot 3, CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Applicant RECEIVED BY: Co Cle�'s Office DATE: ... ----- --- Thomas&Moira Mastro 6760 Peconic Bay Boulevard Laurel it FL Vitt �k he [L CL 10FFO1,��o . ELIZABETH A.NEVILLE _� G'y� Town Hall, 53095 Main Road TOWN CLERK H P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER ® Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER y�Ql �aO� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER 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: August 26, 2002 Transmitted herewith is a copy of application No. 2998 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Peconic Cesspool for Thomas Mastro 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. * * * * * * * * * * * * 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 r i OFFICE OF THE TOWN CLERK �F fu . y TOWN OFSOUMOLD lOGy Application No.� EL IZABUM A.NEVIllB,TOWN CL URK P.O.BOX 1179 Construction L ___ SOUfHO1D,NEWYORK 11971 Alteration Telephone $10.00 - Residential (631) 765-1800 $25.00 - Non-Residential TOWN OF SOUTHOLD SOUTHOLD .WASTEWATER DISPOSAL DISTRICT c APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE APPLICANT NAME: PECONIC CESSPOOL APPLICANT ADDRESS: P. 0. sox 972 MATTITUCK, NEW YORK 11952 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION, MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: �!fLl7�sy hG OWNER MAILING ADDRESS: OWNER PROPERTY ADDRESS:. C7cD '46_w� TELEPHONE NUMBER OF CONTACT. PERSON.: __- TAX MAP NO. : Section Block Lot 3 CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Applicant RECEIVED BY: o C e 's Office DATE: G� Z� i y; 1 r Thomas& Moira Mastro 6760 Peconic Bay Boulevard �.�Laurel u 'v t i ry4 � J df Q Ir /41 ` J i• 1 1--- r�ct Sl� Thomas&Moira Mastro 6160 Peconic Bay Boulevard Laurel JJ 44 �kll W-41^ JK P, /41 AV