The URL can be used to link to this page

Home My WebLink AboutLocastro 1 �o�Os�FFO�,��0 ELIZABETH A.NEVILLE _ Gy� Town Hall, 53095 Main Road TOWN CLERK y - P.O. Box 1179 REGISTRAR.OF VITAL STATISTICS r Southold, New York 11971 MARRIAGE OFFICER ,jiL !� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER -7�l �a� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net EOWNOFFICE OF THE TOWN CLERK O _ 9 202TOWN OF SOUTHOLD r- BuS6uthNJ.To Building Department :,,F l;, FROM: Linda J. Cooper, Southold Town Clerk's Office i DATED: October 9, 2002 Transmitted herewith is a copy of application No. 3035 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Peconic Cesspool for Charles LoCasiro I 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 , /0 /z cz Dated • oFFIC$OF THE TOWN CLHAK O 30 TQwNOFBUVrHOLD J CG� Application No. ELIZABBTH A.NEVll1B,TOWN CLERK P.O.BOX 1179 C o u n SoiTfHO[D,NEWYORK 11911 A Telephone �O,j ,� �Q� $10.00 - Residential is (631) 765-1800 $25.00 - Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE 3 a d Z APPLICANT NAME: PECONIC CESSPOOL APPLICANT ADDRESS: P. 0 . Box 972 MATTITUCK , NEW YORK 11952 SEPTIC CESSPOOL t� DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /V i LOCATION MAP Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALT RAT ION: OWNER OF PROPERTY: Q,j�f3S' U OWNER MAILING ADDRESS: OWNER PROPERTY ADDRESS: /C I _�-�� z'713 r�L TELEPHONE NUMBER OF CONTACT PERSON:_ TAX MAP NO. : Section 0 3 Block .j�� Lot t y GReSS STREET: JI BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Appli nt RECEIVED BY: Town Clerk's C)ffice DATE: n n� o .Ott nal 5 � y Charles LoCastro 2400 Park Avenue Mattituck o��S�fFO��-cOG ELIZABETH A. NEVILLE _� y� Town Hall, 53095 Main Road TOWN CLERKH - P.O. Box 1179 = REGISTRAR OF VITAL STATISTICS OSouthold, New York 11971y • !� 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 TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: October 9, 2002 Transmitted herewith is a copy of application No. 3035 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Peconic Cesspool for Charles LoCastro 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 REOUIRED. Signature Dated A OFFtC$OF THE TOWN CLM TOWN OF60UPHOLD �c9 CQG� Application No. ELIZABBI'H A.NBVLL LE,TOWN CL URK P.O.BOX 1179 = Co u n SOUiHOID,NEWYORK 11911 A Telephone 0,��• �Q�' $10.00 - Residential Loo- (631) j(631) 765-1800 �l $25.00 '-Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION - for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE 3 8 d Z APPLICANT NAME: PECONIC CESSPOOL APPLICANT ADDRESS: P. 0. Box 972 MATTITUCK, NEW YORK 11952 SEPTIC CESSPOOL l� DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALT RATION: OWNER OF PROPERTY:- OWNER ROPERTY:OWNER MAILING ADDRESS: OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section Block f y Lot _ STREET:- !gA �. � /4- BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Appli nt RECEIVED SY: Town C erk's Qiffice DATE- ' . r � 4 f �L 0� v h�w►.� �, µUQ ® �-�. 1 � Charles LoCastro 2400 Park Avenue Mattituck Town Of Southold ` P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 10/09/02 Receipt#: 6705 Transaction(s): Subtotal 1 Septic Permit-Construct- Resid. $10.00 Cash#: 6705 Total Paid: $10.00 d' 1 Name: Peconic, Cesspool P O Box 972 Mattituck, NY 11952 Clerk ID: LINDAC Internal ID:63333 �o V 0 Charles LoCastro 2400 Park Avenue Mattituck