HomeMy WebLinkAboutInterreal Y
ELIZABETH A.NEVILLE 1`oJ1G.y Town Hall, 53095 Main Road
TOWN CLERK p P.O. Box 1179
CA Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS V► Al
• � Fax(631) 765-6145
MARRIAGE OFFICER �
A
RECORDS MANAGEMENT OFFICER �f Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER O'� �a southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
2003 i TOWN OF SOUTHOLD
TO: -Southold- 'own Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 28, 2003
Transmitted herewith is a copy of application No. 3177 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Peconic Cesspool for New Suffolk Shipyard
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
�D ' .
Comments: Maintain required setbacks from adjacent wells,buildings, property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
Signature
Dated
i Z,
OFFICE
TOWN or SOU OLD �� DIi Application Nos)7 K
EI,IZABIMI A.NEVAIB,TOWN CLERK
P.O.BOX 1179 Construction
SOITiHO1D,NEW YORK 11911
Alteration
Telephone yO,,�� �Q� $10`."00. 'Residential
(631) 765-1800 $25.00 -,Non-Residential.
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
RECEIVED
APPLICATION MAY 2 $ 2003
for /4 -� ISU
CONSTRUCTION or ALTERATION PERMIT Southold Town Clerk
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE /220 7
APPLICANT NAME: PECONIC CESSPOOL
APPLICANT ADDRESS: P. 0. Box 972
MATTITUCK, NEW YORK 11952
SEPTIC CESSPOOL r
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
e
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:
OWNER: MAILING ADDRESS:
OWNER PROPERTY ADDRESS: ���/� g
77 E
-- _-- TELEPHONE—NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section //-7 Block C7S Lot y: /
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature ofpplicant
RECEIVED BY:
Town Clerk's Office
DATE:
• Town Of Southold
P0Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 05/28/03 Receipt#: 7158
Transaction(s): Subtotal
1 Septic Permit- Construct. Non-resid. $25.00
Check#- 7158 Total Paid: $25.00
Name: Peconic, Cesspool
P O Box 972
Mattituck, NY 11952
Clerk ID: LYNDAB Internal ID,75818
N101F mIcHAEL i WITHERS
LJ�
S. 87°55'00' E. 157.56'
W01F 5 Cm A.
ALEXAMOER
Shea
S. 87°55' E. */9 \'o IS 4ti
-
40-00'
O B'� ��Y\ _.`, _ __ - , -I- ._g1_-. �-- tit i �,�6.¢ �'; ��` � •_.a-
7h11
f I
CZ
to
23
14
ej
4j (6 N
(0
-7U -4
',. C)1?EES
C H rTLJ
A n9 S TpEF
IREA = 2.287 Acres to ije
SURVEY OF
NEW SUFFOL K St
n AT NEW SUFEC
TOWN OF SOUTI
nil I
km a r-d SUFFOLK COUNT
Neil 6 ct I k N
7 75 1000 - 117 - 05 -- 29.
XetJ 6uFp I Scale: I," =40"
Feb. 14, 1994