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Home My WebLink AboutMaloney, Paul ELIZABETH A.NEVILLE ,� 0 0Gy�; Town Hall, 53095 Main Road TOWN CLERK o _ P.O. Box 1179 y Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICSO �I Fax (516) 765-1823 MARRIAGE OFFICER �. y O�,�� Telephone (516) 765-1800 RECORDS MANAGEMENT OFFICER ; 491 * *a 9.° FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1838 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : MORRIS CESSPOOL Address 1 : 2760 YENNECOTT DRIVE City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration ADDITION OF CESSPOOL TO AN EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner MALONEY, PAUL Mailing Address 1 GOOSE CREEK DRIVE City St Zip SOUTHOLD NY 11971 Property Address 1 GOOSE CREEK DRIVE City St Zip SOUTHOLD NY 11971 Tax Map No. section 78.00 block 8 lot 3.000 Cross Street NORTH BAYVIEW ROAD Building Permit Number Cross Reference: Issue Date: 4/10/98 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ELIZABETH A.NEVILLE ,� Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Pr, Fax (516) 765-1823 MARRIAGE OFFICER . 4. �1 RECORDS MANAGEMENT OFFICER ;�� 0.1.1 Telephone (516) 765 1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda Cooper, Southold Town Clerk's Office DATED: April 1 , 1998 Transmitted herewith is a copy of application No. 1912 for an ALTERATION PERMIT for a cesspool or septic system submitted by Morris Cesspool for Paul Maloney 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 this office. Thank you. - ;\7Q\/'//: Linda J. Cooper * * * * * * * * * * * * * I have reviewed the application and location map of the project listed above and make the following recommendation: APPROVE - DISAPPROVE - COMMENTS: Maintain required setbacks from adjacent wells, buildings, property lines and water bodies. EXCAVATION INSPECTION REQUIRED. Signatur Date OFFICE OF THE TOWN CLERK ' �`f��K TOWN OF SOUTHOLD �� Q�J Up; = Application No. #/702 ELIZABETH A.NEVIL E,TOWN CLERK i 0 P.O.BOX 1179 =41 Construction SOUTHOLD,NEW YORK 11971 Alteration - Telephone �O,j �Q�� $10.00 - Residential v--- (516) 765-1801 l 1 �00 $25.00 -Non-Residential • TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ g G DATE Of / /7/d r APPLICANT NAME: /c3/ 11/(- APPLICANT ADDRESS: 26O P 4a2 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATI . OWNER OF PROPERTY: ca-?-e-P OWNER MAILING ADDRESS: g -QC .a9�' /7/ -- OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: %, ,?foz TAX MAP NO. : Section 7 Block g- Lot 3 CROSS STREET: /7 ,6477/45-/ d) ReP BUILDING PERMIT NUMBER CROSS REFERENCE: haL 'L Signature of Applicant RECEIVED BY: (AJA-e-4 -- own Clerk's Office DATE: ( , RpA) s.ifre' \I I , / yi D 4o d op4 Coo-u e21 .o,(