HomeMy WebLinkAboutSteadman, Nancy ,_
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ELIZABETH A.NEVILLE I�`1` Gym� Town Hall, 53095 Main Road
TOWN CLERK ; p -� P.O. Box 1179
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y Southold, New York 11971
REGISTRAR OF VITAL STATISTICS %� � � Fax(516) 765-1823
MARRIAGE OFFICER y� %`-'��� Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER .
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1832 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 STEADMAN, NANCY
Mailing Address 1 4450 NORTH BAYVIEW ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 4450 NORTH BAYVIEW ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 79.00 block 2 lot 4.004
Cross Street SHIP DRIVE
Building Permit Number Cross Reference:
Issue Date: 4/10/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE i$,``Z� .y�; Town Hall, 53095 Main Road
TOWN CLERK % p i P.O. Box 1179
•
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Southold, New York 11971
REGISTRAR OF VITAL STATISTICS % v' Fax O *. �� Fax (516) 765-1823
MARRIAGE OFFICER : y
RECORDS MANAGEMENT OFFICER ` ��! ��� �1� Telephone(516) 765-1800
Elfit V .• •FFICER 1
P998 - OFFICE OF THE TOWN CLERK , -CP
TOWN OF SOUTHOLD V c)&/
BLDG.DEPT
TOWN OF&OUT _ •
TO: ou old Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED:
Transmitted herewith is a copy of application No. 1906 for a Cesspool/
Septic Tank Construction Permit submitted by:
Morris Cesspool for Nancy Steadman .
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.
Thank you.
Linda J. Cooper /`
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE, ,/ //
DISAPPROVE
Comments:
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Dated
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OFFICE OF THE TOWN CLERK �,�'�``C�BL
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TOWN OF SOUTHOLD ill`` �1(•Q�i'_ Application No. /91�a
ELIZABETH A.NEVILLE,TOWN CLERK `
P.O.BOX 1179
SOUTHOLD,NEW YORK 11971 v
to ril 1 Alteration G/
Telephone ‘-....V
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�Q�'/ $10.00 - Residential 1�
(516) 765-1801 Ol 1i ,,P'0 $25'.00 -Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE A(44- -- YO /g97
APPLICANT NAME: /' ,2 "f ( 5) ,t. /
APPLICANT ADDRESS: <--e-6/-5 -6"------41- ,2�,�d /rdderc6T r D?
SEPTIC CESSPOOL/
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:n
OWNER OF PROPERTY: Aide)/ ,r _ /9d/ �A741
OWNER MAILING ADDRESS: Y02o /) 977d' ) /'
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OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: XS- 9--?c-te
TAX MAP NO. : Section 7Y B k 2 Lot f
CROSS STREET: - 0_ ,
BUILDING PERMIT NUMBER CROSS REFERENCE:
50714 k,e/7/-e--/ -;
Signature of Applicant
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RECEIVED BY:
Tow CI k's Office
DATE: �j c�
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