HomeMy WebLinkAboutEdcho Corp 0004
,10 OG
ELIZABETH A.NEVILLE y� Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ; � Southold, New York 11971
MARRIAGE OFFICER y �� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER -:60,j 4,b �,. Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ,. southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3159 R Residential x Non-Residential
Fee $ 10.00 Septic x cesspool
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
Address 1: 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTINO REQUIRED.
Name Of Owner EDCHO CORP
mailing Address 1 PO BOX 1026
City St Zip SOUTHOLD NY 11971
Property Address 1 12885 SOUND AVENUE
City St Zip MATTITUCK NY 11952
Tax Map No. section 141.00 block 4 lot 9.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 4/15/04 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
co 3 ' 59
ELIZABETH A.NEVILLE t�� � Town Hall, 53095 Main Road
TOWN CLERK Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER �; # �����, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER
11/4.4/6
�a�''i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
...II-11,��,.��� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
AR 242004
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 24, 2004
Transmitted herewith is a copy of application No. 3296 for a Cessp )l/Septic Tank ALTERATION
Permit submitted by:
Morris Cesspool for John Scott Christie
Please review the application and location map and advise i f the project]...s 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 review c,! t?he application and location map of the p.eject cited abo. e and make the following
recommendations:
APPRCVE
DISAPPROVE
Comments: Tlaintain required setbacks from adjacent wells, buildings. iroperty lines and water
' ?ics. EXCAVATION INSPECTION R' 7C?':LD.
Signiature
V-2-6fr
Dater;
71*
ELIZABETH A.NEVILLE ;'',At- Yy Town Hall,53095 Main Road
TOWN CLERK •
P.O.Box 1179
REGISTRAR OF VITAL STATISTICS rrt � Southold,New York 11971
MARRIAGE OFFICER
O % • Fax(631) 765-6145
�►
RECORDS MANAGEMENT OFFICER =-5 47 to Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER DI Ali i44
1', southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 or Non-Residential @$25 Application No. 32-4
Permit No.
Applicant Name 2 'J �0- sfPoo( fe,e
Applicant Mailing Address ,(7( )4-W A/E:co r/ 2
fo /c-P
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: -/6kI e b L--�'/ � f"'
Owner Mailing Address: /2 sin- 5'o t., cb),
/11
Owner Property Address: Ed CI4o Ctlir
1�6
SCOC I c u4te,lce
Name and phone number of contact person
Tax Map No: Section /y/ Block y Lot
Cross Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
Otis w/ `
Signature of Applicant Date
Received by: -
C (' -fy teJ/94.--
16(9
e‘51°-°1