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HomeMy WebLinkAboutCleaves Point Construction �, f- o��S�FFot,��,o ELIZABETH A.NEVILLE �� �� Town Hall, 53095 Main Road TOWN CLERK � Z P.O. Box 1179 REGISTRAR OF VITAL STATISTICS �y • !� Southold, New York 11971 MARRIAGE OFFICER Fax (631) 765-6145 R,ECORDS MANAGEMENT OFFICER ���( � .�a� 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 ALTER,4TION PERMIT SEPTIC TANK Or CESSPOOL Perrri� N�. 3160 R Res�centi al x �vo�-Resi dent s al f=ee $ 1fl.00 septic x Cesspool PERMIT ISSUED T0: Name : CLEAVES POINT CONSTRl1C�ION A�dress 1: 90 COUNTRY CLUB DRIVE C_1ty St Zlp CUTCHOGUE ►vY 11935 Descripton of Proposed Construction or Alterat�on �ANIiARY SYSTEM FOR ONE FAMILY DWELLING. 4P�ROVED A5 SUBMiTTED AND AS APPROVED BY THE SUFFOLK CO��?Y DE�Ar�iME!�T GF HEALTli SERVICES. REF #RIO-04-0029 Name Of Owner CLEAVES POINT CONSTRUCTION ------------------------------ Mailing Address 1 90 COUNTRY CLUB DRIVE ------------------------------ ------------------------------ C�ty St zip CufC�OGUE NY 11935 -------------------- -- ---------- Praperty Address 1 2045 GILLETTE DRIVt ------------------------------ ------------------------------ C1ty St Zip EAST MARION NY 11939 -------------------- -- ---------- �ax �ap �vo. section 38.00 block 3 lot 13.000 ------ --- ------ �.ross Street MIDLAND PLACE ------------------------------ t�uilding Permit ►vumber cross Reference: ---------------------------------- ::ssue �ate: 4/15/04 Elizabeth a. ►veville -------- Southold Town Clerk (TOWN SEAL) ., " o�oSUFFO�,��, 3 � C�� ELIZABETH A.NEVILLE � OGy� Town Hall, 53095 Main Road TOWN CLER,K o - P.O. Box 1179 y Southold, New York 11971 REGISTRAR OF VITAL STATISTICS � � MARAIAGE OFFICER �i � �� Fa�c(631) 765-6145 RECORDS MANAGEMENT OFFICEft �Ql �a� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER � southoldtown.northfork.net OFFICE OF THE TOWN CLERK MAR 2 9 � TOWN OF SOUTHOLD ; TO: Southold Town$uilding Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: March 29, 2004 Transmitted herewith is a copy of application No. 3297 for a Cesspool/Septic Tank Construction Permit submitted by: Cleaves Point Construction Corp. 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 Comments: � . �� Signature ' 3 a o'�fL � , Dated � -f, '` 1 OFFICE OF THE TOWN CLERK Oc��FFO(�`, ' TOWNOFSOUf�iO� ��, O� Application No. 3aa'1 �I.iZABfiTHA.NEVILLE,TO NCLERK � $10.00 - Residentiai P.O.BOX 1179 � SOUTHOLD,NEW YORK 11971 � • � $25.00- Non-Residentia) � Telephone Oj � ��� (516) 765-1801 � TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION - for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ � DATE �Z-I� �� OWNER NAME: G,I��Uds. �i�✓r Cgy�s7� �v6C � • OWNER MAILING ADDRESS: g0 G'ov�v�-,e�/ CLvg ,r�fl G��-cl�o�v�- o� � �/q3� OWNER PROPERTY ADDRESS: �p y�s �/�G��� ,�G2 �/�� ��/d N /�%���-, //C!'39 OWNER TELEPHONE NUMBER: ���/� 73�--7� l�'� TAX MAP NO. : Section �v' g Block D� Lot )� CROSS STREET: /j?�,�t..,�N� P�s3c� TYPE OF SYSTEM: Septic Tank ✓ New ✓ Existing Cesspool i/ New ✓ Existing Residential ,/ Non-Residentia) LOCATION MAP: Must be attached hereto before permit may be issued. 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