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HomeMy WebLinkAboutDoohey, Julie ',r&S'SUFFot,�COG_\ ELIZABETH A. NEVILLE �t • * Town Hall, 53095 Main Road TOWN CLERK o P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER I, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICERypl *aoli��, 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. 3215 R Residential X Non-Residential Fee $ 10.00 Septic x Cesspool PERMIT ISSUED TO: Name : PECONIC CESSPOOL Address 1: PO BOX 972 City St Zip MATTITUCK NY 11952 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 DOOHEY, JULIE mailing Address 1 2341 WESTLAKE COURT City St Zip OCEANSIDE NY 11572 Property Address 1 2600 SIGSBEE ROAD City St Zip MATTITUCK NY 11952 Tax map No. section 144.00 block 1 lot 23.000 Cross Street PECONIC BAY BLVD Building Permit Number Cross Reference: Issue Date: 9/02/04 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 111111 �0%SUFFOUr : 3x15- ELIZABETH A. NEVILLE ,� d• Town Hall, 53095 Main Road TOWN CLERK y Z P.O. Box 1179 Southold, New York 11971 MARRIAGE OFFICER REGISTRAR.OF VITAL STATISTICS � � Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER `�y��l `1►a����,+ Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ,,'• southoldtown.northfork.net AUL 2. LIQ OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: July 27, 2004 Transmitted herewith is a copy of application No. 3356 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Peconic Cesspool for Julie Dooney 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. * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE _ Comments: Maintain required setbacks from adjacent wells, buildings, property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. Signature Adv.„,r- ..,1,00v. Dated MM r \ OF}1C11 Of TAB TOWN CLERK ° /►jy TOWN OFSO(T1HOLD ��6 ,'SS��OL�`(/ Application ..?3,5"‘ 111.1ZAII TH A.NiV1L111,TOWN CLERK P.O.BOX 1179 . ; Corlstructlon SOUlf10lD,NBW YORK 11971 © rn f � Alteration $10.00 - Residential Telephone ':✓�',�i ��.'�',, (631) 765-1800 = *�;,�'� $25.00 - Non-Residential �• .al TOWN OF SOUTIIOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee '$ DATE= APPLICANT NAME: PECONIC CESSPOOL APPLICANT ADDRESS: P. 0. BOX 972 MATTITUCK, NEW YORK 11952 ' SEPTIC__CESSPOOL 4/DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before hermit may be issued. LOCATION OF PROPOSED CONST CTION ! • ALTERATION: . OWNER OF PROPERTY: OWNER MAILING ADDRESS: 2-3 44/ !i/ . gazz .T Aly i/572- OWNER PROPERTY ADDRESS: .9 copo Ail' TELEPHONE NUMBER O' CONTACT PERSON: TAX MAP NO. : Section /44-474 Block Q d 0 / Lot 04 3 CROSS STREET: 'Pee-01;w- 6.11 BUILDING PERMIT NU.VIBER CROSS REFERENCE: / Signature Applicant RECEIVED BY: ' 'own C ►rk's Office DATE: 7/o1-'7/0 C _ . „,, JULIE DOONEY 2600 SIE SBEE RaAD WiTITIUCK S t , 1 . 1 ,t . ti • r ' .. ,1 sr soto%4 (141-vs" 1 vvy-r 44 , . .. , 1 .1 t Fit I I f ictle crelfi-te.,, . . . L . • Rd, 1 Ai 6ue; — -6t4t _,— ,,