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Home My WebLink AboutNorth Fork Bank 110. 4 SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3293 R Residential X Non-Residential Fee $ 25.00 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 ALTERATION/ADDITION TO EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner NORTH FORK BANK Mailing Address 1 PO BOX 1559 City St Zip MATTITUCK NY 11952 Property Address 1 245 LOVE City St Zip MATTITUCK NY 11952 Tax Map No. section 114.00 block 4 lot 6.001 Cross Street PIKE STREET Building Permit Number Cross Reference: Issue Date: 5/18/05 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ' 1111w , . , ,,,,,,,,,,,,, „,, ,,,,F„,,„-__ .3,, q ,, ,, . 0 . ..--: ELIZABETH A. NEVILLE e tl Town Hall, 53095 Main Road TOWN CLERK t trisZ P.O. Box 1179 Prt REGISTRAR OF VITAL STATISTICS %O 01 Southold, New York 11971 MARRIAGE OFFICER y* ��.,• Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER : 4§.°1jig �a�,•i Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ,s • •" southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: March 2, 2005 Transmitted herewith is a copy of application No. 3321 for a Cesspool/Septic Tank ALTERATION Permit submitted by: RE-APPLICATION: Peconic Cesspool for North Fork Bank, Mattituck 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: Maintain required setbacks from adjacent wells, buildings, property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. . ,, ,44 Signature 03 33A-- Dated 1 l , • t ' • OFFICE OF THE TOWN CLERK ,.�''C'FF o[k�' TOWN OF SOUTHOLD 04, QG'. Application No. ELIZABETH A.NEVI LH,TOWN CLERK , P.O.BOX 1179 Construction v SOUTHOLD,NEW YORK 11971 a ; �= Alteration Telephone °ij' 0� ' $10.00 - Residential (631) 765-1800 .. r1 'r �� $25.00 - Non-Residential v TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION �# for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee .$ DATE 3/a/Q APPLICANT NAME: PECONIC CESSPOOL APPLICANT ADDRESS: P. O. BOX 972 MATTITUCK, NEW YORK 11952 ' SEPTIC CESSPOOL i DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before IJ1 rmit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTLRATION: . OWNER OF PROPERTY: 7/...}1. �� (d"-.-0) OWNER MAILING ADDRESS: Rd, 6"X /55q _ •i(/. // f52 OWNER PROPERTY ADDRESS: /911A-774i c-fr TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section / / Block 14 _ Lot 6/ / CROSS STREET: ii24.0 S7"' BUILDING PERMIT NUMBER CROSS REFER' ICL: Signature of Ap cant RECEIVED BY: Town Clerk's Oftice DATE: • • Peal/tic eeddpoog SEWER& DRAIN SERVICE P.O. BOX 972 BRAY AVENUE MATTITUCK, NEW YORK 11952 (631) 298-9658 March 2, 2005 MR. MICHAEL VERITY SOUTHOLD TOWN BUILDING DEPARTMENT Re: North Fork Bank Love Lane Mattituck Dear Mr. Verity: As per our telephone conversation of March 1 , 2005, I am resubmitting an application for a replacement cesspool for the above premise. As you previously advised, I took this plan to the Suffolk County Health Department on February 16, 2005, and it was looked over by Craig Knepper, who said this replacement was okay. Very truly yours, PECONIC CESSPOOL Richard Magill owner RM:lm ' • • . - . . . , . . • • -- ev Cfr'''' ,. ,. -,- L 4, _...,. -) 1;11-9v •----Tr' l' 4114 ' ,/, I. • ,t(54-7 7 v N ; \;,)'•4 i ,loctiN. 61-1( 13,47.. st 1.---fLehr ‘ic (--) Z oli-e Lii-iti. -------- 4 lb-ti A/1"41• ‘'' ‘•,--4,04_ ut, -)19 5 L OJ/-e ltive_ i i'l #14e.°2 /1111 irtzte_4_ )„ -,L 0.:,,,( = ( (( ,. \ k,,,t,,, f),),._,---- \ ,-, I ) .,:,_1 ,r ill 0004 • 11110, CO`\ ELIZABETH A.NEVILLE ;1 y� Town Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 % y = Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ‘6O MARRIAGE OFFICER ' Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER `;_"7e1 �etII. Fax (631) 765-1800 FREEDOM OF INFORMATION OFFICER ,�'1 southoldtown.northfork.net • OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD M'Y f2004 TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: May 21, 2004 Transmitted herewith is a copy of application No. 3321 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Peconic Cesspool for North Fork Bank(Mattituck) 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. • �Ga Signature Dated ' • OFFICE OF THE TOWN CLERK ' � uFFOLk TOWN OF SOUTHOLD O''no QQGy�` Application 14619‘:27 ELIZABETH A.NEW1.E,TOWN CLERK fo P.O.BOX 1179 . !G Co tion mal SOUTHOLD,NEW YORK 11971 v r=n Alteratio Telephone j� ?i�/, $10.00 - Residential (63 t) 765-1800 -4t �,/ $25.00 -Non-Residential _• ,#,l, TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee '$ DATE Sin/0 It APPLICANT NAME: PECONIC CESSPOOL APPLICANT ADDRESS: P. 0. BOX 972 MATTITUCK, NEW YORK 11952 ' SEPTIC CESSPOOL `V. DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: ill I h.)f 1, Fert.. . /64.4.,,4L , /ssir OWNER MAILING ADDRESS:4%0Alighthfemakika,..4 /tiz/ //S 52— OWNER ZOWNER PROPERTY ADDRESS: 0.1415" 44f; /lgsz TELEPHONE NUMBER OF CONTACT PERSON: 2 -dip r•- 6W-- 945k- TAX MAP NO. : Section j1 Block 44 Lot li, / CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: a?4,6, ole • Signature of Ap licant RECEIVED BY: , Town Cler.'s Office DATE: 7 ' y/ Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 05/21/04 Receipt#: 7981 Transaction(s): Subtotal 1 Septic Permit- Construct. Non-resid. $25.00 Check#: 7981 Total Paid: $25.00 Name: Peconic, Cesspool P 0 Box 972 Mattituck, NY 11952 Clerk ID: LINDAC Internal ID:94387 } , • •• • • II////I/11//• OFFICE OF THE TOWN CLERK ,' ��C I Jure• 'rowN oto sotrolow-- ��r� Q :� Application N o. I EI.IZ.Ai3liTli A.NBVILLIi TOWN t� & 1 � J► P.o ovIt79^ tut �`? ' : Construction soun1ow.NEW YpR11Cc11971 t4� i � _ 3 � Alteration Telepil�d� r. i�,y� J4 or � $10.00 - Residential (631) 765-18 - -. Fa- si Ol' 1 �,r�r $25.00 - Non-Residential v .air i♦ __TnWN • TOWN OF SOUTHOLD 14/1;11)Are.StUTHOLD WASTEWATER DISPOSAL DISTRICT 0 ri 0 APPLICATION a# 4440: for �/►�' CONSTRUCTION or ALTERATION PERMIT a)93 SEPTIC TANK or CESSPOOL Permit No. Fee .$ DATE .:3191/4 s- • • APPLICANT NAME: PECONIC CESSPOOL APPLICANT ADDRESS: P. O. BOX 972 MATTITUCK, NEW YORK 11952 ' SEPTIC CESSPOOL L/' DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: OWNER MAILING ADDRESS: Rd, 6irx /5” _. z 44/• // f52 OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section 1*1 Block Lit _ Lot 6, / CROSS STREET: "" e.e.. sr BUILDING PERMIT NUMBER CROSS REFER; ICL:: • Sigualure of Ap cant RECEIVED BY: Town Clerk's Office DATE: ,g1 Wait ELIZABETH A.NEVILLE '41. _�1 44 * Town Hall, 53095 Main Road TOWN CLERK 1 CO P.O. Box 1179 co Z Southold,New York 11971 REGISTRAR.OF VITAL STATISTICS ‘°4b � � MARRIAGE OFFICER �i �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER :�Q 4fr if' Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER ,�' southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD MAY l 12004 TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: May 21, 2004 Transmitted herewith is a copy of application No. 3321 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Peconic Cesspool for North Fork Bank(Mattituck) 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. 24-4,-‘,.,Signature 1--� ,-b SG Dated