HomeMy WebLinkAboutConlon, Nancy (2) ,
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3415 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED T0:
Name : NANCY COLON
Address l: P 0 BOX 54
City St Zip PECONIC NY 11958
Descripton of Proposed Construction or Alteration
-MOVED CESSPOOL
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner NANCY COLON
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Mailing Address 1 SAME AS ABOVE
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City St Zip 0000
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Property Address 1 310 HUNTINGTON BLVD
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City St Zip PECONIC NY 11958
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Tax Map No. section 67.00 block 4 lot 8.000
------ --- ------
Cross Street
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Building Permit Number Cross Reference:
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Issue Date: 2/24/06 Elizabeth A. Neville
-------- Southold Town Clerk
(TOWN SEAL)
.
' o��pf SOUI�,oI
ELIZABETH A.NEVILLE '` O Town Hall,53095 Main Road
TOWN CLERK J� J�t P.O. Box 1179
REGISTRAR OF VITAL STATISTICS N �c Southold, New York 11971
MARRIAGE OFFICER � • �O� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER l �rrV Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �C�Un 1�,�� southoldtown.northfork.net
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� � ` - --�5 ,{ ^�iOFFICE OF THE TOWN CLERK
� � ` �EB I 7 , �';�;�� Towlv oF souTxoLn
,
TO: - , .Southold Town Building Department
FROM: Michelle L. Martocchia, Southold Town Clerk's Office
DATED: February 17, 2006
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 3568 for a Cesspool/Septic Tank
Construction/Alteration Permit submitted by:
Nancv Conlon
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE �
DISAPPROVE
� - �
Comments:
Signature
o�/,�/�
-�
Dated
, , � � � ��,0$uFFO(,�c
ELI7.ABETH A.NEVILLE �`Z` ��fr - ,Town Hall,63095 Main Road
- . TOWN CLERK � � P.O. Box 1179
�� Z' � Southold, New York 11971
REGIBTRAR OF VITAL STATISTICS h1
MARR,IA4E OFFICER �y � �'�' Fax(631) 765-6146
RECORDS MANAGEMENT OFFICER �f � Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER �'� � �'a southoldtown,northfork.net
OFFICE OF THE TOWN CLERK �
T�WN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT '
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSP�OL or SEPTIC TANK �--� i
Residential @$10 i/ or Non-Residential @$25 Application No.����
Permit No.
Applicant Name � �"�
Applicant Mailing Address C) Ij 61.� 5� p�c�rn� � [,,� G I R��f
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration ��,r{ �
Location of Proposed Construction/Alteration:
Owner of Property: N Gt�n�1 �Y1 � �
Owner Mailing Address: P C� � G� � �"�
3► 0 1-+u r�t�� �,��0�1 "B 1 ✓d �-e c�r��c N u� ►��'s�
Owner Property Address:
Name and phone number of contact person
Taac Map No: Section ��`�� �� �lock�� Lot � G �
Cross Street � � �-
NOTE: LOCATION MAP MUST BE SUBNIITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPAItTMENT APPROVAL
� Grn��v � /s b�
Si ture of plicant Date
Received by: '`
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TEST HOLE DATA` " �� ��. o�°� �'yF i/ ; �,s`�e��� � � SURVEY OF
/ y�� �� �`�G EyX�ILLNG LOTS 86 � V� '
(TEST NOLE DUG BY McDONALD GEOSCIENCE ON DECEMBER 6, 2005) O� � ��' �F�'i ,yc OWNER PROVIDED
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E�. �,e BROWN FlNE TO COARSf SAND sc �� S�£ Fo`��• o��y.`' /�— 1 c�SSQp��' FILE No. ssSITUATED EATR 15, 1930
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`ti G� p�' �5 � s � s- �. 0.273 ac.
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� � , ,� �'"�,.a �' OBSERVATtONS AND/OR DATA OBTAINED FROM OTHERS.
o �� �- ,�°`�� �'� 3. OLD SEPTIC SYSTEM TO BE aBANDONED AND EITHfR ROMOVED OR FILLED WITH
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'� O. OS ��Y lEND1NG WSfffUpON LJSfID HEREON,NJD
�G � � TO THE ASSICNEES OF il� IENdNc INsn- I
�+�yn..Y � nmoN. cErtnric.�Trows� rar�ei.e. PHONE (631)727-2090 Fax (631)727-1727
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THE EXISTENCE OF RICHT OF WAYS
9 OFFICES LOCA7ED AT MNlJNG AODRESS
C� � AND/OR EASEMENTS OF RECORD. If
9� ANY, NOT SHOWN ARE NOT CUARANTEEO. 322 ROANOKE AVENUE P.O. Box 1931
� RNERHEAD, New Yak 11901 Rivefiead, New York 1i901-0965
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