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HomeMy WebLinkAboutChrist, Kerri SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3478 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : KERRI CHRIST Address 1: 22715 MAIN ROA City St Zip ORIENT NY 11957 Descripton of Proposed Construction or Alteration -REPLACE OLD BLOCK POOL WITH TWO NEW 6X8 LEACHING POOLS -MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, PROPERTY LINES, BUILDINGS, & WATER BODIES. *EXCAVATION INSPECTION REQUIRED* Name Of Owner KERRI CHRIST ------------------------------ Mailing Address 1 SAME AS ABOVE ------------------------------ ------------------------------ City St Zip 0000 -------------------- -- ---------- Property Address 1 ------------------------------ ------------------------------ City St Zip 0000 -------------------- -- ---------- Tax Map No. section 18.00 block 2 lot 2.100 Cross Street YOUNGS ROAD ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 10/25/06 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) :"'�� _ __ ____ _ _ � , � �QF SO�I ELIZABETH A. NEVILLE ,`O� y�l� Town Hall, 53095 Main Road TOWN CLERK � � P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER G � Q FaY (631) 765-6145 RECORDS MANAGEMENT OFFICER ����, �� Telephone (631) 765-1800 FREED,DM OF INFORI�4ATdON OF�fCE�i, CQU�,� southoldtown.northfork.net � � ��� — � ^� ��� � dFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD , _.. ��� , � � '�_.. . TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: October 3, 2006 Transmitted herewith is a copy of application No. 3633 far a Cesspool/Septic Tank ALTERATION Permit submitted by: Kerri Christ 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: APPR VE � O DISAPPROVE Comments: Maintain required setbacks from adjacent wells, buildings, property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. � � s Signature / � �� �� Dated �.. _, ,. o��S�FFO��-c ELIZABETH A. NEVILLE �`� �G.f. Town Hall, 53095 Main Road TOWN CLERK p � P.O. Box 1179 REGISTItAR OF VITAL STATISTICS � � Southold, New York 11971 MARRIAGE OFFICER � • `� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER � Tele hone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �0'� � �a� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOLTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Resider.tial @ $10 1� or Non-Residential @ $25 __ Applicatio �G�� Permi o.� Applicar�t Name��`C��� G_�'1iLt�� .applicant �'Iailin�Address aa7/S /J7,�1-,v �� �/��"'.��� f ./�lf! /�9�7 _ Sepi:;; I'��nh or Cesspool �— Brie;�L�e.scription of Proposed Construction or Alteration /����lE O�G� ,�j�v<•� �,��__ Gr/rf� ��' —,�/��v �.r8 �i��s,r� T,r,�/� i.ocatioii �f Proposed ConstructioniAlt�raCion: C��vner uf Prop�rt}�: `�E--- — — - --- ,)�,��ne; Mailin� Address: ------ ----- — i)wilec-�'roperty Address:__ .�•9�E _____ _ Name and phone number o(�contact person �G���_,� �y"�5�� d��'!L�i�.��/l'�E _.— 'T��ix Map No:/G� Sectior� /8 - - -- Block o� Lot o?/ _-- -- — -------- --- ------ __. 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