HomeMy WebLinkAboutGreenfield, Murray SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3485 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1: P.O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
-ADDITIONAL OVERFLOW TO EXISTING SYSTEM
-MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY
LINES. AND WATER BODIES.
Name Of Owner MURRAY GREENFIELD
Mailing Address 1 131 PRINCE STREET
City St Zip NEW YORK NY 10012
Property Address 1 1 ROCHELLE PLACE
City St Zip MATTITUCK NY 11952
Tax Map No. section 144.00 block 4 lot 700
Cross Street BARTLEY ROAD
Building Permit Number Cross Reference:
Issue Date: 12/08/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
A „ �.,
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ELIZABETH A. NEVILLE O l
,�� � � � Town Hall, 53095 Main Road
TOWN CLERK i ilig 411 Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ; G Q ���
Southold, New York 11971
MARRIAGE OFFICER : 3 . ) s Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �_�li�'`+ *^x''•0 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER oU (o southoldtown.northfork.net
•'' RECEIVE®
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD -"
TO: Southold Town Building Department Soot ` '-I Ir``: /1 €:':,:rk
FROM: Michelle L. Martocchia, Southold Town Clerk's Office
DATED: October 24, 2006
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 3640 for a Cesspool/Septic Tank
Construction/Alteration Permit submitted by:
Peconic Cesspool for Murray Greenfield .
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: - \Aigicem-Zrft-R-.. li...... ,- '
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_____ • ? .0et...r.
Signature
10/30A6
Dated
0
, gOFFOL�ee
ELIZABETH A.NEVILLE ���04`� Town Hall, 53095 Main Road
TOWN CLERK g 1 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS � yj. Southold,New York 11971
MARRIAGE OFFICER : O �,I� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER \ "of �0. Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER =. ' 4 �.I southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 ' or Non-Residential @$25 Applicatio
PermitN,.��
Applicant Name PECONIC CESSPOOL
Applicant Mailing Address P. O. BOX 972
MATTITUCK, NEW YORK 11952
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration r ib-e..`
Srd .%.
Location of Proposed Construction/Alteration:
Owner of Property: MURRAY GREENFIELD
Owner Mailing Address: 131 PRINCE STREET
NEW YORK, NEW YORK 10012
Owner Property Address: 1 ROCHELLE PLACE
MATTITUCK, NY
Name and phone number of contact person RTCHAR n MAGTT,T, 29R-9658
Tax Map No: Section /1 % Block 9 Lot 7
Cross Street ,
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
"1°4;4-.4—d— Af--"A-7-i,
Signature of Applicant Date
Received by: 4/0 •� . .. I_' '. *i a(
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MURRAY 6R
1 ROCHELLE PLACE ( SALT LAKE LANE )
MATTITUCK, NY
11 4 -4- 7
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