The URL can be used to link to this page

Home My WebLink AboutDaly, Mathew SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3932 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : PECONIC CESSPOOL Address 1: P 0 BOX 487 City St Zip LAUREL NY 11948 Descripton of Proposed Construction or Alteration ADDITION TO EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WETTs, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner MATHEW DALY Mailing Address 1 11250 MAIN ROAD City St Zip MATTITUCK NY 11952 Property Address 1 11250 MAIN ROAD City St Zip MATTITUCK NY 11948 Tax Map No. section 122.00 block 3 lot 8.000 Cross Street JOHNS ROAD Building Permit Number Cross Reference: Issue Date: 2/12/10 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) r'�\OF SO(/i r r•r�4 yp� { ELIZABETH A.NEVILLE,RMC,CMC r O : Town Hall, 53095 Main Road TOWN CLERK l l�[ , P.O. Box 1179 N Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ; G @ ,1 MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICERl • Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER yCOUN1Y,� r�rrrr southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD IECEEPWE -; TO: Southold Town Building Department FEB 1 1 2010 FROM: Carol Hydell, Southold Town Clerk's Office BLDG.DEPT. DATED: February 11,2010 TOWN OF SOUTHOLD Transmitted herewith is a copy of application No. 3932 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Peconic Cesspool for Mathew Daly 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. Thank you Carol Hydell * * * * * * * * * * * * I have reviewed the application and lo ion 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. l � Signature ©3— ii /o Dated •� �OFFOL 4' ELIZABETH A.NEVILLE ,��`�+� Town Hall, 53095 Main Road TOWN CLERK P.O.Box 1179 r REGISTRAR OF VITAL STATISTICS M Southold,New York 11971 MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ';y_ t��••� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER =_0'� � ��.'� 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 Application No.— • Permit No. Applicant Name PECONIC CESSPOOL Applicant Mailing Address P. o. Box ,487 LAUREL, NEW YORK 11948 Septic Tank 't or Cesspool Brief Des,rid.•i• of Propo ed Construction or Al,j,ration • . 'tC ESSIO Location of Proposed Construction/Alteration: 1 Owner of Property: i trE lei LY Owner Mailing Address: 1 a, Main M TTITdCK Ns I Owner Property Address: Name and phone number of contact person Le 4e' 511 `^ 8/3 Tax Map No: Section 1 Block 3 Lot U Cross Street NOTE: LOCATION MAP MUST BE SUBMITT WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH H H DEPART r :.' -ROVAL k0e0 De/(/ /0 Signature of A•: icant Date Received by: f � ^ � i' Hrf T� Y 8J. '^� / , -- ------ J- � �_ / ---- �u -- H | � i \ r ~ 0 [ . | / / / �� . 1 �� `�� | / / ) {l/ `' (' ) |�� | ~^- �° / � / �}�mq�~' '- � /y\ <7 ( �� l�^ ~� / ( > / �/ ' /} (] /'`.\ '*°` � �,�� ^—� o ---\^ � -~~�_ ( 4 ' ' w ` , ` } / \ | ( / / 0 , / ( ' } � _ -' / � � | / _ / / .,� /__'___ -_ _-_ -__- ___- `__-_- .~_-_ _,�� / , ~ o ' . . , .