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HomeMy WebLinkAboutCurrie, Lawrence SCUTHCLD 11Y4STEVIATER D SPCSAL PERM T CCNSTRLICTI CN CR ALTERATI CN PERM T SEPTI C TANC or CESSPOOL Per rri t ND. 4238 R Resi dent i al X Non-Resi dent i al Fee $ 10. 00 Septic X Cesspool PERM T I SSIED TO Nine : PECCN C CESSPOOL Address 1: P O BCDC 487 a t y St Zip LABEL NY 11948 Descr i pt on of Proposed Const r uct i on or Al t er at i on Al]] TI CN TO EXI STI NG SYSTEM APPROJED AS SU3M I I tU MAI NTAI N FEW RED SETBACKS FROM ADJACENT VELLS, BU LIDI NGS, PROPERTY LI NES AND MATER BOD! ES. EXCAVATI CN I NSPECTI CN RECD RED Nacre CI' Omer LAV'IRENZE CUM E !Ai I i ng Address 1 3090 CLACKOCK STREET, APT 319 a t y St Zip OAKLAND CA 94601 Pr oper t y Addr ess 1 8515 SCI /I EWAVEJUJF City St Zip SCUTFELD NY 11971 Tax Map Nb. section 59. 00 bl ock 6 I of 19. 004 Cr oss Street KENslYS ROAD Bui I di ng Per rri t Nunber cross Ref er ence: I ssue Det e: 5/20/ 14 Elizabeth A. Nevi I I e Sout hold Tom Q er k -111.111( 1" FFOL4- ELIZABETH A.NEVILLE,MMC ,������ �l/y•; Town Hall, 53095 Main Road TOWN CLERK C P.O.Box 1179 t ti = ; Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ;`�' �t, Q .1� Fax(631)765-6145 MARRIAGE OFFICER N.Wio �► �� RECORDS MANAGEMENT OFFICER Q( * .4`„�'•, Telephone oldt nny.gov ��� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER -----•,...•001 OFFICE OF THE TOWN CLERK i , _ -- TOWN OF SOUTHOLD TO: Southold Town Building Department j j ',+ MAY 1 ti 2014 FROM: Carol Hydell, Southold Town Clerk's Office _I DATED: May 15, 2014 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 4238 for a Cesspool/Septic Tank Construction Permit submitted by: Peconic Cesspool for Lawrence Currie 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 V DISAPPROVE Comments: �`.. —— / +��-- 0g1n.I► /. i- B+ / r I > Signaturet ' a /V i Dated r ti fi S ELIZABETHTown Hall,53095 Main Road A.��� m %--,‘, 4: P.O.Box 1179 TOWN CLERK Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ,0 V�` Fac(631)765-6145 MARRIAGE con= `�' Telephone 1631)765-180Q RECORDS MANAGE`OFFICER ilk >` tholdtflwn.nOrtbfork•�net B�2ATION OFFICER _; r '' FREEDOM OP II�O --__ __--- •, OFFICE OF THE TOWN CLERK • TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION ' CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK • V Non-Residential $25 Application No. 1-ZJ c3 Residential®$10 or Non Resp (� Pest No. Applicant Name PECONIC CESSPOOL Applicant Mailing Address P. O. BOX 487 LAUREL, NEW YORK 11948 Septic Tee.- or Cesspool Brief Des ;pti•• _ . 'on or 'on ♦ I// spas C Location of Proposed Construction/Alteration: LctiyerneOwnerofProperty yl ( V Owner Mailing Address: 30 90 Gue"-k C* at 3/9 ©oM6r/tti Ca, 940/ Address: 8 55 ��r not U! ade . Oe'd/4401 _,Owner Property ‘ar Name andhone number of contact person 5702— enc.( ; Tax Map No: Section 5-c) Block to Lot 19-g Cross Street NOTE: LOCATION MAP MUST BE smarm WITH APPLICA ,Q,. CONSTRUCTION REQUIRES SURVEY ' m: REAL : s 'ARTMENT :4'' ' ' 'AL 411 5ilS// Signature s .. . v:t.t Date Received by: ' . _r 1 414 iyot, I - 9 $ I I I 0 viceekizto.t, i 0 Tatmii: a;ITAt c . __5.0,,,titc(2.1) 4A) CLO e, • •