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Home My WebLink AboutTorrento, Jorge SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 4347 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : PECONIC CESSPOOL Address 1: PO 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 WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. Name Of Owner JORGE TORREN'I'O Mailing Address 1 56365 ROUTE 25 City St Zip SOUTHOLD NY 11971 Property Address 1 56365 ROUTE 25 City St Zip SOUTHOLD NY 11971 Tax Map No. section 63.00 block 3 lot 13.000 Cross Street LOCUST AVE Building Permit Number Cross Reference: Issue Date: 10/09/15 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ELIZABETH A. NEVILLE,MMC ,may. . Town Hall,53095 Main Road TOWN CLERK a P.O. Box 1179 c Southold,New York 11971 PIT t REGISTRAR OF VITAL STATISTICS p $ �� Fax(631)765-6145 MARRIAGE OFFICER Ti* 1' �� RECORDS MANAGEMENT OFFICER ; l * .�`��i°� Telephone(631) nny.gov ••' www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER .,,,,,,,.•• OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD October 9, 2015 Peconic Cesspool PO Box 487 Laurel, NY 11948 RE: 63.-3-13 (Jorge Torrento) Dear Sir/Madam: Enclosed herewith is the Construction, Alteration or Modification Permit for a Septic Tank/Cesspool System for which you applied. AFTER the system is installed but prior to being used, an OPERATION PERMIT IS REQUIRED. The operation Permit is issued by the Southold Town Clerk's Office. The fee is Ten Dollars ($10.00) for a residential system and twenty-five dollars ($25.00) for a non- residential system. Your check should be made payable to the "Southold Town Clerk". An application form is enclosed. Please complete the requested information and return the application, proper fee, and LOCATIONMAP (map must indicate the location of the cesspool(s)/septic tank(s), giving approximate-distances in feet from any buildings to the pools and distances between the pools. Should you have any questions concerning this matter, please do not hesitate to contact this office. Very truly yours, Sabrina Born Clerk Typist Enclosures It, A •''NOg�FFot,�0o ELIZABETH A. NEVILLE,MMC .1. Town Hall,53095 Main Road TOWN CLERK %Z ; P.O.Box 1179 czt CCa �Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS •,.p 4 0 Fax(631)765-6145 MARRIAGE OFFICER y �' �� RECORDS MANAGEMENT OFFICER =."0I * 'i I 0 Telephone(631)765-1800y.gv -------...,.,10 ,I "„',1��,.' www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD \ , -%\TO: Southold Town Buildin De artment i 1 �' `,g p QCT 12_75 FROM: Carol Hydell, Southold Town Clerk's Office \ - 1 DATED: October 2, 2015 l_----`" __ Transmitted herewith is a copy of application No. 4347 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Peconic Cesspool for Jorge Torrento 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 * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE /l DISAPPROVE Comments: Maintain required setbacks from adjacent wells, buildings,property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. . e. e_ _ ., opit' . Signature /07 /S— Dated ElgABETIT A.NEVIILE ;1.. ' 4 \ TOW21 Hall,53095 Main Road TOWN arztor : at • - - .. , P.O.Box 1179 k REGESTRAR OF VITAL Scrathold,New? r 11971 STAT1STICS -,t':, , s MARRIAGE OPnCER 'let I - Fax(631)765-614k T P:SCONDSDLOTAGRIMENT OFFS= elephone(831)765-1800 FREEDOM OF INFORMATION OFFICER. --.'?A__,I)k_2801.„. soatholdtown.nortbfork.net ° 114:*OF 334E WINN CLERK riOwN.OF scitirriform • SOU'lliA.,..r._ ,IIKAWWATL'R DISTRICT . - 4,EULSCMON CONSTRUCI101S:orAIMATION PERMIT CESSPOOL or :81WIC TANK • Residential @$10 I/ or Non-Itesidential @$25 _ Appiica#on No. LI 3L/ 7 .. ?emit No- - Applicant Mailing Address P. 0- 010X 247 , . I" WW•YWK119 ______ .48 L Septic Tw.js or(*spool : Brief Desm:ption of ' .,. ..-4 V. .g, ..:.1, .- Alteration • f air 11, • C.0 .., ,,,,,,,,t1 • _ I ** Location of Proposed Construction/Aliamtea: Owner ofProperty: Owner Mailing Address: •• OwnerPropertyAdiress: .... r.,,,,,_,k,4 ,-„, „Ed . . o iirY f/97/ .-4,,zt,/. - 24 2 Name and phone number of contact person Lek-5 I) / ,j2c2, Tax Map No: Se ( 3 Block 3 Lot /3 Cross Street L C___ x-,.0.1- /4 y‘sz... - . ,NOTE: LOCATION.Ma MUS .!,1; .-','" :,'.,1 v 34) Witfi arileATION. nW CONS1'RUCTION guNDals -,, #r - + ora DV- ' .4,114' - ' *OVAL V/ 1 • •' -- *atm o-Applicant Date _., , , Received by: ,. <,-,.- . - IV O O ne,ou s5r./tof S c.6cr4 o 51365� I 11 O 1 .4 U3 uoc;r.wV o71W hld°""°d011>r)IN P R r_ w lo fveuxio4 Jo mom roD1 s: 1 }�V1 1�,'iQi M�ozl�t�a� .tt,i- ill gilg3ln�JID T g��- ID If !I I 0 0 a ° 1 1 moitilh--.:%_.••F .--..zill , L 0 1 1 il Ot irl s • -"pIQ-- 1 ttpp4 Q 0"') 1 \O ° .. el t° g ' C1 � � M 51 3� I 0 .. ... 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