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HomeMy WebLinkAboutKane „ ,iiia,,,,_ ELIZABETH A.NEVILLE,MMC IO44.,'” �� ; ®may Town Hall,53095 Main Road TOWN CLERK �� ' P.O.Box 1179 fra Southold,New York 11971 REGISTRAR OF VITAL STATISTICS �.Ant.;' ' Fax(631)765-6145 MARRIAGE OFFICER +�'� ' = t «= ®� �t Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER f.,1 'Vosi www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER ���,,,•� OFFICE OF THE TOWN CLERK12 E©IdIYE TOWN OF SOUTHOLD J MAY 182016 TO: Southold Town Building Department BUILDING DEPT. FROM: Carol Hydell, Southold Town Clerk's Office TOWN OF SOUTHOLD DATED: May 18,2016 Transmitted herewith is a copy of application No. 4390 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Peconic Cesspool for Walter Kane 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 DISAPPROVE / / Comments: Maintain required setbacks from adjacent wells, buildings, property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. Signature Dated =ZAMA A.NEVILLE i e .71 -%.,,k- TONTII riatt,cow° TOWN CLEM ; = , CP -1,- . 's; P.O.Box un . gc.! m RIDGISTRAZ or vrrALsTATzsTics &rata:kola,Nevr York 11971 \# l'-',-: i lialtIAGE OM: a Paz(631)7654145 . , 4t- 0 RECORDS MANAGEMMT OPTICS'& Telephone(631)765480'3 FRESDOM OFIN7ORMATION OFEICSB, --_,-wilt / soutbaatamt.torthforkzast -----_-,--,-- orrim Qv'ape TN CLERK TOWN OP SOUTHOLD SOUTHOLD INAMWATER Disrmer • . AmacarioN coNsTRucrioN or ALTERATION PERMIT 013- .•I• 41 6 1 or SEPTIC TANK / + Residential.®$10 or Non-Residential®$25 ApplicationNo. 5)C) • Pennit No. Applicant Neme PECGNIC CESSPOOL Applicant Msiling_Address P• O®- BOX ....487 Septic Tarx.:-- or Oesspool, • Brief Desc3.4117 o;701,Lik. . C..,.,:( 013 or Alteratie- A! .4'•IrAiddig 0 CO 5 / Location of Proposed Construed.= .. .- .,:on: Owner of Prop0 ilia nertY: / • . a .„, ,;,„.... A ... ,,: . io0 II i fra, 00 a„.../ . , _ ,ff,Mair ,.. /1 ' . .. .,. Attck •7•4: : OP 5-- a/64 00 • ,07. or Y5-0Z - - AfieVit4 V • , N...•e 2:11d phone n ....,--. of cordaot person 1 57,e—31.30e _ ,---, Tax Ivrap No: ;-;— , -72, Nock Lot_4_ rie my Gwe, ,M NOM, LOCATION- ' ' if BE 1 • 1 3c. t • 14 APPLICATION. NEW CON •U • ON RQ1 it , 1 •VEY ' owl 'a- - v; D2AR aal - • Itov ill S-...........„. .- of Appr.,41t Date mr• • eek N (A0(kir 3 Qo - imp) otc( CeG$1t,g