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Home My WebLink AboutMcCourt 0 ELIZABETH A.NEVII. E _ Gy� Town Hall, 53095 Main Road TOWN CLERK y - P.O.Box 1179 REGISTRAR OF VITAL STATI TICS Southold,New York 11971 MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OF ICER Fax �aO� Telephone (631) 765-1800 FREEDOM OF INFORMATION C FFICER southoldtown.northfork.net 4 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD S UTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL operation Permit No. 4239-R residential X Non-Residential Fee $ -10_00 �ew X Existing - Name Of Owner MCCOURT, KATHRYN -----------1------- ---------- Mailing Address 1 825 BROWER ROAD ------------------------------ Mailing Address 2 City St zip MATTITUCK NY 11952-0000 ---------- --------- -- ---------- • Property Address 1 I 825 BROWER OAD ------------------------------ Property Address 2 ---------- ------------------- City St zip MATTITUCK NY 11952-0000 -------------------- -- -- ---------- owner Telephone No. 631-298-861 Tax Map No. section 139.00 b ock 1 lot 6.000 ------ --- ------ Cross Street WOODCLIFF RIVE ---------------------------------- Issue Date: 1/28/04 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) ELIZABETH A.NEVILLE =`Z` �G•y� Town Hall, 53095 Main Road TOWN CLERKp P.O.Box 1179 W Z Southold,New York 11971 REGISTRAR,OF VITAL STATISTICS MARRIAGE OFFICER O Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER 0'� �a southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 Jor Non-Residential @$25 Application No.Y°)- Permit No. Owner Name K&ai / L M cCo y R:r Owner Mailing Address A5 36-ROW 1:i2 E�)- Owner Property Address S tW' Owner Telephone No. (31 — oZ991_ 96 / 7 Tax Map No: Section 13q-00 Block i Lot (o-006 Cross Street Uj00PU 1 W Please check each that applies: New Construction / Alteration to Existing System ✓ Residential ✓ Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distance in feet from system to building and closest road. New construction may submit copy of survey with SCHD approval.) �a >k Signature of Applicant ate Received by: Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 12/30/03 Receipt#: 3551 Transaction(s): Subtotal 1 Septic Permit-Operation - Resid. $10.00 Check#: 3551 Total Paid: $10.00 Name: McCourt, Kathryn 825 Brower Rd Mattituck, NY 11952 Clerk ID: LINDAC Internal ID:84923 • � s ` �osu`fo`�� ELIZABETH A.NEVILLE � ®G'y Town Hall,53095 Main Road TOWN CLERK o P.O.Box 1179 W Southold,New York 11971 REGISTRAR,OF VITAL STATISTICS MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER y�Ql �aO� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3105 R Residential X Non-Residential Fee $ 10.00 Septic x Cesspool PERMIT ISSUED TO: Name : MORRIS CESSPOOL Address 1: 2760 YENNECOTT DRIVE City St zip SOUTHOLD NY 11971 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. EXCAVATION INSPECTINO REQUIRED. Name Of Owner MC COURT, KATHRYN ------------------------------ Mailing Address 1 825 BOWER ROAD ------------------------------ ------------------------------ city St zip MATTITUCK NY 11952 -------------------- -- ---------- Property Address 1 825 BOWER ROAD ------------------------------- ------------------------------ City St zip MATTITUCK NY 11952 -------------------- -- ---------- Tax Map No. section 139.00 block 1 lot- 6.000 cross street ------------------------------ Building Permit Number cross Reference: ---gal' v ---------7------------------------ Issue Date: 10/20/03 Elizabeth A. Neville -------- Southold Town clerk (TOWN 5EAL) 1`L "�` eG• - '6 9 l f - � i i I I i