HomeMy WebLinkAboutKenney, Daniel •,,iii i,_
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ELIZABETH A. NEVILLE ���= Gyd: Town Hall, 53095 Main Road
TOWN CLERK t P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �'�� Southold, New York 11971
MARRIAGE OFFICER : •fiL ! Fax Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER = 7�l -0„.0' Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �•
OFFICE OF THE TOWN CLERK
SOUTHOLD IWAISIAFIXMASIIRTHISFNDSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4093-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner KENNEY, DANIEL & SUPRINA
Mailing Address 1 49205 MAIN ROAD
Mailing Address 2
City St Zip SOUTHOLD NY 11971-0000
Property Address 1 49205 MAIN ROAD
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 917-953-5848
Tax Map No. section 70.00 block 7 lot 2.000
Cross Street LOWER ROAD
reAdkid Q 2L'
Issue Date: 7/11/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
OFFICE OFTHE TOWN CLERK SqFO1k
TOWN OFSOUTHOLD � Ol Application No.LIQ
E11ZABBTHA.NEVILLE,TOWNCLERK $10.00 - Residential ✓
P.O.BOX 1179
Cr3
SOUTHOLD,NEW YORK 11971 $25.00 - Non-Residential
Telephone lei
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for RECEIVED
OPERATION PERMIT JUL 1 6 2001
SEPTIC TANK or CESSPOOL aeutnoad town Clerk
Operation Permit No. 2546 R
Fee $ 10.0 0
DATE 7- - C9/
OWNER NAME: DANIEL & SUPRINA KENNEY
OWNER MAILING ADDRESS: 49205 MAIN ROAD
SOUTHOLD, NEW YORK 11971
OWNER PROPERTY ADDRESS: 49205 MAIN ROAD
SOUTHOLD, NEW YORK 11971
OWNER TELEPHONE NUMBER: (917) 953-5848
TAX MAP NO. : Section 70.00 Block 7 Lot 2.000
CROSS STREET: Lower Road
TYPE OF SYSTEM: Septic Tank X New Existing
Cesspool New Existing
Residential X Non-Residential
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximateiy, to building and closest road.)
/1_ i
♦ - = 41/ il
Signature o App !cal
RECEIVED BY:
Town Clerk's Office
DATE:
N
Daniel & Suprina Kenney
49205 Main Road
Southold, New York 11971
Office Of The Town Clerk
Town Of Southold
Ms. Lynda Bohn, Account Clerk
53095 Main Road
Southold, New York 11971
July 11 , 2001
Dear Ms. Bohn;
Please find enclosed our completed wastewater permit application, a location
map, and a money order in the amount of ten dollars. Please send us the
wastewater permit, or a copy of the original, once you have completed the
paperwork.
ur Trul,
f•
r '
; „
Dani-1 & Suprina Kenney
'operation permit number 2546-R
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ELIZABETH .NEVILLE �+j� y Town Hall,53095 Main Road
TOWN CLERK C y - P.O.Box 1179
V45
Southold,New York 11971
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REGISTRAR OF VITAL STATISTICS .lc Fax(631) 765-6145
MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER �y��l �„. '�� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ii
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT 411PA
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2546 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL INC
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF OVERFLOW EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED
Name Of Owner KENNEY, D \ DANIEL & SUPRINA
Mailing Address 1 49205 MAIN ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 49205 MAIN ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 7 lot 2.000
Cross Street LOWER ROAD
Building Permit Number Cross Reference:
.4a4fitio. 44,44
Issue Date: 4/17/01 Elizabeth A. Neville
Southold Town Clerk
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