HomeMy WebLinkAboutPeconic Retreat ��S FF04
ELIZABETH A.NEVILLE �.Z�� Town Hall, 53095 Main Road
TOWN CLERK 0 1 ?` P.O. Box 1179
ti r Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER ‘,0 Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER 414/ Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 89 N Residential Non-Residential X
Fee $ 25.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner PECONIC RETREAT
Mailing Address 1 595 NEW SUFFOLK ROAD
City St Zip CUTCHOGUE NY 11935
Property Address 1 595 NEW SUFFOLK ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 102.00 block 6 lot 9.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 3/22/99 EI' abeth A. Neville
Southold Town Clerk
(TOWN SEAL)
2.
CO
ELIZABETH A.NEVILLE
) v l/ ►\ Town Hall, 53095 Main Road
� y�
TOWN CLERK .. P.O. Box 1179
N 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICSFax (516) 765-1823
4
MARRIAGE OFFICER • 0#, `NO." Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER * *0f1
01
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: March 19, 1999
Transmitted herewith is a copy of application No. 2126 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Peconic Retreat •
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 this office.
Thank you.
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
I
ignatu
31, EI
Date
•
OOOOOOO
OFFICE OF THE TOWN CLERK .,
lf � �
Application No. � �
TOWN OF SOUTHOLD �' �+
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 GJ
vs
Alteration
Telephone 0 ti �'�i� $10.00 -Residential
AG
(516) 765-1801 "_ [ or�,,,' $25.00 -Non-Residential V
•
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ q
DATE `�`Z. /r
APPLICANT NAME: (—,e-6216f-e1ZIA°U
APPLICANT ADDRESS: 7‘C)
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
or_v_e_v/174)
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 17�/ ��ji---OWNER MAILING ADDRESS: j�� �c :fey
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: ��� ,f3
TAX MAP NO. : Section /6 2 Block Lot
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE: MAR 19 1999
�krr. ice.
F
4 v
)-9
1 ' i1/4)
r. I I
I
�1 v
6
(70
/2u "