HomeMy WebLinkAboutMGH Enterprises I�, �ofFoth,
O co
ELIZABETH A. NEVILLE j� ' Town Hall, 53095 Main Road
TOWN CLERK C► - P.O. Box 1179
H ZSouthold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER ‘ 41
1Fax (631) 765 6145
RECORDS MANAGEMENT OFFICER '/Q! *44,v 01� Telephone (631) 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. 2284 N Residential Non-Residential X
Fee $ 25.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : SEA BREEZE CESSPOOL
Address 1 : PO BOX 156
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
ADDITION OF OVERFLOW TO EXISTING SYSTEM.
APPLICATION APPROVED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner MGH ENTERPRISES
Mailing Address 1 PO BOX 333
City St Zip ORIENT NY 11957
Property Address 1 40200 MAIN ROAD
City St Zip ORIENT NY 11957
Tax Map No. section 15.00 block 9 lot 8.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 4/14/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
a "_ '
a ,�-
O O
ELIZABETH A. NEVILLE �l= V Town Hall, 53095 Main Road
TOWN CLERK %% o - P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER S Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER `�y'jlpl 1.40-„... , Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ �
��
,,e
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: March 30, 2000
Transmitted herewith is a copy of application No. NR 2372 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Sea Breeze Cesspool for Robert Haase (Orient by the Sea Restaurant) ,
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.
/�
Li da J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following�ngrecommendation:
APPROVE - J
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
ignatur
(3/3 O)0 v
Date
,,, .
,,,,,,,
OFFICE OF THE TOWN CLERK ' ,
TOWN OF SOUTHOLD S4.4"
Application No.02 J7p2
►
ELIZABETH A.NEVILLE,TOWN CLERK � 0 `
P.O.BOX1179 Construction /
SOUTHOLD,NEW YORK 11971 e_c=1=1 Alteration vvv
Telephone D,y ior $10. 10 - Residential
(516) 765-1801 _
-- �.� * 00 $25.00 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
APPLICANT NAME: 112.kp—\\ -ie.Ofe__/ , 4 Nis*
APPLICANT ADDRESS: I /L 7
r L
SEPTIC CESSPOOL
DESCRIPTI'N OF PROPOSED CONSTRUC ION OR ALTERATION
r �,I 41
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CO STR CTIO OR ALTERATION : '//
OWNER OF PROPERTY: VW!
OWNER MAILING ADDRESS: p-O. fSax33
01-1 eht*—
OWNER PROPERTY ADDRESS: u 000 tP1
A AZAt5
TELEPHONE NUMBER OF CONTACT PERSON: -361fq
TAX MAP NO. : Section /S Block f LotC77/6/7
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
V//:vi
Signature of Ap7 icant
RECEIVED BY: (7/C/
Town le 'sO'Off e
DATE: 3 (9 6
a..
\A.)