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HomeMy WebLinkAboutYoung, Christopher ' • ELIZABETH A. NEVILLE e_ yd • Town Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 REGISTRAR OF VITAL STATISTICS yy, Southold, New York 11971 MARRIAGE OFFICER 04 � 0% Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER L,1*Q! - Ali �a�01� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER .01°°��� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2287 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : PECONIC CESSPOOL Address 1 : PO BOX 972 City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration REPLACE OLD CESSPOOL WITH SEPTIC TANK AND ADD OVERFLOW POOL. APPLICATION APPROVED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner YOUNG, CHRISTOPHER Mailing Address 1 142 CHERRY STREET City St Zip CALVERTON NY 11933 Property Address 1 870 LOVE LANE City St Zip MATTITUCK NY 11952 Tax Map No. section 140.00 block 2 lot 17.000 Cross Street ROUTE 48 Building Permit Number Cross Reference: Issue Date: 4/14/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) of/11Sf�FF�� coo ELIZABETH A.NEVILLE ��_ 'y,4; Town Hall, 53095 Main Road TOWN CLERK ; y = P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS : % MARRIAGE OFFICER ,L Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER .*OI �00/ Telephone (631) 765-1800 Alt FREEDOM OF INFORMATION OFFICER fa ie OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda Cooper, Southold Town Clerk's Office DATED: April 4, 2000 Transmitted herewith is a copy of application No. 2375 for an ALTERATION PERMIT for a cesspool or septic system submitted by Peconic Cesspool for Christopher Young , 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. Signet 4+s( o 0 Date OFFICE OF THE TOWN CLERK , "' oK�� o. - 3 TOWN OF SOUTHOLD ,' ���� t Application No. PT I7ABETH A.NEVILLE,TOWN CLERK P.O.BOX 1179 Construction SOUTHOLD,NEW YORK 11971 o ^' � Alteration fro Telephone -- 1 ,t0.1.4 $10.00 - Residential (516) 765-1801 = 01 J � ,,'' $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE -..3/2 d APPLICANT NAME: 4C..frete..y APPLICANT ADDRESS: lea 97 "/ /1 SEPTIC 1.----CESSPOOL �--� DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION is t L..a .41P - - e. 4/fr.a...2)1. t:desdnoi) frf1") .. LOCATION MAP: Mutt be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTE TION: OWNER OF PROPERTY: n ev OWNER MAILING ADDRESS: ill— 1.64,7 NK //403 OWNER PROPERTY ADDRESS: '7d ,L174.4 1-1-4--.c.. JitaaatAd 144' // TELEPHONE NUMBER OF CONTACT PERSON: cPfr TAX MAP NO. : Section 1 940 Block 'Z- Lot / CROSS STREET: A't1,pQr,r- ".4/ /2.740 . Scp BUILDING PERMIT NUMBER CROSS REFERENCE: Signatu O Applicant RECEIVED BY: 11 E C iE Town eltrit Office DATE: APR - 3 r Southold Town r • v4 • E • • W vi, Li a efr0V if 1); cl 0 4 L'iit) 17idi. 1611 1 L. rp-t. L o iNA IA 11:rr.‘41-0 CJ< Yu 1,-,�.