HomeMy WebLinkAboutYoung, Christopher '
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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)
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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
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Date
OFFICE OF THE TOWN CLERK , "'
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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
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SEPTIC 1.----CESSPOOL �--�
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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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 •
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