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Home My WebLink AboutHarkoff, Diane3 ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER gISFFOJ*: �� yam► o � y Z oy� N_ OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-6145 Telephone (516) 765-1800 SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2058* R Residential X Non -Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : ARTCO DRAINAGE CORP. Address 1: 7470 ROUTE 48 City St Zip MATTITUCK NY 11952 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 HARKOFF, DIANE Mailing Address 1 WESTPHALIA ROAD -------------------- ---- ------------------------- City St Zip MATTITUCK NY 11952 -------------------- -- ---------- Property Address 1 SECOND STREET ------------------------------ ------ ----------------------- City St Zip NEW SUFFOLK NY 11956 -------------------- ------------ Tax Map No. section 117.00 block 8 lot 12.000 ------ --- ------ Cross Street MAIN STREET ------------------------------ Building Permit Number Cross Reference: Issue Date: 4/26/99 ---------------------------------- Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) T ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda Cooper, Southold Town Clerk's Office DATED: April 23, 1999 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Transmitted herewith is a copy of application No. 2142 for an ALTERATION PERMIT for a cesspool or septic system submitted by Artco Drainaqe Corp. for Diane Harkoff 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 follow' g recommendation: APPROVE - DISAPPROVE - COMMENTS: Maintain required setbacks from adjacent wells, buildings, property lines and water bodies. EXCAVATION INSPECTION REQUIRED. I OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ELIZABETH A. NEVILLE, TOWN CLERK P.O. BOX 1179 SOUTHOLD, NEW YORK 11971 Telephone (516) 765-1801 Permit No. Fee $ TOWN OF SOUTHOLD Application No. Construction Alteration $10.00 -Residential $25.00 -Non-Residential SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICANT NAME: APPLICANT ADDRE APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL DATE SEPTIC CESSPOOL A DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION D/77e-eU LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: D124',? ff&=L `ff OWNER MAILING ADDRESS: WtzeAe--&, - OWNER PROPERTY ADDRESS:; Gi st- J �� TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO.: Section Z17 Block - Q g Lot CROSS STREET: 7 BUILDING PERMIT NUMBER CROSS REFERENCE: L��Z211. 7CZ_- Signature of Applicant RECEIVED BY: Tnwn�lerl 's Office DATE: (� m KING STP wvrp Lai b ;0 0 wj N0 1 z '0 g'i' ��1JERf R. KAR fS 85"23'000) E %ft mr A 4L T DiVOEW O 4AMP 0— PM N 85'48'20" w ;0 z Ia4�/%pyr 127.8of —c" Uw felm ,47=S/0/p & H E. AS A. ;AMPHIRopp Z4A(PHZj?0PF MAIN STT?FPT Q b p 00 O ZA- UMTMRM AL79MMN OR AMMN VO -OM OF "A f" VOW TrAn 103% FIAW!y COM OF TM M^TY WP NOT BEWC aTOmM Oemyxm RM ICA 10 txTW JW 'nffv* SURVEY OF PROPERTY SITUATED AT- 'SUMOLK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C.: TAX No. 1000-117-08-12 SCALE 1".=209 JUNE 269 1998 AREA = 13,606-68 3q. ft. 0.314 ca. PMPAM ��YORx SVVAM FOMR 34 USVA TMJE 0 UAND A- •4- A.. • 4 IAJ .40 .• iZ: m KING STP wvrp Lai b ;0 0 wj N0 1 z '0 g'i' ��1JERf R. KAR fS 85"23'000) E %ft mr A 4L T DiVOEW O 4AMP 0— PM N 85'48'20" w ;0 z Ia4�/%pyr 127.8of —c" Uw felm ,47=S/0/p & H E. AS A. ;AMPHIRopp Z4A(PHZj?0PF MAIN STT?FPT Q b p 00 O ZA- UMTMRM AL79MMN OR AMMN VO -OM OF "A f" VOW TrAn 103% FIAW!y COM OF TM M^TY WP NOT BEWC aTOmM Oemyxm RM ICA 10 txTW JW 'nffv* SURVEY OF PROPERTY SITUATED AT- 'SUMOLK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C.: TAX No. 1000-117-08-12 SCALE 1".=209 JUNE 269 1998 AREA = 13,606-68 3q. ft. 0.314 ca. PMPAM ��YORx SVVAM FOMR 34 USVA TMJE 0 UAND VVA A. Job A. kVegm Land Surveyor, n* &wv"a suwmwww - ,ft ftm - Cwowmw Laydi PHONE (516)727-2090 Fox (616)722-50