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Home My WebLink AboutHaerr, KarlC I 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 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. 2059 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 ALTERATION OF EXISTING CESSPOOL. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner HAERR, KARL Mailing Address 1 5 CLINTON ----------- --------- -------------------- City St Zip MOUNT SINAI NY 0000 -------------------- -- ---------- Property Address 1 305 MILL CREEK ROAD ------------------------------ ------------------------------ City St Zip SOUTHOLD NY 11971 -------------------- ------------ Tax Map No. section 135.00 block 3 lot 28.001 ------ --- ------ Cross Street NORTH ROAD ------------------------------ Building Permit Number Cross Reference: Issue Date: 4/29/99 ---------------------------------- 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 27, 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. 2144 for an ALTERATION PERMIT for a cesspool or septic system submitted by Peconic Cessaool for Karl Haerr 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 followin recommendation: APPROVE - DISAPPROVE - COMMENTS: Maintain required setbacks from adjacent wells, buildings, property lines and water bodies. EXCAVATION INSPECTION REQUIRED. bignatuCe Date U-jLe NO -.3.1 VO kA:7z 0,,:i 6661 19 8dV qjI J 7:t U 'A') 11 Q1, xv/ 9.4,61X S//