HomeMy WebLinkAboutMcCarthy, Patrick o- oFFO(,i-co
ELIZABETH A.NEVILLE � l/y � Town Hall, 53095 Main Road
TOWN CLERK -4 > P.O. Box 1179
N = Southold,New York 11971
REGISTRAR OF VITAL STATISTICSFax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER VO
RECORDS �� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER 4. ,•.'�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2032 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
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 MCCARTHY, PATRICK & ELLEN
Mailing Address 1 2780 DELMAR DRIVE
City St Zip LAUREL NY 11948
Property Address 1 2780 DELMAR DRIVE
City St Zip LAUREL NY 11948
Tax Map No. section 125.00 block 4 lot 11 .000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 3/10/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
03P
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ELIZABETH A.NEVILLE ,iy. t, Town Hall, 53095 Main Road
TOWN CLERK = -� ri. P.O. Box 1179
t y Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS i 1
MARRIAGE OFFICERFax (516) 765-1823
RECORDS MANAGEMENT OFFICER %.'y4J �O. Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER O'� 1, ,,
., .'
. ..d
OFFICE OFA�THEgTOWN CLERK
TO: Southold Town Tbuildinng Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: March 4, 1999
Transmitted herewith is a copy of application No. 2112 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Patrick and Ellen McCarthy .
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.
ignatu
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Date
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OFFICE OF THE TOWN CLERK !'r r r r rr r rn..,,,,I
TOWN OF SOUTHOLD �� �JGV:" Application No. (9
Fi.17ABETH A.NEVILLE,TOWN CLERK v
P.O.BOX 1179 .�L Construction
SOUTHOLD,NEW YORK 11971
Alteration
Telephone �40.■ $10.00 -Residential
(516) 765-1801 '+� 1 mytt ,rr $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
q CIEIVED
APPLICATION
MAR 4 1999
for
outhoid Town Gott
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE .3/v ff
APPLICANT NAME:
__"..e..e-4r72e-r__.-,.
APPLICANT ADDRESS: � />ri.. 97
11--rfi?
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONS RUCTION�OR A ATIOA:
OWNER OF PROPERTY: 77
OWNER MAILING ADDRESS:027ge /, O '
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: 9(°' � '5
TAX MAP NO. : Section /9-C Block 44 Lot //
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
,0e4/1./Z-
, r1/7'
Signature of plicant
RECEIVED BY:
Town Clerk's Office
DATE:
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4,0144 ".
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