HomeMy WebLinkAboutMcFeeley, John Ie 0 �FFO(�
ELIZABETH A.NEVILLE �� � 'y Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
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Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER : �% ,iL ���, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �__-7Q1 jlig �,0'�� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2806 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1 : PO BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner JOHN MCFEELEY
Mailing Address 1 PO 5900
PECONIC BAY BLVD
City St Zip LAUREL NY 11948
Property Address 1 5145 MAIN ROAD
City St Zip LAUREL NY 11948
Tax Map No. section 125.00 block 1 lot 14.000
Cross Street BRAY AVENUE
Building Permit Number Cross Reference:
Issue Date: 5/17/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
o°os�FFo4�o • a 30°
ELIZABETH A. NEVILLE ���= G* ; Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
H Z Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS e
MARRIAGE OFFICER � 1i � �, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ; 1 4a'����.°� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
A 9 2002 TOWN
OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 26, 2002
Transmitted herewith is a copy of application No. 2912 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
NOFO Associates by Peconic Cesspool
Please review the application and location map and advise if the project has received Suffolk County
Health Department approval and if this office may issue the permit.
Please complete the form below and return it to me.
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells,buildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
Signature
p tODA2-
Dated
,t.
' ,II/IIIIII,I,,%
OFFICE OF THE TOWN CLERK
TOWN OFSOUTHOLD •��'�c'J�FF��xC►1;;\ Application No. C.����
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 �, _.41 Con tion
SOUTHOLD,NEW YORK 11971c=1 rn
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Telephone %�ij' 4C. ,,, $10.00 - Residential
(631) 765-1800 � ' 0. $25.00 -Non-Residential
•
I/
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE 9-45/07..-
APPLICANT
4S/OZAPPLICANT NAME: PECONIC CESSPOOL
APPLICANT ADDRESS: P. 0. BOX 972
MATTITUCK, NEW YORK 11952 '
SEPTIC CESSPOOL 1/
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUMR ALTERATION: �yJ
OWNER OF PROPERTY: WO F(, ei/ZP arY2 ,I /hc 40.e/6-'[r
OWNER MAILING ADDRESS v 57t'O /2e.GeenrL 13�t* ed-e.- rD
Avg ei , /1/, //9a
OWNER PROPERTY ADDRESS: / 1/1 rkI'i'/7 Ad
TELEPt-ION E NUMBER OF CONTACT PERSON: Co,,3/--69 9,fr CSS
7Tc74738 i �'
TAX MAP NO. : Section Block 7 Lot
mess STREET: /3Iz2?-5,
BUILDING PERMIT NUMBER CROSS REFERENCE:
-1-----26 /1/
.e.:"Z
Signature of Applican
RECEIVED BY:
Town Clerk's Office
DATE:
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JOHN MC FEELEY
5145 MAIN ROAD
LAUREL