The URL can be used to link to this page

Home My WebLink AboutJKNK ELIZABETH A. NEVILLE �� Town Hall, 53095 Main Road TOWN CLERK ; - P.O. Box 1179 cla Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Priv l MARRIAGE OFFICER :®��it, � ��0 Fax(631) 765-6145 zie RECORDS MANAGEMENT OFFICER '�®1 ��®�i� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �� ►�� OFFICE OF THE TOWN CLERK SOUTHOLD rfltz1SAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 2673 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 J KN K, LLC Mailing Address 1 PO BOX 607 City St Zip ORIENT NY 11957 Property Address 1 13650 MAIN ROAD City St Zip MATTITUCK NY 11952 Tax Map No. section 114.00 block 11 lot 24.003 Cross Street WICKHAM AVENUE Building Permit Number Cross Reference: Issue Date: 10/18/01 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) oill 0004 ELIZABETH A.NEVILLE �� .W ��; Town Hall, 53095 Main Road 1 aaar, TOWN CLERK ; Ecs d P.O. Box 1179 REGISTRAR OF VITAL STATISTICS �' r` d 1 Southold, New York 11971 • MARRIAGE OFFICER : ��1 Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �;�®� ��22,, `>'1��1 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER `mss' �'� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: October 10, 2001 Transmitted herewith is a copy of application No. 2765 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Peconic Cesspool for JKNK, LLC Please review the application and location map and advise if the project has received Suffolk County Health Depai latent approval and if this office may issue the permit. Please complete the form below and return it to me. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: /�� APPROVE ,6 DISAPPROVE Comments: Maintain required setbacks from adjacent wells, buildings,property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. defir-c;14-- .4e-te Signature Dated i w ►' I OFFICE OF THE TOWN CLERK •'��`c /► TOWN OF SOUTHOLD '�' �OL�`QG� Application Tho. ELIZABETH A.NBVILLB,TOWN CLERK O P.O.BOX 1179 : Construction SOUTHOLD,NEW YORK 11971t p r=r+ ` Alteration Telephone =:'O ��` / $10 .00 - Resi. - • - (G31) 765-1800 =��1' �,,�� $25. 1 ! - Non-Residential ' • J TOWN OF SOUTHOLD - SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee .$ ' DATE OCTOBER '5 , 2001 APPLICANT NAME: PECONIC CESSPOOL APPLICANT ADDRESS: P. O. BOX 972 MATTITUCK, NEW YORK 11952 ' SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ,, • LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: • OWNER OF PROPERTY: JKNK, LLC OWNER MAILING ADDRESS: P. O. BOX 607 ORIENT, NEW YORK 11957 G(50 OWNER PROPERTY ADDRESS: MAIN ROAD MATTITUCK, NEW YORK TELEPHONE NUMBER OF CONTACT PERSON: Richard Magill 298-9658 TAX MAP NO. : Section 114 Block 11 Lot 24.3 CROSS STREET: u)1C1(y�f1') ,q-tiJ - BUILDING PERMIT NUMBER CROSS REFERENCE: i) Signature of Applin ant RECEIVED BY: Town Clerk's Office DATE: • • - r 4 • . 1N °,wsFlo s 4 „ 1 041 C125 0111s/ro0t/3a,so /i-j/f-:n/ /Zee r 7C JKNK, LLC MAIN ROAD MATTITUCK, NEW YORK