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HomeMy WebLinkAboutClew ,,I�,O�oSUFFO�,�40e:\ ®G`\ ELIZABETH A.NEVILLE ,� �� 'y Town Hall, 53095 Main Road _ TOWN CLERK % o - % P.O. Box 1179 ti Southold, New York 11971 REGISTRAR OF VITAL STATISTICS �' P MARRIAGE OFFICER ®,l�iL ��� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER L Ql �a®iii Telephone (631) 765-1800 �� FREEDOM OF INFORMATION OFFICER A1P •,� 1southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3012 R Residential x Non-Residential Fee $ 10.00 Septic x Cesspool PERMIT ISSUED TO: Name : DAVID FEAVEL Address 1: PO BOX 1659 City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration • SANITARY SYSTEM FOR SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-03-0019 Name of Owner CLEW, JANICE Mailing Address 1 PO BOX 426 City St Zip MATTITUCK NY 11952 Property Address 1 600 INLET VIEW EAST City St zip MATTITUCK NY 11952 Tax Map No. section 100.00 block 3 lot 10.010 Cross Street INLET DRIVE Building Permit Number Cross Reference: Issue Date: 4/17/03 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) Iii- uFFO`,r' ' SOI 7 ELIZABETH A.NEVILLE is . ‘` Town Hall, 53095 Main Road TOWN CLERK ; co % P.O. Box 1179 REGISTRAR OF VITAL STATISTICSSouthold, New York 11971 MARRIAGE OFFICER ®� �����, Fax(631) 765-6145 ViaRECORDS MANAGEMENT OFFICER \__ ®1 lig ��®,••• Telephone Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER •...��o,t.�� southoldtown.northfork.net l \. ���pOFFICE OF THE TOWN CLERK ��` o TOWN OF SOUTHOLD \___TO: SC1\ Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: March 10, 2003 Transmitted herewith is a copy of application No. 3135 for a Cesspool/Septic Tank Construction Permit submitted by: Janice L. Chew 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. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE 1 DISAPPROVE Comments: .. �� / 71ria-0-‘670 ,.., Signature 03/,/3 Dated ,........., OFFICE OF THE TOWN CLERK t' �,` f `�n-_ '� �3\ Writ"; TOWN OF SOUTHOLD �.� AR�A.NEVILLE,TOWNCLERK Application No f � P.O.BOX 1179 Construction �� SOUTHOLD,NEW YORK 11971 Alteration Telephone oy fir,• • $10.00 -Residential X, (63t) 765-1800 -- l. ,�'� • $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION • for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee .$ "C? DATE ?/7e93 APPLICANT NAME: _1)4./ 14 &-,�A-, ``�f APPLICANT ADDRESS: VP, O. E o, 16����p�� . 90-6,11P. 11JY 11411 SEPTIC CESSPOOL y DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION • /Oat/ 171,90u- LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: • . OWNER OF PROPERTY: al-ext) OWNER MAILING ADDRESS: ( c9 gamic 2Au OWNER PROPERTY ADDRESS: ,. id- tir ec TELEPHONE NUMBER OF CONTACT PERSON: 7(,,,,s - 0,1/ 7 • TAX MAP NO. : Section /60 Block 05 Lot JB,lb CROSS STREET: _ BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Applicant RECEIVED BY: OP . T4• (n Clerk's Office DATE: 3/7/61- • | ' ' ' -- ^ ' ' ^ ' ���D��� `|.��� ^-�'������� = ` * 'PC?. ;',6,1,4:v.:D..WiV4‘...)14 H.::...,T.3,1-1.-1R. -0M.3 '-_ APPROXIAVOI CESSPOOL LocknoN | ~^ APPROVAL \_ __- '��� __-~ _ . - . - . EL--E-131-9F7 NOTC ' . / - �� ' . .' S=' *myoV8te(UOo���h� -'-^^°"�^w�m0 `� /' UMder -^~� �~uw/���� FOR -' �="r�m� �� _._,,,�� -' ..,"�Rxcay��lO�Q� � ��] � � ~~ ilte --�_--�__--_- _-- /' / ' __\` _ o �� / FLAG I / FLAG / / ... ... :::.I.A. •.......k."102. 1?T::I Y, ,.V‘Ik..1"1.7;\/,i . -4 i r--I'. . 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