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Home My WebLink AboutSchoof ,,,,,,,, ,,•,00SUFFot, �o ELIZABETH A.NEVILLE t�_� j Town Hall, 53095 Main Road TOWN CLERK o P.O.Box 1179 ti Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS V' t t � Fax(631) 765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER y_�Ql ��o�i��, Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER ,�'� southoldtown.northfork.net !.....iii OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3082 R Residential x Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : MORRIS CESSPOOL Address 1: 2760 YENNECOOTT DRIVE City St Zip SOUTHOLD NY 11971 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 INSPECTINO REQUIRED. Name Of Owner SCHOOFF, ROLF Mailing Address 1 1780 FOUNDERS PATH City St Zip SOUTHOLD NY 11971 Property Address 1 1780 FOUNDERS PATH ' City St Zip SOUTHOLD NY 11971 Tax Map No. section 64.00 block 4 lot 12.002 Cross Street Building Permit Number Cross Reference: Issue Date: 9/08/03 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ;� 4111,,w;em ,,x,/001 OFFOLAr • ELIZABETH A.NEVILLE �, OG0Town Hall, 53095 Main Road TOWN CLERK o • P.O.Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER : 1� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER 4*� X0.1 Telephone (631) 765-1800 FREED011LOFVFOI�MATIf7N `I "O �GER = '/ �... southoldtown.northfork.net F.:‘, i n �, : U + ri ' AUG 2 20 '!'`j\OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: August 12, 2003 Transmitted herewith is a copy of application No. 3213 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Morris Cesspool Service for Rolf Schooff 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. 77/4°40/4 Signature "AA Dated 1 \ ELIZABETH A. NEVILLE t a``2` li* Town Hall, 53095 Main Road TOWN CLERK t o P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER 1� Fax(631) 765-6145 . RECORDS MANAGEMENT OFFICER %y�f� ��'�� }Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER = '� 4 sill " southoldtown.northfork.net • OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 or Non-Residential @ $25 Application No. Permit No. Applicant Name 4/ 0(4/e,15 c _C'50o( ,5'‘.Applicant Mailing Address .27(.v / /'��-er� / So' v401 Septic Tank or Cesspool Brief Description o Proposed Construction or Alteration Location of Proposed Construction/Altera4/f cam �Owner of Property: Dd / /c- - Owner Mailing Address: / 2fd /----6)e.-/-7,0_)�-rj, p, -//i ___Qt...././2.4 Owner Property Address: Name and phone number of contact person Z5~r'fJ ' C. Tax Map No: Section 4/ Block li Lot (Z 2_ Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY H HEALTH DEPARTMENT APPROVAL a574:1 f /!A f c ? Signature of Applicant Date Received by: D 6-6-62r-t___ /17 C2 {iz,P V c 1y LdP (70 feta �� N G2 S! Dol