HomeMy WebLinkAboutMcGrath SUFFOUrcoG
ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOWN CLERK o P.O.Box 1179
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER `‘`.:4
1i �*- Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER : 4 �ao,i� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ,s" southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3085 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 INSPECTINO REQUIRED.
Name Of Owner MCGRATH, ELIZABETH
Mailing Address 1 1276 NEW SUFFOLK ROAD
City St Zip CUTCHOGUE NY 11935 --
Property Address 1 1276 NEW SUFFOLK ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 109.00 block 7 lot 6.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 9/08/03 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
II_owe so***,
OFFICE OF 111E TOWN CLERK sle$ CIO 3 a I aj
;{ TOWN OF SOUTHOLD � J ® Application No.
2 ELIZABETH A NEVILLE.TOWN CLERK ,1
PO.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 • orn
tta S Alteration
Telephone va,� Q��'� $10.00 - Residential
631 765-1800 tit 44 Poo. $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT-
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
APPLICANT NAME: PECONIC CESSPOOL
APPLICANT ADDRESS: P. O. BOX 972
NIATTITUCK, 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: EA/2-/ r7X ` file-- 6/2-d1�°�
OWNER MAILING ADDRESS: /Z77.
it c� "ti //q 3 f�
OWNER PROPERTY ADDRESS: cc
TELEPHONE NUMBER C:= CONTACT PERSON: A/� 96 57
TAX MAP NO. : Section /09 Block 617 Lot - t3 C
•
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
1
ELIZABETH MC GRATH
1276 NEW SUFFOLK ROAD
CUTCHOGUE
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