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LIZABETH A.NEVILLE �14=4. G# Town Hall,53095 Main Road
TOWN CLERK % o - P.O.Box 1179
ti 2Southold New York 11971
RE ISTRAR OF VITAL STATISTICS % v' 'P►
MARRIAGE OFFICER � 1i Fax Fax(631) 765-6145
RE I ORDS MANAGEMENT OFFICER �_�Ql a�,i� Fax
(631) 765-1800
FRE 3DOM 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. 3095 R Residential x Non-Residential
F=e $ 10.00 Septic X Cesspool
P:RMIT ISSUED TO:
N.me : PECONIC CESSPOOL
A'dress 1: PO BOX 972
C ty St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
A'DITION TO EXISTING SYSTEM.
A'PROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS,
B ILDINGS, PROPERTY LINES AND WATER BODIES.
E CAVATION INSPECTINO REQUIRED.
N.me Of Owner DALY, MAURA
M.iling Address 1 230 OAKWOOD ROAD
City St Zip HUNTINGTON NY 11746
Property Address 1 150 BIRCH DRIVE SOUTH
' City St Zip LAUREL NY 11948
Tax Map No. section 128.00 block 4 lot 10.000
Cross Street -PECONIC BAY BLVD
Building Permit Number Cross Reference:
Issue Date: 10/20/03 Elizabeth A. Neville
Southold Town clerk
(TOWN SEAL)
,ill OF FOL '-_ 30 -3
ELIZABETH A.NEVILLE tie�`1` 4; Town Hall, 53095 Main Road
TOWN CLERK p P.O.Box 1179
REGISTRAR OF VITAL STATISTICS � Southold, New York 11971
MARRIAGE OFFICER ® `F 1/ Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =y�f0 ao���1 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER =_'� jig ���'� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
8 81 U3 -- TOWN OF SOUTHOLD
, SEPyt_
TO:_ Southzild, Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 18, 2003
Transmitted herewith is a copy of application No. 3229 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Peconic Cesspool for Maura Daly
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
of://y/o >
Dated
OFFICE OF THE TOWN CLERK �','��MIX
TOWN OF SOUTHOLD •���� OG -� Application No.
ELIZABETH A.NEVILLE,TOWN CLERK � `
P.O.BOX 1179 C u c ion
SOUTHOLD,NEW YORK 11971 v r7
tt13 Iteratio
Telephone ,j- Q��•�,' $1.0:00' '- esidentia
(631) 765-1800 =-��1' act$11>��� $25OO��e
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TOWN OF SOUTHOLD -
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION. `
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE W/7/0 3
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. kJ
LOCATION OF PROPOSED CONSTRUCTION OR ALT ATION: Q3O KJ
OWNER -OF PROPERTY: .11/ " I 046
OWNER MAILING ADDRESS: 4rsmiwr%likifr-Si».,r_ �_ L
/;/4'
OWNER PROPERTY ADDRESS: 150 ,I.o 'y,
TELEPHONE NUMBER-Of CONTACT PERSON: e9.ifi y6 5 r
TAX MAP NO. : Section I2-7f Block If Lot
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CROSS STREET: /541 7 /3.4—
BUILDING PERMIT NUMBER CROSS REFERENCE:
/ //
- . Signatures of dpplicant
RECEIVED BY:� G?/ ji--4.?? . '
Town /Clerk's Office
DATE: Ori0 ;
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