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Home My WebLink AboutMcCourt el.,' FF0Lj' ELIZABETH A.NEVILLE ,_ 1 Town Hall,53095 Main Road TOWN CLERK o . P.O.Box 1179 CO, try Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER ` 'I. �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER "'/el . 'iii Telephone (631) 765-1800 jig FREEDOM 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. 3105 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool " - PERMIT ISSUED TO: Name : MORRIS CESSPOOL Address 1: 2760 YENNECOTT 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 MC COURT, KATHRYN Mailing Address 1 825 BOWER 'ROAD City St Zip MATTITUCK NY 11952 Property Address 1 825 BOWER ROAD City St Zip MATTITUCK NY 11952 Tax Map No. section 139.00 block 1 lot 6.000 Cross Street Building Permit Number Cross Reference: Issue Date: 10/20/03 Elizabeth A. Neville Southold Town Clerk 1 (TOWN SEAL) Al' 1FFO(4►t oil' ' _ ' OG 7 3165 ELIZABETH A.NEVILLE , # • r ��o Hall,53095 Main Road TOWN CLERK ` y . : P.O.Box 1179 REGISTRAR OF VITAL STATISTICS �; � Southold,New York 11971 MARRIAGE OFFICER ,fiL � �� '. "` Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER "'/Ql �a0 i�� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER 411 �� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: October 14, 2003 Transmitted herewith is a copy of application No. 3244 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Morris Cesspool for Kathryn McCourt 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 DISAPPROVE Comments: Maintain required setbacks from adjacent wells,buildings,property lines and water Bodies. EXCAVATION INSPECTION REQUIRED. 74K-(-04‘7, Signature /9 i9tere-3 Dated ;:d_ .-ti ELIZABETH A.NEVILLE i y Town Hall, 53095 Main Road TOWN CLERK ® f A % P.O.Box 1179 REGISTRAR OF VITAL STATISTICS % yj. Southold, New York 11971 MARRIAGE OFFICER : ® 1� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER =4ft, a0'le Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER = '( 4, �' ��, 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 t or Non-Residential @$25 Application No. 3L.1 y Permit No. Applicant Name Aoage ",s Applicant Mailing Address 7‘6 77 '/ee ,, g, ,41-/,,,41 . Septic Tank or Cesspool-f Brief Description of Proposed Construction or Alteration 671-e-Vrer---) Location of Proposed Construction/Alteration: Owner of Property: j/A,eyR) ,97e 1.4-id.0 Owner Mailing Address: 2s" L o c iz 1 Owner Property Address: }Q.2g-ru—L Name and phone number of contact person 27J•- .7� Tax Map No: Section _ //5' Block / Lot Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SUR Y WITH HEALTH DEPARTMENT APPROVAL Of i ji /.,/ Signature of Applicant Date )4\1)6--vick.,1 Received by: -e j/-/ail) I11 -14A- 04W) , rebidi � �1 G g, a