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ELIZABETH A.NEVILLE / '� ; Town Hall, 53095 Main Road
TOWN CLERK % ® - ik P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ;® � ,��� Fax (631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER =__ ®1 � �i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ���� southoldtown.northfork.net
OFFICE� OF THE TOWN CLERK
1NT
SOUTHOLD A� WA rQQUDISNIAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2864 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 INSPECTION REQUIRED.
Name Of Owner NOONAN, DAVID
Mailing Address 1 27 NORTH MOORE STREET, APT10C
City St Zip NEW YORK NY 10013
Property Address 1 150 KING STREET
City St Zip NEW SUFFOLK NY 11956
Tax Map No. section 117.00 block 8 lot 1 .000
Cross Street NEW SUFFOLK ROAD
Building Permit Number Cross Reference:
Issue Date: 8/22/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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"VI ir
ELIZABETH A.NEVILLE ��� '� Town Hall, 53095 Main Road
TOWN CLERK ® - P.O.Box 1179
REGISTRAR OF VITAL STATISTICS Pr? Southold New York 11971
MARRIAGE OFFICER � Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER `���®1 ��®�i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER - .9" 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: July 25, 2002
Transmitted herewith is a copy of application No. 2967 for a Cesspool/Septic Tank Construction
Permit submitted by:
Peconic Cesspool for David Noonan
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
,. . * * ,
r;r,l
',have reviewed the application and location map of the project cited above and make the following
recommendations:
- ----- APPROVE
DISAPPROVE
Comments: �`-
Signature
•
e2 7/3//ts: _
Dated
I H • I
•
OFFICE OF 111E TOWN CLERK ..'''c.,AF%OLi-,'
TOWNOFEOVmHOLD ®l/= Application No 96
ELIZABETH A.NEVILLE,TOWN CLERK � �
P.O.BOX 1179 * _� ; Construction
SOUTHOLD,NEW YORK 11971 v m
Alteration
Telephone ,y �' 7/ $10.00 - Residential !/
(631) 765-1800 - ' '�
�� $25.00 - Non-Residential
0,00100
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE 7 7o
APPLICANT NAME: PECONIC CESSPOOL /
APPLICANT ADDRESS: P. 0. 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.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: -
• . OWNER OF PROPERTY:' OAP, M, ii -h
OWNER MAILING ADDRESS: c j(/ ® tcP S'�- ( o7/ ,cj
/Do/3
OWNER PROPERTY ADDRESS: /SO 57
TELEPHONE NUMBER OF CONTACT PERSON:,
TAX MAP NO. : Section //,7 Block 8' Lot
CROSS STREET: A/6-At/
BUILDING PERMIT NUMBER CROSS REFER ENC!']:
-',:gnature of Applicant ,
RECEIVED BY:
own Clerk's Office -
DATE: 9M 6
. ,
1,141
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DAVID NOONAN
150 KING STREET
NEW SUFFOLK
1 17-8-I
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