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Home My WebLink AboutMcClean 21 FOIIr449, ELIZABETH A.NEVILLE,MMC �.Z. Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 C* Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p ® .� Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ®� �►� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK nD [R@g0jVj3 TOWN OF SOUTHOLD D TO: Southold Town Building Department SEP 2 2 2016 FROM: Sabrina Born, Southold Town Clerk's Office BUILDINGDEPT. TOWN OF SOfTIHOLD DATED: September 22, 2016 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4427 for a Cesspool/Septic Tank Construction Permit submitted by: Peconic Cesspool for Robert McClean Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. I have reviewed the application and location map,of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: - prova req �y e RECEIVED Signature SEP 2 8 20160,91-2-711(e `� b- Dated Southold Town Clerk SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 4427 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : PECONIC CESSPOOL Address 1: P.O. BOX 487 City St Zip LAUREL NY 11948 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. Name Of Owner ROBERT MCCLEAN ------------------------------ Mailing Address 1 1475 SIGSBEE RD ------------------------------ ------------------------------ City St Zip MATTITUCK NY 11952 -------------------- -- ---------- Property Address 1 1475 SIGSBEE RD ------------------------------ ------------------------------ City St Zip MATTITUCK NY 11952 -------------------- -- ---------- Tax Map No. section 144.00 block 2 lot 9.000 ------ --- ------ Cross Street ROUTE 25 ------------------------------ Building Permit Number Cross Reference: Issue Date 9/28/16 Eli a�beth A. Neville -------- Southold Town Clerk (TOWN SEAL) f l ELIZABETH A. NEVILLE,MMC Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 CA Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER FFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: September 22, 2016 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4427 for a Cesspool/Septic Tank Construction Permit submitted by: Peconic Cesspool for Robert McClean Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Final approval required from the Suffolk County Health Department Signature Dated AZY ELMAZEM A. P.O.Box 1119 TC?' . New Fork 119 i 1 REGISTRAR OF VnAL M,MMCS (631)765-6145 WARSUM® CER Telkp?L.ane(631)'7655-18M OFCLMM TOWN OF SOUTHOLD ANN CAMN MON .,dr ALMUTION PERmrr TANK Zs li (MNO. q 7�c)7 $10vor $ pBealUg CESSPWL Applicmlt 0 , _ 87 F. A 11 6w,YORK OTTQA `on ofproposed Oms=cf t p I N R u.0 k ' TaxldV e� Noy crm stlea MN ® . 1@j LOCATION W ® 2r,b_ p . PXQUMS I p,ece _ ' --�- - -- - -- -- - -- L� -- -- - - - - -- - - -- - - - � - � �.r ^- � 05�~~`^°