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Home My WebLink AboutGrathwohl SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4482-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner GLEN GRATHWOHL ------------ ----------------- mailing Address 1 300 HAMILTON AVE ------------------------------ Mailing Address 2 ------------------------------ City St Zip CUTCHOGUE NY 11935-0000 -------------------- -- ---------- Property Address 1 300 HAMILTON AVE ------------------------------ Property Address 2 ------------------------------ City St Zip CUTCHOGUE NY 11935-0000 -------------------- -- ---------- Owner Telephone No. 631-734-8301 ------------ Tax Map No. section 110.00 block 4 lot 12.002 ------ --- ------ Cross Street FLEETWOOD RD ------------------------------ 4---------- --- - = ------- Issue Date: 4/06/15 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) ., o��SUEFO(,�COG ELIZABETH A. NEVILLE y� Town Hall, 53095 Main Road co TOWN CLERK to = P.O. Box 1179 REGISTRAR,OF VITAL STATISTICS O Southold, New York 11971 y ® �� Fax (631) 765-6145 RECORMARRIAGE S MANAGEMENT OFFICER Fax �A�O Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 or Non-Residential @$25 Application No. g4/ga Permit No. 3 Owner Name 1 ��//^-` c Lv Owner Mailing Address -- Owner Property Address Owner Telephone No. Tax Map No: Section Block " l Lot % Cross Street uV6)ol �(3?� Please check each that applies: New Construction _ Alteration to Existing System Residential. )�Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distan feet frsystem to building and closest road. New construction may submit opy of with approv Sign tute rcant Date Received by: �o�ogUFFO(,��o ELIZABETH A. NEVILLE,MMC r/y Town Hall,53095 Main Road TOWN CLERK C* P.O. Box 1179 CA 2 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p Fax(631)765-6145 MARRIAGE OFFICER yt► � Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER 0( `�►a www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 20, 2015 Nancy Williams PO Box 293 -Easf Mari6n NY 11939 RE: 110.4-12.2 Dear Sir/Madam: Enclosed herewith is the Construction, Alteration or Modification Permit for a Septic Tank/Cesspool System for which you applied. AFTER the system is installed but prior to being used, an OPERATION PERMIT IS REQUIRED. The operation Permit is issued by the Southold Town Clerk's Office. The fee is Ten Dollars ($10.00) for a residential system and twenty-five dollars ($25.00) for a non- residential system. Your check should be made payable to the "Southold Town Clerk". An application form is enclosed. Please complete the requested information and return the application, proper fee, and LOCATION MAP (map must indicate the location of the cesspool(s)/septic tank(s), giving approximate distances in feet from any buildings to the pools and distances between the pools. Should you have any questions concerning this matter, please do not hesitate to contact this office. Very truly yours, 16 Sabrina Born Clerk Typist Enclosures ELIZABETH A. NEVILLE,MMC �.1► Gy Town Hall,53095 Main Road TOWN CLERKp P.O.Box 1179 H Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p .F Fax(631)765-6145 MARRIAGE OFFICER �J' ! � Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �j �►� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3929 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : NANCY WILLIAMS Address 1: P 0 BOX 293 City St zip EAST MARION NY 11939 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR SINGLE FAMILY DWELLIW,. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-08-0084. Name Of Owner G GRATHWOHL & N WILLIAMS -r------ Mailing Address 11''__l ----------------- ------------------------------ City St zip EAST MARION NY 11939 -------------------- -- ---------- �(/(,�,� Property Address 1 300 HAMILTON AVENUE ------------------------------ ------------------------------ City St zip CUTCHOGUE NY 11935 -------------------- -- ---------- Tax Map No. section 110.00 block 4 lot 12.002 Cross Street FLEETWOOD ROAD ------------------------------ Building Permit Number Cross Reference: Q Issue Date: 1/16/15 Elizabeth A. Neville -------- Southold Town Clerk SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3929 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : NANCY WILLIAMS Address 1: P 0 BOX 293 City St Zip EAST MARION NY 11939 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-08-0084. Name Of Owner G GRATHWOHL & N WILLIAMS ------------------------------ Mailing Address 1 P 0 BOX 293 ------------------------------ ------------------------------ City St Zip EAST MARION NY 11939 -------------------- -- ---------- Property Address 1 300 HAMILTON AVENUE ------------------------------ ------------------------------ City St zip CUPCHOGUE NY 11935 -------------------- -- ---------- Tax Map No. section 110.00 block 4 lot 12.002 ------ --- ------ Cross Street FLEETWOOD ROAD ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 1/16/15Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) January 20, 2015 Nancy Williams PO Box 293 East Marion, NY 11939 RE: 110.4-12.2 Dear Sir/Madam: Enclosed herewith is the Construction, Alteration or Modification Permit for a Septic Tank/Cesspool System for which you applied. AFTER the system is installed but prior to being used, an OPERATION PERMIT IS REQUIRED. The operation Permit is issued by the Southold Town Clerk's Office. The fee is Ten Dollars ($10.00) for a residential system and twenty-five dollars ($25.00) for a non- residential system. Your check should be made payable to the "Southold Town Clerk". An application form is enclosed. Please complete the requested information and return the application, proper fee, and LOCATION MAP (map must indicate the location of the cesspool(s)/septic tank(s), giving approximate distances in feet from any buildings to the pools and distances between the pools. Should you have any questions concerning this matter, please do not hesitate to contact this office. Very truly yours, Sabrina Born Clerk Typist Enclosures Born, Sabrina From: Bunch, Connie Sent: Thursday,January 15, 2015 3.20 PM To: Born, Sabrina Subject: Cess Pool Permits Permit#'s 3947, 3929 and 3944 were all issued final Health Dept. approvals.There were no copies of the permits in our files. Permits#s 3927, 3926 and 3922 are not here and they did not take out any building permits. Connie i