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Home My WebLink AboutMcGarry ELIZABETH A. NEVILLE,MMC °11 Town Hall,53095 Main Road TOWN CLERK h P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS �EFax(631)765-6145 MARRIAGE OFFICER �� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER ° OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 31, 2018 Transmitted herewith is a copy of application No. 4612 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Peconic Cesspool for Edward McGarry 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. Thank you I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Maatttain att Li setback 1 ° s 11oin ad��t wells bgiIdings. property lines and water Bodies. EXCAVATION INS PI°CTION RE UTRED. Signature Dated ELIZABETH A.NEVILLE �" Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUm.I`I OLD WASTEWATER DISTRICT APPLICATION CONSTI CTION or ALTERATION PERMIT CESS1300L or SEPTIC TAI!�K Residential @$10-LIor Non-Residential esidential @ $25 Application No. Permit No. Applicant Name.__ .. PECONIC CESSPOOL Applicant Mailing Address _ _ PO BOX 487 Septic Tank or Cesspool Brief Description ofProposed.Co miction or Alterat"c Location of Proposed Construction/Alt .ratio n'. Owner of Property: Owner Mailing Address:___ _. Owner Property Address: , j Name and phone number of cotact person Tax Map No: Se tio.0 10 I Block Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES S NT11Y WTTH.1 " �' APPROVAL _ A y i W ,a. f 1 plicant. Oat Received by: OU,ss xM�i ,e Clf,55 C4