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Home My WebLink AboutDemel vdff I �► ELIZABETH A.NEVILLE,MMC 0� Co Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS o Fax(631)765-6145 MARRIAGE OFFICER ,fi ��. Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �Q� .y�, �`� 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. 4628 - X Residential _ Non-Residential Fee$ 10.00 X Septic _ Cesspool PERMIT ISSUED TO: Name: John Hocker of Latham,Sand&Gravel Address: PO Box 608 City St Zip: Peconic NY 11958 Description 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: Marc Demel Mailing Address: 1450 Mill Creek Dr City St Zip: Southold NY 11971 Property Address: 1450 Mill Creek Dr City St Zip: Southold NY 11971 Tax Map No. Section 051.00 Block 06.00 Lot 027.00 Cross Street Grove Drive Building Permit Number Cross Reference: Issue Date: 8/13/18 n Elizabeth A. Neville Southold Town Clerk r ELIZAMTH A.NES II&B Town Hall,53095 Main Road TOVKCIMRK EROS' ' ' P.O.Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARHIAGE oFj+y(ER, ® � �` Fax(631)765-6145 RECORDS MAN'AGEENT OFFICER Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER ° southoldtovm.northfork.net OFFICE OF T 'I'O'N CIURIK TOWN OF SO=OLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or AlLTERATION PER T[' CESSPOOL or SSMC TANK Residential @$104— or Non-Residential @$25 .Application No. --�03 Permit No. Applicant Name jbhn Applicant ailing Address < 60 9 -n! !J1 q J 19'" Septic Tani J�or Cesspool ]Brief Description of Proposed Construction or Alteration AeJz 5- ` n r lac 9 CSG,,,- A R1W4 SQrJiceS 5�<z c, ,ua �r�n Location o�Proposed ConstructionlAlteration: -- SQe &-hocked Owner of Property--()D/ r G � owner Mailing Address: 14 5(0 M, t t Cie L DK !Sn� LALCId t\)H 1r3() ) Owner Property Address: 1455 fn i) I (Ino L 9/' Name and phone number of contact person Tax Map No: /L1)W,S`�ection Block 6 rot Cyx? Cross Street_c'�rcyy a/(11M. NOTE: LOCATION MAP MUST BE SUBAMTED MgTE[ A P LIt(✓°A'I on NE's CONSTRUCTION][REQUM'S SURVEY� P7=ETMENT APPROVAL Si ature of Applicant Date Received by: SgFF Lt&- ELIZABETH A.NEVILLE,MMC Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 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 OFFICE 00�OF UO o CLERK D 9C[E01W[E D JUL 1 6 2018 TO: Southold Town Building Department BUILDING DEPT. FROM: Sabrina Born, Southold Town Clerk's Office TOWN OF SO OLD DATED: July 16, 2018 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 4628 for a Cesspool/Septic Tank Construction Permit submitted by: John Hocker, Latham Sand and Gravel �fOr At"o- bLi1MLI 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: RECEIVED � Signature J U L 1 8 2018 Dated Southold Towii Cleric ELIZABETH A. a Town HaH,53095 Main Road P.O.Boa 1179 Southold,New York 11971 REGISTRAR of VITAL STATISTICS MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MMAGEAMNT OFFICER Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER ` southoldtow.port for1c.net OFFICV, OF TIM- TCLERIK TOWN OF SOUTHOLD SOUTHOLD WASTEWATERDISTRICT A .1CATION CONSTRUCTION or ALTERATION PERMIT CESSPOOLor SEPTIC T Residential @$10 or Non-Residential @$25 Application No. Permit No. Applicant Name hn C t l ro i ¢ r JR ...... Applict Haag Adress ?� SeptiBric T or Cesspool i dam52p: µ e Description o Proposed �Constructiono lcatoaa ... Location ot Proposed Construction/Alteration: SOLE 0440cho—d Owner of property:—mLL:,4 m„ _ er Mailing Address: aL �"" � Li Owner Property d sem . P rtY Name and phone number of contact person Tax MapSection Block _� Lot Cross Street ( , NOTE: LOCATION MAP MUST BE sUBm1TTFD wrrH APPLICATION. NEW CONSTRUCTION RUCTION S SURVE P "I" O ENT P " Si. atcre of A Applicant Date Received by y y too m r .7' h CARACE IMV O� a C