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HomeMy WebLinkAboutGoggins William ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.nor thfork .net SOUTHOLD WASTEWATER DISTRICT ? ~ APPLICATION . ~/~ CONSTRUCTION or ALTERATION PERMIT ~///t~//~,..~,. '~- C ESSP O O L or SEP TlC TANK Applic.t Name ~C~ ~ C~Q~ Applic~t Mailing Address ~ ~ ~ (~ ~. Septic T~ or Cesspool t~ Brief Dcsc~ption of Proposed Const~cfion or Alteration ~~ ~cation of Proposed Const~ctio~Altcration: Owner Mailing Address: ~ ~~ Owner Prope~ Address: ~~ Name and phone number of contact person }"~5-v~ Tax Map No: Section //7 Block Cross Street ~ -~f /o Lot / .9. / NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW Signature of Applicant Date Received by: Albert J. I<rupski, President James King, Vice-President Artie Foster Ken Poliweda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 25, 2003 Mr. William Goggins 1780 Jackson Avenue New Suffolk, NY 11958 RE: SCTM#117-10-14 1780 Jackson Avenue Mew Suffolk, NY Dear Mr. Goggins: The Southold Town Board of Trustees has reviewed the application from Artco Drainage dated September 15, 2003 and herby grants you an Emergency Permit for a cesspool collapse in the rear of property - replacement in the same location - in kind/in place. This determination is not a determination from any other agency. Very truly yours, Albert J. Krupski, Jr., President Board of Trustees AJK:cjc S 85' 48' 00" 75. O' DECK 85' 48' 00" £ 100.10' AREA= 29,695, JJ7 OR 0682 ACRES CM J CAR N 85' 48' O0 .rgg. 15' ~ N/F CROUCH 2 STORY WOOD FRAME RES. N GOODMAN ROGERS 832,48' 0o" w Z©I¥£ X FL AE (EL. H W.L. , THIS ~ATE 84' 2! .4,8 W 75, Ol HIE GOOOALE MAP OF DESCRIBED PROPOERTY SITUATE NEW SUFFOLK ?OWN OF SOUTHOLD SUFFOLK COUN ?Y, SURVEYED FOR WILLIAM C. GOGGIN5 DONNA M, GOGGINS FLOOD ZONE X FOR BOIHPARCEL5 EXCEPT AS SHOWN MAPffJEIOJCOSOIG MAY 4, 1998 AREAS AND TAX MAP NUMBERS AS SHOWN. ZONED R-40 GUARAN 7EED TO ~%ILLIAM C GOGGINS SURVEYED BY STANLEY J ISAKSEN JR. PO. BOX ~94 ' ' / NYS u? NO. 02RI 187