Loading...
HomeMy WebLinkAboutPeconic Cesspool . . ',.,"<, Telephone ((i31) 765-1800 $I0,OU ,Hesldenllal ~ $l5,OO Non-Residential omCllllfllll '.I'QWN CLIIlK 1O~ or IQIITIIOLII 1l1JZAlIIlI11 A. NBVILIJl. TOWN CUJRK . P,D.BOX 1119 SOUmOID,NBWYORK 11911 TOWN OF SOUT!lOLll SOUTHOlD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION 0" ALTEHAT1()N PEHMII SEPTIC TANK or CESSPOOL Permit No. Fee '$ fC) ,00 DATE 8;.A ~ /e ~ , APPLICANT NAME: PECONIC CESSPOOL APPLICANT ADDRESS: P. O. BOX 972 MATTITUCK, NEW YORK I !'t??.. ,~;~fi,I~"" S~!~~HeL ,~ . ':,e',~,.,~:~~F~~C~I;;.A~LTERATIONn n -;;r/;. . . ",\'~;,~~ir" .; 1~~+"1-'" - .~. ., ~,!q.l"b~~PI MUlt be attached hereto before penult lIlay be Issued. F',. ~,I /!L,,,,. ~ ~, . II' "0(,' a.:9~.]'~it:'t ~j P~OPPSED CaNST ~UCT ION OR f.l TERA T ION: '!'j~II;R'PF PROPERTY: ~,c:./I1~!~r-$'.~ LJti.~ :lOWNER MAILING ADDRESS: ~/P~ f)~ _._ 9~ /Z'~.!?,..__ . -...... f/ a-Lt..... '1'Su IPI~ - ,II/-~. ~ OWNER PROPER!Y ADDRESS: :..g :3.5 ~..__ . ..,... . __.~N.".'r-.__n_. .,,:rE..!=~t10NE NUMBER OF CONTACT PERSON: _ ~2.l-=.~~~_____~(.. Sg ~~~~>- ,,'.' ,-' .,: tttli!~Af' !'Io.: Section I if 3 Blocl<__If. Lot._,..t1.' ~~:S~ ~TREET: ~ ~ BUILDING PERMIT NUMBER CROSS REFEHI leI.: ~~.."...,' !:Jig( lalLll'f.l of , RE~EIVED By:4~ __-:_ own ark's Office DATE~, , ' I ok ~ . . , 1''' I fS-t-\v , , J .. ~-- f(,..L-~ (....1!-"" J ~ ~)' )J.... 1\ . ~ ~rl ( II- .:;; r ;:{/-' 1] I \ \ ,~~ ~ )Ji \ \~ ~c:'Y"' "~' \ -..j..../ _/1 ,I \ , .i /~ \1 ~~/I-r-v-"~ - \ e ' .\l-' v '-Iii-X /43- 'f- I 9 ~r 1.~/U)./24--~~ /~rf, l2u~ (Jet )d<<..-