HomeMy WebLinkAboutMattituck Sanitation 00
` 111oeloVfFOLit
1� 4% `
y<`
JUDITH T.TERRY ,� o Town Hall, 53095 Main Road
TOWN CLERK vs x P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 1 111 Southold,New York 11971
MARRIAGE OFFICER Fax(516)765-1823
RECORDS MANAGEMENT OFFICER . 4f ����
_ X1111
Telephone(516)765-1800
- 1 �`
FREEDOM OF INFORMATION OFFICER - , ,•s.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 57 N Residential Non-Residential X
Fee $ 25.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
REPLACE OLD CESSPOOL WITH NEW TYPE OF CESSPOOL
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION
INSPECTION REQUIRED.
Name Of Owner MATTITUCK SANITATION
Mailing Address 1 P. O. DRAWER 1402
City St Zip MATTITUCK NY 11952
Property Address 1 800 WICKHAM AVENUE
City St Zip MATTITUCK NY 11952
Tax Map No. section 140.00 block 2 lot 30.000
Cross Street HILL STREET
Building Permit Number Cross Reference:
Issue Date: 3/28/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
,,, c6 &uC (
s /el l
07) CC-
, 0004
JUDITH T.TERRY x,10 Town Hall, 53095 Main Road
TOWN CLERK y Z P.O.Box 1179
0 ,�� Southold,New York 11971
REGISTRAR OF VITAL STATISTICS 1 Fax(516)765-1823
MARRIAGE OFFICER y� aO�iol
RECORDS MANAGEMENT OFFICER c �.� `�►isiI Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER �� ,•��� 7,,
l L'
6
OFFICE OF THE TOWN CLERK '
TOWN OF SOUTHOLD
TO: Southold Town Building Department MAR `
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: March 27, 1995
Transmitted herewith is a copy of application No. 1357 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Mattituck Sanitation
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 this office.
Thank you.
u '�cuL
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the followin commendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
yiee,;„
Signature
Dat
( ,FICEF THE TOWN CLERK ��'""""'
Town of Southold
Application No./3_17
Town Clerk
Judith T. Terry,
Town Hall, 53095 Main Road _ Construction
P. 0. Box 1179 Alteration
Southold, New York 11971 '
Telephone 0," �40-/ $10.00 - Residential , i
(516) 765-1801 1 , $25.00 - Non-Residential
....,,,'
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 3/ 3/e/--S
APPLICANT NAME: / ge,-1', -1— 2�--}--
APPLICANT ADDRESS: '. 0 / --9 7L.__..
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
i. A .r
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY: /ice w<j-1.
OWNER MAILING ADDRESS: '8?rd �:,G. /I✓�-+--� lli1�`.."
1)4 C, /;�/L-t'--*.t..�-- -- / Se. ir
OWNER PROPERTY ADDRESS: 0�� d! .c-. t �" ` Y 1/ 13 z
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section /. YLC) Block 2— Lot 4)
CROSS STREET: Z e-- .
BUILDING PERMIT NUMBER CROSS REFERENCE:
%/4// '
Ap P
SiJ y���nat e olicant
RECEIVED BY: a setIV /D
Town Clerk's Office
DATE: ma 2 4 W95
S9ytfeld Town Clerk
['•
F'
,
.........-.......
0(
0------ '
=-1 p4A.4A,A.1 n fri_
----- .
I
C--------- i
,..
I 1 (
[
I
i I
I
i
i
i-7
i
i
i
•
1
t;
- -