HomeMy WebLinkAboutTuthill, Preston o��FFol�r�oGy
JUDITH T. TERRY • • L
TOWN CLERK Town Hall, 53095 Main Road
=v IT P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS VO� �. ���• Fax (516) 765-1823
MARRIAGE OFFICER �� ��0 .� Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER . 1 �'
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. 54 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 SEPTIC TANK WITH NEW TYPE AND ADD NEW OVERFLOW.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION
INSPECTION REQUIRED.
Name Of Owner TUTH I LL, PRESTON
Mailing Address 1 P. O. BOX 978
City St Zip CUTCHOGUE NY 11935
Property Address 1 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 102.00 block 6 lot 3.000
Cross Street NEW SUFFOLK ROAD
Building Permit Number Cross Reference:
Issue Date: 10/24/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
14.4,C)FFOIKcOIi
JUDITH T. TERRY : .0 ; Town Hall, 53095 Main Road
TOWN CLERK : p r= P.O. Box 1179
On Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ‘%b40 . 01-
O 1. '4
1 Fax (516) 765-1823
MARRIAGE OFFICER = '' �� �� Fax
(516) 765-1801
RECORDS MANAGEMENT OFFICER =_�7(/1 Ail �1 toe
,it
FREEDOM OF INFORMATION OFFICER �„i,s
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: October 12, 1994
Transmitted herewith is a copy of application No. NR1275 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Preston Tuthill
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.
3199A
Thank you.
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - EXCAVATION INSPECTION
DISAPPROVE - I1YI�ll�t REQUIRED
COMMENTS: Maintain required setbacks from adjacent wells, buildings,
property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
RECEIVED Aru___ L._,
3Signatur:
OCT ^ ” 1994 o v )
Town Cleric Southold Date
Y
OFFICE OF THE TOWN CLERK ,,'/,////IIIII
.
Town. of Southold ''�� � f011Q+4; n
��� Q�'J G Application Nq/ f/ 1 73
Judith T. Terry, Town Clerk A%� C_
Town Hall, 53095 Main RoadZ ; Construction
!�
P. O. Box 1179 ; o rn �
Southold, New York 11971 ,•• Alteration �� �+
Telephone _ /�� � t�� $10.00 - Residential 1
(516) 765-1801 : 0.L 4 ' $25.00 - Non-Residential V
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE /4//1t/9'Li
APPLICANT NAME: P Amor,
APPLICANT ADDRESS: e 97 Z
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
t- 2 ' dc%&
9,e
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATIO :
OWNER OF PROPERTY: P
OWNER MAILING ADDRESS: f� /
/- 6V)4 17F
OWNER PROPERTY ADDRESS: 6Ca
Teit
TELEPHONE NUMBER OF CONTACT PERSON :
TAX MAP NO. : Section /e;c Block Lot 3
CR.O&S—&FREET : L .
BUILDING PERMIT NUMBER CROSS REFERENCE:
44,Li
Signature of App ant
4 ' 7
RECEIVED BY :
T•' n C -rk's Office
DATE: /6//J-/
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