The URL can be used to link to this page

Home My WebLink AboutAmara, Cheryle /f � ' �SUFfO��`O 110' G JUDITH T.TERRY •A Town Hall, 53095 Main Road TOWN CLERK ti Z $ P.O. Box 1179 rrt fit! Southold,New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER yi# Fax (516) 765-1823 Ql17-10� Telephone (516) 765-1800 RECORDS MANAGEMENT OFFICER - jig .�sof 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. 1457 R Residential X Non-Residential Fee $ 10.00 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 ADDITION OF AN OVERFLOW TO AN EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner AMARA, CHERYLE Mailing Address 1 P. O. BOX 145 City St Zip SOUTHOLD NY 11971 Property Address 1 3225 YOUNGS AVENUE City St Zip SOUTHOLD NY 11971 Tax Map No. section 55.00 block 5 lot 3.000 Cross Street ROUTE 48 Building Permit Number Cross Reference: Issue Date: 4/09/96 Judith T. Terry Southold Town Clerk (TOWN SEAL) .10' /V c- 7 oi JUDITH T.TERRY �� 4 Town Hall, 53095 Main Road TOWN CLERK co) Z P.O. Box 1179 rri �� Southold, New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER ` � O '1�� Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER Ol * ',a•il' Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER ,,s' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD N _ TO: Southold Town Building Department f R FROM: Linda Cooper, Southold Town Clerk's Office DATED: April 2, 1996 Transmitted herewith is a copy of application No. A1517 for an ALTERATION PERMIT for a cesspool or septic system submitted by Peconic Cesspool for Cherqle L. Amora 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. Linda J. Cooper • * * * * * * * * * * * * * I have reviewed the application and location map of the project listed above and make the following recommendation: APPROVE - DISAPPROVE - COMMENTS: Maintain required setbacks from adjacent wells, buildings, property lines and water bodies. EXCAVATION INSPECTION REQUIRED. RECEIVED ignat e APR 9 1996 Date Town Clerk Southoli OFFICE OF THE TOWN' CLERK ,'""""'% Town of Southold Judith T. Terry, � CD Application No. _ Town Clerk �' 4\ Town Hall, 53095 Main Road ;� Construction P. 0. Box 1179 ; c ,� Alteration Southold, New York 11971 : t r Telephone ,j%, it.,� .�'� $10.00 - Residential�`��W- (516) 765-1801 1 ,, �� ,, � $25.00 - Non-Residential• � i TOWN OF SOUTHOLD' SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATEv� 11/ `� APPLICANT NAME: APPLICANT ADDRESS: /4,?ii j 97Z . SEPTIC CESSPOOL l— DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATIONM::: y(-6 fim,1 OWNER OF PROPERTY: OWNER MAILING ADDRESS: OWNER PROPERTY ADDRESS: 301&5-- TELEPHONE NUMBER OF CONTACT PERSON: c;1-- 965? TAX MAP NO. : Section 3 5 Block Lot CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: RECEIVED ".PR 1 1996 , // Signature of Appl ant town alerk Southold RECEIVED BY : _ �I.� Town Clerk'sffice DATE: ArtA- .5% Mr( s2-41- u-`41`.J (,r55 f�a-► riA) pL SI ° Jr() ��3 ffi �Id to pop'- 5 VI