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HomeMy WebLinkAboutAshton, Margaret ooAk OFFOOr Off' JUDITH T.TERRY � _ OGy� Town Hall, 53095 Main Road TOWN CLERK 2 y2 P.O. Box 1179 v 1 REGISTRAR OF VITAL STATISTICS `� n1�1� Southold,New York 11971 MARRIAGE OFFICER 414 �� Fax(516) 765-1823 ,1 RECORDS MANAGEMENT OFFICER `i Ol ���JI Telephone(516) 765-1800 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. 1683 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 CESSPOOL 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 ASHTON, MARGARET Mailing Address 1 P. O. BOX 457 City St Zip MATTITUCK NY 11952 Property Address 1 795 LOVE LANE City St Zip MATTITUCK NY 11952 Tax Map No. section 141 .00 block 3 lot 7ff� Cross Street NORTH ROAD Building Permit Number Cross Reference: Issue Date: 6/04/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) • o "s . Town Hall, 53095 Main Road 112 1 •4,y0 O�i \ 5 P.O. Box 1179 soI1' •�� Southold, New York 11971 JUDITH T.TERRY �`•1 TTLEPHONE TOWN CLERK f516) 765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda Cooper, Southold Town Clerk's Office D May 15, 1997 Transmitted herewith is a copy of application No. 1749 for an ALTERATION PERMIT for a cesspool or septic system submitted by Pernnir. Cesspool for Margaret Ashton • 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. nature� Date OFFtd OF THE TOWN CLERK ' „ ''',,, -_ / C� • Town of Southold ,,”`I ��F�i� ` Judith T. Terry, Town Clerk , ��� (1/y'; Application No. Town Hall, 53095 Main Road �e� Construction P. O. Box 1179 ; C=1 rn ; Alteration Southold, New York 11971 tts �� Telephone y0 ��'�' $10.00 - Residential p (516) 765-1801 ��.1 �,� $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE Aay /0; / 9 7 APPLICANT NAME: / APPLICANT ADDRESS: ,?e 7a-7/)4 9 77.- SEPTIC 2SEPTIC CESSPOOL t/ DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION If at LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: OWNER MAILING ADDRESS: /,D � /3,t1}/ //4•1z, OWNER PROPERTY ADDRESS: 79 /0--, TELEPHONE NUMBER OF CONTACT PERSON: 2-frr-- 96 TAX MAP NO. : Section / V/ Block 3 Lot 27 CROSS STREET : -21ir2Z BUILDING PERMIT NUMBER CROSS REFERENCE: — Signature f Applicant RECEIVED BY : _— Town Town Cle ice DATE: - 1-5-1997 Southold Town Clerk , ) 41 L. trt)--c— '' 01, e-� 4z 0 sAr°` 11461M % ,s-Ff 4/ y iiA) Lr,S vl. La-scpa