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HomeMy WebLinkAboutEckart, Paul APO 00�OFF04 � OGS. • JUDITH T.TERRY �• Town Hall, 53095 Main Road TOWN CLERK ; y P.O. Box 1179 v �i Southold, New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER yO •g Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER % I `1►� ��, 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. 1576 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : MORRIS CESSPOOL Address 1 : 2760 YENNECOTT DRIVE City St Zip SOUTHOLD NY 11971 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 ECKART, PAUL Mailing Address 1 PIPE NECK ROAD City St Zip GREENPORT NY 11944 Property Address 1 PIPE NECK ROAD City St Zip GREENPORT NY 11944 Tax Map No. section 53.00 block 1 lot 13.003 Cross Street ROUTE 25 Building Permit Number Cross Reference: Issue Date: 12/04/96 Judith T. Terry Southold Town Clerk (TOWN SEAL) • '' k� OFFOfr 00 JUDITH T.TERRY ` Town Hall, 53095 Main Road TOWN CLERK y Z 4 P.O. Box 1179 r T � Southold,New York 11971 REGISTRAR OF VITAL STATISTICS %%1 ,6 ��� Fax(516) 765-1823 MARRIAGE OFFICER O iOl jJ Q� RECORDS MANAGEMENT OFFICER `�►� ���� Fax (516) 765-1800 FREEDOM OF INFORMATION OFFICER ..., OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda Cooper, Southold Town Clerk's Office DATED: December 4, 1996 Transmitted herewith is a copy of application No. A1644 for an ALTERATION PERMIT for a cesspool or septic system submitted by Morris Cesspool on behalf of Paul Eckart • 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. sea a Signatur- /2 Date /7 9 OFFICE OF THE TOWN CLERK ,0''' "''' Town of Southold �'' IfiltkCO Judith T. Terry, Town Clerk ' l/ Application No. �v CT y Town Hall, 53095 Main Road Construction P. 0. Box 1179 Southold, New York 11971 Alteration Tele hone : ,y ����• $10.00 - Residential p i, (516) 765-1801 + el ,, ' $25.00 -Non-Residential " ,,..,.. TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCT ION or ALTERAT ION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE �� 6 APPLICANT NAME: - APPLICANT ADDRESS: 1 . SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: fCe- Q OWNER MAILING ADDRESS: GZ 9 • 1/1 OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: los TAX MAP NO. : Section j3 Block 1 Lot `J • 3 CROSS STREET: • BUILDING PERMIT NUMBER CROSS REFERENCE: • I ` • / Signature of Applicant RECEIVED BY:' To n Clerk's Office DATE: / -2— s, , .z_ Ao 1 ia,)44ie? yol i za c