HomeMy WebLinkAboutEckart, Paul APO
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• 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)
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OFFOfr
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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.
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Signatur-
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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
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(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—
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