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Home My WebLink AboutHawthorne, James A ow Are ••<;strFO(,-c � OG" JUDITH T.TERRY _ : Town Hall, 53095 Main Road TOWN CLERK ; y P.O. Box 1179 t Southold, New York 11971 REGISTRAR OF VITAL STATISTICSDy ��'-� Fax(516) 765-1823 MARRIAGE OFFICER �f a0'�� Telephone(516) 765-1800 RECORDS MANAGEMENT OFFICER •I `� FREEDOM OF INFORMATION OFFICER ..."••~„ ,��°�I OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1560 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : MORRIS CESSPOOL SERVICE Address 1 : 2760 YENNECOTT DRIVE City St Zip SOUTHOLD NY 11971 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 HAWTHORNE, JAMES Mailing Address 1 2650 PINE NECK ROAD City St Zip SOUTHOLD NY 11971 Property Address 1 2650 PINE NECK ROAD City St Zip SOUTHOLD NY 11971 Tax Map No. section 70.00 block 10 lot 2.000 Cross Street OAKLAWN AVENUE Building Permit Number Cross Reference: Issue Date: 10/30/96 Judith T. Terry Southold Town Clerk (TOWN SEAL) #111IOFF04 "- 1'0 ee JUDITH T.TERRY Town Hall, 53095 Main Road TOWN CLERK ; N = P.O. Box 1179 $ Southold, New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER N.W °! 1�� Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER �l � , 0/ Telephone (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: October 30, 1996 Transmitted herewith is a copy of application No. A1632 for an ALTERATION PERMIT for a cesspool or septic system submitted by Morris Cesspool Service for James Hawthorne 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 followi ecommendation: APPROVE DISAPPROVE - COMMENTS: Maintain required setbacks from adjacent wells, buildings, property lines and water bodies. EXCAVATION INSPECTION REQUIRED. .ru/ Signa dre l`3 C Date OFFICE OF THE TOWN CLERK $$$$$ Town of Southold13 Judith T. Terry, Town Clerk Application No 1 �. • ;= Town Hall, 53095 Main Road Construction , P. O. Box 1179 ty Alteration Southold, New York 11971 <� TelephoneR " • .1, $10.00 -Residential V 516 765-1801111t ''t 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 dd 2,(). /` APPLICANT NAME: Oees / ,I, / APPLICANT ADDRESS: 26e SEPTIC CESSPOOL( DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRU ION OR ALTERATION: /� OWNER OF PROPERTY: � veV //Pt() 1%0(4OWNER MAILING ADDRESS: SU �L"�e OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: 7€1?-- TAX €.5�TAX MAP NO. : Section 76 Block /p Lot 2- CROSS CROSS STREET: eif-. 49, 11/ �� BUILDING PERMIT NUMBER CROSS REFERENCE: ignature of Applicant RECEIVED BY : L Town lerk ffice DATE: 40/3o/ s N., • tie 6"14r6A 0 I) 615714-r 1(e. 2 0 6.4 4-04_ (4:2,