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Home My WebLink AboutHelmcke, Barbara JUDITH T.TERRY y1� Town Hall, 53095 Main Road TOWN CLERK % y % P.O. Box 1179 0' 1 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ��1, MARRIAGE OFFICER *4., 4* 0' Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER �!I '�000 Fax (516) 765-1800 J 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. 1741 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 CESSPOOL TO AN EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner HELMCKE, BARBARA Mailing Address 1 1400 REYDON DRIVE City St Zip SOUTHOLD NY 11971 Property Address 1 1400 REYDON DRIVE City St Zip SOUTHOLD NY 11971 Tax Map No. section 80.00 block 4 lot 15.000 Cross Street Building Permit Number Cross Reference: Issue Date: 10/01/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) • 7 c'( �o.�gUfFO�,�coG. JUDITH T.TERRY _ 't1N Town Hall, 53095 Main Road TOWN CLERKy P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ; y Fax(516) 765-1823 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER =��,( * .j ,, Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER 0-1 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda Cooper, Southold Town Clerk's Office DATED: October 1 , 1997 Transmitted herewith is a copy of application No. 1815 for an ALTERATION PERMIT for a cesspool or septic system submitted by Morris Cesspool for Barbara Helmcke 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 r commendation: APPROVE - DISAPPROVE - COMMENTS: Maintain required setbacks from adjacent wells, buildings, property lines and water bodies. EXCAVATION INSPECTION REQUIRED. RECEIVED SEP 2 9 1997 gnature Southold Town Clerk /bit I q Date OFFICE OF THE TOWN CLERK ,,, Town of Southold �.10 AFFD(K`' Judith T. Terry, Town Clerk ;�'�� Application No. �-S� Town Hall, 53095 Main Road � Construction P. O. Box 1179 ; �, ✓/ Southold, New York 11971 o tAlteration Telephone =y0 40",;� $10.00 - Residential (516) 765-1801 _ 1 , $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for • CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ q DATE je„,,, /Y/ / 7 APPLICANT NAME: /2(Z61 (^3 0biff APPLICANT ADDRESS: 2 7‘ f/t)* -corr ,5'0-evMdfl 71 / SEPTIC CESSPOOL DESCRIPTION F PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: l%,-.4 Ino(n //e/7,7,- OWNER MAILING ADDRESS: / 4/6)3 /l y -t 1k SD OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section 10 Block 4/ Lot /S� CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: G _l Signature of Applicant RECEIVED BY: T ovR ' f i ce DATE: OCT 1 1997 Ion Clerk Somme 0.„) G2) Vv u„.}jd kc/e07-? Ox .""rkp °Vie; +f i t.=,1( 14; ; ;