HomeMy WebLinkAboutHorton, Curtis O.�ONgUfFO��co
JUDITH T.TERRY 4 Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
y Southold,New York 11971
REGISTRAR OF VITAL STATISTICS O �� Fax (516) 765-1823
MARRIAGE OFFICER V/14/0/ �c ,I Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER .� * `�► .•1
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. 1704 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 HORTON, CURTIS
Mailing Address 1 835 MASON DRIVE
City St Zip CUTCHOGUE NY 11935
Property Address 1 835 MASON DRIVE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 104.00 block 6 lot 15.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 7/29/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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Town Hall, 53095 Main Road
4414 y0 01i P.O. Box 1179
1'! 414 �� Southold, New York 11971
JUDITH T.TERRY `• TELEPHONE
TOWN CLERK (516) 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
DATED: July 29, 1997
Transmitted herewith is a copy of application No. 1775 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Curtis Horton
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.
Signat re
ICJ-°L1(1."7
Date
0419E OF' THE TOWN CLERK ,s„,,,,.
Town of Southold ,.
Judith T. Terry, Town Clerk Application No. 7
Town Hall, 53095 Main Road k „ Construction
P. O. Box 1179 Alteration
Southold, New York 11971
Telephone `' $10.00 -Residential
(516) 765-1801 '�, �' $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 L-Lf172j /9 2
APPLICANT NAME:
APPLICANT ADDRESS: 276 i - -•c-Pre
SEPTIC CESSPOOt-1
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: U7
OWNER MAILING ADDRESS: A jf /frif/-0-0"1-? dae __.
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 7Z)/ Block C Lot (1-
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
"Met-,
'Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE: l�f
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