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JUDITH T. TERRY : L . Town Hall, 53095 Main Road
TOWN CLERK : v T P.O. Box 1179
cls � Southold, New York 11971
REGISTRAR OF VITAL STATISTICS = JO Fax (516) 765-1823
MARRIAGE OFFICER _ //���� �� � Telephone (516) 765 1801
RECORDS MANAGEMENT OFFICER .�'K/1 i�
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. 52 N Residential Non-Residential X
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDTION OF AN OVERFLO 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 INTERREAL NY LAND III L P
Mailing Address 1 6775 NEW SUFFOLK ROAD
City St Zip NEW SUFFOLK NY 11956
Property Address 1 NEW SUFFOLK SHIPYARD
NEW SUFFOLK ROAD
City St Zip NEW SUFFOLK NY 11956
Tax Map No. section 117.00 block 5 lot 29.001
Cross Street FANNING ROAD
Building Permit Number Cross Reference:
Issue Date: 8/12/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY : L Town Hall, 53095 Main Road
TOWN CLERK % =v P.O.rZT, Box 1179
ifs $ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS V� �� Fax (516) 765-1823
MARRIAGE OFFICER ' .' /1
W./ s )-•'� Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER ?
FREEDOM OF INFORMATION OFFICER -'�.�.�ii,ii,411 lk,�'
OFFICE OF THE TOWN CLERK R M
TOWN OF SOUTHOLD D 15 U
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: August 10, 1994 BLDG. DEPT.
LTOWNOFWUTHOLD __
Transmitted herewith is a copy of application No. A1231 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Interreal NY Land III LP
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.
) t f,�ct‹.c._...-
Linda
c1Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - '✓ EXCAVATION
apECTIN
DISAPPROVE - /�� :)
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COMMENTS: ,,e,' .09/
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Date
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OFFICE OF THE TOWN CLERK ,,,'",,,,"
Town of Southold
Application No. /-`2-3/
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road ;$ Construction
P. O. Box 1179 ; v m
Alteration t/
Southold, New York 11971 . u'
Telephone =y0* Q • $10.00 - Residential
(516) 765-1801 �l l � ' $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 ,,{ ` D / 99
APPLICANT NAME: f)4..aK,„.0-2Ze•-•"4--
APPLICANT ADDRESS: !i l4� /° c' 977—
, /Y //95.:L
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
12J-el--161.-/J ge44--/-1/7-i
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: l n 'e`e., r're_10 4 \1 LA-,v h i In LP
OWNER MAILING ADDRESS: ,, C'_ (A.) 0 ` ` di•
/YeLi ,,,Suffo 1lc , A y //954
OWNER PROPERTY ADDRESS: Ne,w 3C.L f f o k. p gcird
%Y�.costA f f o lk d'dt N LAJ au f f2 IL,l// /195
TELEPHONE NUMBER OF CONTACT PERSON: (4-91"--
TAX
4_, J —TAX MAP NO. : Section / / 7 Block 5 Lot c2 9,
eRA- S STREET: 61-14--- 514=z;40 -0// 9.4/2//t , fe...„or
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Appl;er,
RECEIVED BY:
Town Clerk's Office
DATE:
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