HomeMy WebLinkAboutKammer, William ai
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ELIZABETH A.NEVILLE �h�0 .y ; Town Hall, 53095 Main Road
TOWN CLERK t
y :'� , P.O. Box 1179
Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS • V'
Fax•� Fax (516) 765-1823
MARRIAGE OFFICER L‘iJi �1
RECORDS MANAGEMENT OFFICER '�01 �� 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. 1825 R Residential X Non-Residential
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
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 KAMMER, WILLIAM
Mailing Address 1 C/O JOHN STRODE
P. O. BOX 511
City St Zip NEW SUFFOLK NY 11956
Property Address 1 1455 GRATHWAHOL ROAD
City St Zip NEW SUFFOLK NY 11956
Tax Map No. section 117.00 block 1 lot 13.000
Cross Street FANNING ROAD
Building Permit Number Cross Reference:
Issue Date: 3/13/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE is h`Z� Gym; Town Hall, 53095 Main Road
TOWN CLERK ti - % P.O. Box 1179
Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS t 0' Ill t
O " ' 11 Fax(516) 765-1823
MARRIAGE OFFICER : 4 �1
RECORDS MANAGEMENT OFFICER .191 ilig �, „ ''.� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK D D
TOWN OF SOUTHOLD I ” , n,1
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: March 11 , 1998
Transmitted herewith is a copy of application No. r1-8-91 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for William Kammer .
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 - t/
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
W k�`
ignat e
313111
Date
•
O FIY'.E OF THE TOWN, CLERK ,,,'", '•
Town of Southold 1,'�� cj�Ff��K`'OG Application No.�6 7
Judith T. Terry, Town Clerk , �
Town Hall, 53095 Main Road *11/2'
P. O. Box 1179 v
Southold, New York 11971 s —= - -
Telephone ejyyy �4 7-/r $10.00 - Residential A-
(516) 765-1801 - 1 4 ' $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
APPLICANT NAME: ire . - ----
APPLICANT ADDRESS: 9Z
/19 -
SEPTIC CESSPOOL__
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
eticearec --e "ter
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCT//IION__, OR ALTERATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: „ 'J'K —T/ZOQuo
/5el? 417-094/0t1/_h phA
OWNER PROPERTY ADDRESS: 1 `1"15/./
TELEPHONE NUMBER OF CONTACT PERSON :
TAX MAP NO. : Section /17 Block / Lot /3
C- 'S STREET :
BUILDING PERMIT NUMBER CROSS REFERENCE:
if' • / `
Signatu • • Ap;y an"
RECEIVED BY :
Town Clerk's Office -V
DATE:
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