HomeMy WebLinkAboutMarco, Philip ` �� i.
1111 OmoFFOL,�c
Off' sop
JUDITH T.TERRY t y1 Town Hall, 53095 Main Road
TOWN CLERK y P.O. Box 1179
PrrSouthold,New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICERQ• Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER �l l �01.6 Fax
(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. 1759 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 MARCO, PHILIP AND PATRICIA
Mailing Address 1 P. O. BOX 383
City St Zip PECONIC NY 11958
Property Address 1 INDIAN NECK LAND
City St Zip PECONIC NY 11958
Tax Map No. section 98.00 block 1 lot 1 .003
Cross Street LESLIE ROAD
Building Permit Number Cross Reference:
Issue Date: 10/29/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
,0, 00 . 1157
�,i��SUFFOt�c [
o� o -
JUDITH T.TERRY is 1 )— N Town Hall, 53095 Main Road
TOWN CLERK1, co, % P.O. Box 1179
,v' Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ` 11 Fax (516) 765-1823
MARRIAGE OFFICER -. 1
RECORDS MANAGEMENT OFFICER =.�,/ `�►aO.111 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER s • _,•
408
OFFICE OF THE TOWN CLE '
TOWN OF SOUTHOLD ^-
TO: Southold Town Building Department
�
FROM: Linda Cooper, Southold Town Clerk's Of c /, BLDG. DEPT.
• N •F S•UTHOID
DATED: October 27, 1997
Transmitted herewith is a copy of application No. 1833 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Philip and Patricia Marco
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 applic ion and location map of the project listed
above and make the folio ng recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
9 .
1 A i • _
SF.;nature aii
co ri_siti.,
Date
DFFICE OF THE TOWN CLERK ..�' '-- hg
Tow r. of Southold 04 O��FFQZK l�J-3
Application No.
Judith T . Terry, Town Clerk •` �. /4Construction v
Town Hall, 53095 Main Road . '
ac ,
P. O . Box 1179 ;� � � Alteration
Southold , New York 11971
;`I'A, `t-�: $Z5$10 . 0(1 - Residential r/ __
Telephone +7
(516) 765-1801 1 s Non Resin __ .
I�
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTNIti,
APPL.ICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPT IC TANK or CESSPOOL
Permit No.
Fee $ •
DATE JV Z7/7
APPLICANT NAME :
APPLICANT ADDRESS: " D 6737 972-
7 Al- 5"
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSFRUCfION OR .ALTERATION
_..tsfvar4aagksZce.--e/2e---"----->/ e-e/72_ Al-l-t-A-t-) , Sap- 7 eed-d/lore
c
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY :
OWNER MAILING ADDRESS: jli y>G Age-C-4 . 1-0 (_.
OWNER PROPERTY ADDRESS: 445 //957
TELEPHONE NUMBER OF CONTACT PERSON • d'd — 96 s S
TAX MAP NO. : SectionBlock Lot
CROSS STREET : __ _______!`_'' . : ..4. 9/_ __
BUILDING PERMIT NUMBER CROSS REFERENCE :
,
iY'ee--4- j��/ 1
Signature of Ap Iicant
RECEIVED BY : ` AiLl ALLA_ _ _
Town CTerk's Office
DATE: / to -7/9 ____
•
1
y
\f
il/`�r'i�N /"."---A-: .�i,
l ----- (---- __.___,....
17----- j 1 tiviv -:
salt' ���",.QlI • I ,7, 0y,�r
, 4
S- N