HomeMy WebLinkAboutMeredith, Lyle ., �,, iii
JUDITH T.TERRY �0_t . Town Hall, 53095 Main Road
TOWN CLERK N = % P.O. Box 1179
�- ' '1 �t Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O 1
MARRIAGE OFFICER y* %IF"� Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER 0.( `�► til Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER '-....„ ,,s"�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1473 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 MEREDITH, LYLE
Mailing Address 1 770 OLD SHIPYARD LANE
City St Zip SOUTHOLD NY 11971
Property Address 1 770 OLD SHIPYARD LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 64.00 block 4 lot 20.000
Cross Street LANDING LANE
Building Permit Number Cross Reference:
Issue Date: 5/06/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
/ L113
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JUDITH T.TERRY ,"'s e Town Hall, 53095 Main Road
TOWN CLERK % N = P.O. Box 1179
v- �1 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS % O
MARRIAGE OFFICER `.y* �� �1�, Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER % 01 1*„, Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER ,11°
OFFICE OF THE TOWN CLERK - RR
TOWN OF SOUTHOLD p l5 @ N O U M
b
TO: Southold Town Building Department
n
2
1996 .
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: May 1 , 1996TOWNBp DEPT.
11T HOLD
Transmitted herewith is a copy of application No. 1535 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspol for Lyle Meredith .
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.
-
�
it, %
Signatu e
4r, ...A
Date
OFFICE OF THE TOWN CLERK ,,,,,
Town of Southold Application No �`
Judith T. Terry, Town Clerk ;
133
Town Hall, 53095 Main Road = Construction
P. O. Box 1179Alteration
Southold, New York 11971
,=
Telephone tt. $10.00 - Residential ,/
(516) 765-1801 = 1 * ,, $25.00 -Non-Residential
•TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
• • r
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ J
DATE 1/4y / / ��
APPLICANT NAME: / -
CQ-41-4/7< crQ
APPLICANT ADDRESS: 2 �‘.
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: //v6
OWNER MAILING, ADDRESS: 7 7O 0/�.S/ /f,C9
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section Block Lot
CROSS STREET: C—q N of L
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: `-ig , /
To 'n C'rk s Office
DATE: L_...5-//y4
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