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HomeMy WebLinkAboutMunier, Leon ffO' JUDITH T.TERRY •_� OG'y Town Hall, 53095 Main Road TOWN CLERK ` y P.O. Box 1179 REGISTRAR OF VITAL STATISTICS O � Southold,New York 11971 MARRIAGE OFFICER Fax y� � Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER �j * *of" Fax (516) 765-1800 FREEDOM OF INFORMATION OFFICER ,•0' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1679 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : LEON MUNIER (WORK BY RAY NINE) Address 1 : P. O. BOX 577 City St Zip LAUREL NY 11948 Descripton of Proposed Construction or Alteration ADDITION OF 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 MUNIER, LEON L. Mailing Address 1 P. O. BOX 4=577 City St Zip LAUREL NY 11948 Property Address 1 4030 PECONIC BAY BLVD. City St Zip LAUREL NY 11948 Tax Map No. section 128.00 block 6 lot 1 .000 Cross Street DELMAR DRIVE Building Permit Number Cross Reference: Issue Date: 6/04/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) • f Town..-liall. 53095 Main Road `(74, P.O. Box 1179 "11el Bit `���= 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: May 9, 1997 Transmitted herewith is a copy of application No. 1744 for an ALTERATION PERMIT for a cesspool or septic system submitted by Leon L. Munier (work by Ray Nine) 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 - l/ DISAPPROVE - COMMENTS: Maintain required setbacks from adjacent wells, buildings, property lines and water bodies. EXCAVATION INSPECTION REQUIRED. RECEIVED REC Signat ,e JUN 4 1997 ":0)0#7f7 Date Southold Town Clerk OFFICE OF THE TOWN CLERK ,►►'",," 'Town of Southold .to►c,4\tfKC , 7‘1"-/Judith T. Terry, Town Clerk �' �l/ Application No. Town Hall, 53095 Main Road � _ . P. O. Box 1179 , o �, Southold, New York 11971 o� ) ' Iteration Telephone �ij' 0�►�' $10.00 - Residential (516) 65-1801Ql �P - , ' $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ f DATE Noy 7 l � 7 APPLICANT NAME: i,ez,QU 4 . ou ei2 Y ,.(,,1,�� APPLICANT ADDRESS: 110 367 /tie it9 1-0 )/4-t)4 , / 11g4Ig- SEPTIC CESSPOOL \v/ DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Ap/1'to&14 v 4cccs G 5_ Poo/ ---- LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: Lec /v 4 , Cep ie(Q OWNER MAILING ADDRESS: 9 D)( 5 77 l-,A-' 'P , AJ [ q zlq-" OWNER PROPERTY ADDRESS: 1/030 / -4'C.. OPY NY} /92 /V i/9114 TELEPHONE NUMBER OF CONTACT PERSON: D-2.9 *-- F. FA, TAX MAP NO. : Section /czN)e Block 6 Lot / CROSS STREET: DL. 4 v BUILDING PERMIT NUMBER CROSS REFERENCE: ignature of Applicant RECEIVED BY: Town Clerk's Office DATE: E3,4 ( ,44L945 /k21 ©USS iikA-R7-114-4. )) )`." O o en c.t) A/'f'/eoK Mpi AO I GC5 5 f)6 7 t 1 P,Rox I APQ/2v K I2r r r07/ i 7covc4 - • PAA PO J /VP/r/arv,L OVER /�Ocu POOL. Leon L.Muni 4030 PPOnB5 Bh1d Laurel. NY 11948