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Home My WebLink AboutMurry, Daniel leki o,_,p o FO�,�co JUDITH T.TERRY �� y1 Town Hall, 53095 Main Road TOWN CLERK ; c=, P.O. Box 1179 P,i Southold, New York 11971 REGISTRAR OF VITAL STATISTICSVet `� Fax(516) Telephone hone(5 6)5 RECORDS AGEMENT OFFICER Tp 765-1800 MARRIAGE OFFICER yif' l� �1 FREEDOM OF INOFFICER � ' ,sI 98,' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1565 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 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 MURRY, DANIEL Mailing Address 1 734 REEVE AVENUE City St Zip MATTITUCK NY 11952 Property Address 1 734 REEVE AVENUE City St Zip MATTITUCK NY 11952 Tax Map No. section 114.00 block 9 lot 11 .000 Cross Street NEW SUFFOLK AVENUE Building Permit Number Cross Reference: Issue Date: 11/01/96 Judith T. Terry Southold Town Clerk (TOWN SEAL) • • • O�oSUFFO(�co l JUDITH T.TERRY �� Town Hall, 53095 Main Road TOWN CLERKt y = ; P.O. Box 1179 t Southold,New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER : ifJ � �I�' Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER VI -. ,,,• Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER + ,•i', OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department c's FROM: Linda Cooper, Southold Town Clerk's Office DATED: October 24, 1996 Transmitted herewith is a copy of application No. 1629 for an ALTERATION PERMIT for a cesspool or septic system submitted by Peconic Cesspool for Daniel Murry 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. J f �/; S'•nature Dat OFFICE OF THE TOWN' CLERK ,,,",,,,,, ., Town of Southold e''lc,OFOLKl'- Judith T. Terry, Town Clerk �G�; Application Ido`. / Town Hall, 53095 Main Road Construction gC�/ P. O. Box 11791,11 Southold, New York 11971 y �$ `A{ -_--_ Telephone ,y �0�� $10.00 - Residential (516) 7 65-1801 �.� r $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: 'C.- es n -)/ APPLICANT ADDRESS: /4 4. SEPTIC CESSPOOL li DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: A/R.44_4i C &r ; J Furry) OWNER MAILING ADDRESS: 7... OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON:_ ( �� 994 SO — TAX MAP NO. : Section // 9- Block 9 Lot // CROSS STREET : BUILDING PERMIT NUMBER CROSS REFERENCE: Signature ofi: •!cant RECEIVED BY : A/ d' „ Tow Clerk's Office DATE: / -1 - __ _____ • JAC) bid 04641 6-'1c aj, ko frr Ea �! k V vf/ " 1 —E 5