The URL can be used to link to this page

Home My WebLink AboutWickham, Thomas ,5IIFFO��-c JUDITH T.TERRY �1 y� Town Hall, 53095 Main Road TOWN CLERK y Z P.O. Box 1179 0rrt MARRIAGE OFFICERSouthold, New York 11971 REGISTRAR OF VITAL STATISTICS *` y4 � �� Fax (516) 765-1823 49./ O 1 RECORDS MANAGEMENT OFFICER ,l 4.01.1 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. 1725 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : MORRIS CESSPOOL SERIVE Address 1 : 2760 YENNECOTT DRIVE City St Zip SOUTHOLD NY 11971 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 WICKHAM, THOMAS Mailing Address 1 1230 WEST CREEK AVENUE City St Zip CUTCHOGUE NY 11935 Property Address 1 1230 WEST CREEK AVENUE City St Zip CUTCHOGUE NY 11935 Tax Map No. section 103.00 block 13 lot 10.000 Cross Street PEQUASH AVENUE Building Permit Number Cross Reference: Issue Date: 8/28/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) /00p iii ��iI/�$UFfU4�o O� G JUDITH T.TERRY _ to � Town Hall, 53095 Main Road TOWN CLERK ; y P.O. Box 1179 t' Southold, New York 11971 REGISTRAR OF VITAL STATISTICS � O �� Fax(516) 765-1823 MARRIAGE OFFICER :y* �� Telephone(516) 765-1800 RECORDS MANAGEMENT OFFICER •.� '`1► s1 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda Cooper, Southold Town Clerk's Office DATED: August 27, 1997 Transmitted herewith is a copy of application No. 1796 for an ALTERATION PERMIT for a cesspool or septic system submitted by Morris Cesspool for Tom Wickham 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. tQ Linda J. Cooper * * * * * * * * * * * * * I have reviewed the application and location map of the project listed above and make the following recommendation: APPROVE - V DISAPPROVE - COMMENTS: Maintain required setbacks from adjacent wells, buildings, property lines and water bodies. EXCAVATION INSPECTION REQUIRED. RECEIVED AUG 2 8 1997 Signatu Southold Town Clerk Date Ot FICE'OF THE TOWN CLERK ,,'",, Town of Southold �it'f� �� `' Judith T. Terry, Town Clerk .�� Ol/ Application No. / 7 Town Hall, 53095 Main Road Z Construction ic P. O. Box 1179 Southold, New York 11971 y r � Alteration Telephone ;_ ,�W �� ' $10.00 - Residential (516) 765-1801 : �lJit ,, � $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 2 /7/27 APPLICANT NAME: /f, &e 5 n ��- i APPLICANT ADDRESS: iC �� SEPTIC CESSPOOL DESCRIPTION OF*ROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: OWNER MAILING ADDRESS: OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON:__-- a r`��a TAX MAP NO. : Section /05Block (3 Lot /6_____ CROSS STREET: Ale _wir BUILDING PERMIT NUMBER CROSS REFERENCE: ,090- L 7eZ'tr-- + ignature of Applicant RECEIVED `own Clerk's Office DATE: S2-? l ----- ---__ +4 1 a,4 ss� VV roff7" kt.e, (Es 7C,