HomeMy WebLinkAboutWebber, Robert /OW
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JUDITH T.TERRY ��_ y1 Town Hall, 53095 Main Road
TOWN CLERK ; y P.O. Box 1179
T Southold, New York 11971
REGISTRAR OF VITAL STATISTICS `y 0��
MARRIAGE OFFICER ,, Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER � ? `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. 1658 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
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 ADJACENT WELLS
BUILDINGS, PROPERTY LINES, AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner WEBBER, ROBERT
Mailing Address 1 32300 MAIN ROAD
City St Zip ORIENT NY 11957
Property Address 1 32300 MAIN ROAD
City St Zip ORIENT N 11957
Tax Map No. section 19.00 block 1 lot 11 .003
Cross Street WHALEN ROAD
Building Permit Number Cross Reference:
Issue Date: 5/12/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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Town Hall, 53095 Main Road
•4 ve 0� i P.O. Box 1179
��_ Southold, New York 11971
JUDITH T.TERRY 4`1%1% 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 1, 1997
Transmitted herewith is a copy of application No. A1738 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool Service for Robert Webber
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 - r/
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
•
REQUIRED.
RECEWED
Signature
MAY 8 19979
Date
OFFICE OF THE TOWN CLERK ,,,'"""
Town of Southold �'' ,cAVULA'ef = ,C�
Judith T. Terry, Town Clerk ,;'��, Application No.f
Town Hall, 53095 Main Road Y� G Construction
P. O. Box 1179 Fir Alteration l�
Southold, New York 11971
,1� � , $10.00 - Residential
Telephone
(516) 765-1801 _ Ol ":0. $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 // / 5c
y
APPLICANT NAME: s ��� i//=
APPLICANT ADDRESS: <‘5,6
S I " y
SEPTIC CESSPOOL
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 :
OWNER MAILING ADDRESS: �7„mac ) ✓i� 14-
O - A //7 7
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: W:_c
TAX MAP NO. : Section g) Block / Lot 77'
CROSS STREET: ,4
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY:
Town Clerk's ice
DATE: 57/ /9 7
I
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