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HomeMy WebLinkAboutViviani, Michael oft egF04 ff' �G• JUDITH T.TERRY �� yl Town Hall, 53095 Main Road TOWN CLERK y Z P.O. Box 1179 REGISTRAR OF VITAL STATISTICS •`Oy � Fax(516) 765-1823 ����, Southold,New York 11971 MARRIAGE OFFICER CJD 40/1.0O � RECORDS MANAGEMENT OFFICER I � 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. 1745 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 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 VIVIANI, MICHAEL Mailing Address 1 1825 DEEP HOLE DRIVE City St Zip MATTITUCK NY 11952 Property Address 1 1825 DEEP HOLE DRIVE City St Zip MATTITUCK NY 11952 Tax Map No. section 115.00 block 14 lot 18.000 Cross Street RICHARD LANE Building Permit Number Cross Reference: Issue Date: 10/09/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) • ..0/0/AI / 7,71 JUDITH T.TERRY ;4. ' 8 Town Hall, 53095 Main Road TOWN CLERK ` y = ; P.O. Box 1179 �r Southold,New York 11971 REGISTRAR OF VITAL STATISTICS O 0MARRIAGE OFFICER ‘.%3b . �� Fax(516)765-1823 y � RECORDS MANAGEMENT OFFICER = 0.( i ��0111 Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER , ,,s°,I OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda Cooper, Southold Town Clerk's Office DATED: October 6, 1997 Transmitted herewith is a copy of application No. 1822 for an ALTERATION PERMIT for a cesspool or septic system submitted by Peconic Cesspool for Michael Viviani 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 followin recommendation: APPROVE - DISAPPROVE - COMMENTS: Maintain required setbacks from adjacent wells, buildings, property lines and water bodies. EXCAVATION INSPECTION REQUIRED. RECEIVED 4 CZ 81997 Signature Southold Town Clerk101 &/ Sp Date OFFICE OF THE TOWN CLERK ,,,,'"," Town of Southold �.' Utko; Judith T. Terry, Town Clerk ;' .\0 �l/y Application No. Town Hall, 53095 Main Road �� Construction P. 0. Box 1179T Alteration Southold, New York 11971 Telephone 0400, � ��' $10.00 - Residential (516) 765-1801 ----5441 ,, � $25.00 -Non-Residential -- ,,_ X11 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE /0;:rf 7 APPLICANT NAME: APPLICANT ADDRESS: 477 r // 95z SEPTIC CESSPOOL DESCRIPTION OFPROOPOSSED 'CONSTRUCT ION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION : OWNER OF PROPERTY: /11; ,¢. 7 , ; `i//,r- / OWNER MAILING ADDRESS: /rd-f" /)d6r, OWNER PROPERTY ADDRESS: CA-fr 54- TELEPHONE NUMBER OF CONTACT PERSON: c)295--- S(F, TAX MAP NO. : Section /15 Block / Lot /g 0R*9-S& STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: c‘rAf-4"( //1/f Signature of Ap can RECEIVED BY: RECEIVED Town Clerk's Office DATE: OCT 61997 Southold Town Clerk • .h. /4.7" ,,430/ ,/' - N �1 M /" drof • CeSSip aaL.