HomeMy WebLinkAboutTruglia, Dunewood 1 g�FFOl�-
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JUDITH T. TERRY t �� 'yam � Town Hall, 53095 Main Road
TOWN CLERK y P.O. Box 1179
‘y t Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O �� Fax(516) 765-1823
MARRIAGE OFFICER \:**P �°-'/ Telephone (516) 765-1800
RECORDS FREEDOM OF MANAGEMENT FORMA ION OFFICER !
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1712 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 TRUGLIA, DUNEWOOD
Mailing Address 1 SHORT ROAD
City St Zip CUTCHOGUE NY 11935
Property Address 1 SHORT ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section -1,1-7-00 block lot - 53-
Cross Street NEW SUFFOLK AVENUE
Building Permit Number Cross Reference:
Issue Date: 8/12/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY t�=�0 Gy
1 � Town Hall, 53095 Main Road
o
TOWN CLERK ` y P.O. Box 1179
i �� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS % O 0MARRIAGE OFFICER : y�
0* i°
Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER 0/ ** ���, Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER ."-�4,� i'so'as
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD AUG f j
TO: Southold Town Building Department
097 0
FROM: Linda Cooper, Southold Town Clerk's Office BLDG DEPT.
DATED: August 11 , 1997 TOWN OF SOUTOLD
Transmitted herewith is a copy of application No. 1782 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Dunewood Truglia
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.
_N/1 _--7r-
RECEIVED ignatut
AUG 1 11997 /1 kliq--1
Date
Southold Town Clerk
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OFFICE .OF THE. TOWN CLERKOC FaG('`+D
Town of Southold Q� Application No.A
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Construction 1--,
P. O. Box 1179
Southold, New York 11971 Alteration
Telephone / J [ 0 Residential G
(516) 765-1801jor
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE /// /?9
APPLICANT NAME:
APPLICANT ADDRESS: • // g� ; �7�-
SEPTIC CESSPOOL
DESCRIPTION OF 1PROPOSSE�D CONSTRUCTION OR ALTERATION
�
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: rro-ie
OWNER MAILING ADDRESS: SX‘ . -it-2°
OWNER PROPERTY ADDRESS: 5 �j
' 9
TELEPHONE NUMBER OF CONTACT PERSON: 7/sem
TAX MAP NO. : Section 1' 7 Btock "-' Lot
CROSS STREET: 124,1) )dLL �G,j ('
e
BUILDING PERMIT NUMBER CROSS_ REFERENCE:
404.4_4
Signature of App cant
RECEIVED BY : A
erk s Office
DATE: 6,'ji /9'
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