HomeMy WebLinkAboutCorwin, Richard Jr `8 Town Hall, 53095 Main Road
VO ��,► P.O. Box 1179
0►► Southold, New York 11971
JUDITH T.TERRY �'� •,� FAX(516)765-1823
TOWN CLERK " TELEPHONE(516) 765-1801
REGISTRAR OF VITAL STATISTICS
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 525 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : RICHARD MAGILL
Address 1 : PECON I C CESSPOOL
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
REPLACE OLD CESSPOOL WITH NEW TYPE.
APPROVED AS SUBMITTED. THIS IS TO BE A REPLACEMENT, IN PLACE, AS
SHOWN ON SUBMITTED SKETCH. NOTE: EXCAVATION INSPECTION REQUIRED.
Name Of Owner CORWIN JR., RICHARD S.
Mailing Address 1 2564 FOREST KNOLL DRIVE
City St Zip ANNAPOLIS MD 21401
Property Address 1 CAMP MINEOLA ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 123.00 block 5 lot 14.000
Cross Street REEVE AVENUE
Building Permit Number Cross Reference:
ormseate0.00444".....
Issue Date: 8/09/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
E _ \
IT N DVC � UF0Ck �
-
•
I in - 7k----
Al %t �5
_ c y
BLDG. DEPT. t�h % Town Hall, 53095 Main Road
TOWN OF SOUTHOLD : . a t�
_41,.0 ._-- �•' P.O. Box 1179
�,�' Southold, New York 11971
.JUDITH T. TERRY —'"���"o�• TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
August 4, 1989
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A538 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for R. S. Corwin Jr. .
Please review the application and location map and advise if this office may
issue the permit.
Please complete the foi41: -low and return it to this office.
Thank you. ,,,,,N04. ;> Linda J. Cooper
* e0* * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - X
DISAPPROVE -
COMMENTS: to 0., lei R, ,,„-. U ht c_e_ A..sp
...t,....4.c.t_cp ii„, .40_,--b_AQ
..
REcwift.
AuG 0 7 1 ate. Q .,�
9B9 Signature
-wir soot* . . .-1 (
Date
.01
OFFICE OF 1THE TOWN CLERK WOMire"
Town of Southold �Q Application No,/9' ,
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Construction
P. O. Box 1179
Southold, New York 11971 ��-
Alteration
Telephone *0 * 1" Residential Lf
(516) 765-1801 Non-Reside
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
APPLICANT NAME: /42(..---071.4...(_d
APPLICANT ADDRESS: � - 71-
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: /'. S e 6 , C. 11 J TA .
OWNER MAILING ADDRESS: 2-S el X0/2 7 k/C/b
/7/frfr,3�1a, s (4d, /
OWNER PROPERTY ADDRESS: 4.A1- c % yr */' 5
/ (/ :re/int -
TELEPHONE NUMBER OF CONTACT PERSON: 14-' 5<i
TAX MAP NO. : Section /2.3 _Block S-7 Lot / 5
CROSS STREET: //raW AV./
BUILDING PERMIT NUMBER CROSS REFERENCE: 7'
Si ature of Applicant
RECEIVED BY : RECEIVED
DATE:T � rk'les Office
1v(
lawn Clerk Southold
r I
ti 4 • f
•
_ J -
a 1 d Ye Lr, - 'r`/� M;A/ -6 /ia-
ed411414 (VI•