HomeMy WebLinkAboutCorwin, William 11111���1 O�
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p� �''`, Town Hall, 53095 Main Road
11' P.O. Box 728
O „�,��� Southold, New York 11971
JUDITH T.TERRY TELEPHONE •
To CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
July 25, 1986
Richard Magill
Peconic Cesspool •
P. O. Box 972
Mattituck, NY 11952
Re: Construction/Alteration Permit - William H. Corwin
Enclosed herewith is the Construction, Alteration or Modification
Permit for a Septic Tank or Cesspool System for which you applied.
Please be advised that each owner of real property operating an
on-site sewage disposal system, such as a septic tank or cesspool must,
prior to such operation, possess in the name of the owner an Operation
Permit for the system. The Operation Permit is issued by the Town
Clerk's Office.
The fee for an Operation Permit is ten dollars ($10.00) for
residential use and twenty-five dollars ($25.00) for non-residential.
Please have the owner complete the enclosed Application for an Operation
Permit and return it to this office along with the proper fee.
For your general information I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by the Southold
Town Board. Should you have any questions pertaining to either permits
or the Scavenger Waste Laws, please do not hesitate to contact this
office. We will be glad to assist you in any way possible.
Very truly yours,
•
Judith T. Terry
Southold Town Clerk
Enclosures (3)
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OFFICE OF THE TOWN CLERK c31FULI'
Town of Southold (lj
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road 8
P. O. Box 1179 CJI �`.
Southold, New York 11971 O �. •'
Telephone e! t ��,
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 005 Residential X
Fee $ 10. 00 Non-Residential
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Richard Magill - Peconic Cesspool Service
ADDRESS: P . O . Box 972
Mattituck, NY 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
Replacement of existing cesspool
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: William H. Corwin
OWNER MAILING ADDRESS: 8 Randolph Avenue
Mine Hill, Dover NJ 07801
OWNER PROPERTY ADDRESS : New Suffolk Avenue
New Suffolk, NY
TAX MAP NO. : Section 1000-11h Block 3 Lot 17
CROSS STREET: Jackson Street
BUILDING PERMIT NUMBER CROSS REFERENCE:
Ju e h����
Southold Town CI
DATE: July 25, 1986
(TOWN SEAL)
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gAp C 2 Town Hall, 53095 Main Road'`ON`•0 P.O. Box 728
�Z ',�� Southold, New York 11971
JUDITH T.TERRY ''"P' TELEPHONE
To WN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
July 23 , 1986
To: Victor Lessard, Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 005 for a
CONSTRUCTION Permit for a cesspool or septic-system submitted
by Richard Magill for William H. Corwin
Please advise if we may issue the permit.
4100 •
4.441°
• _ Judith T . Terry
Southold Town Clerk •
Attachments
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�oS�FFo�coG
CONSTRUCTION O to.
ALTERATION qFS�`
RESIDENTIALfl ����,�'
NON-RESIDENTIAL
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
s
Permit No.
oc-
Fee $
DATE 74747
APPLICANT NAME: ,7i/� f��lL—// ` �j�- G G
APPLICANT ADDRESS: 4,2 73-0---v- 972—
Mi -7.7;
7vmA� et, . A/v //r
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION:
N.
IN
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LOCATION MAP: Must be attached hereto before permit may be issued.
N "� LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER NAME: %/j7// �f.9A-- -moi' r11 1
c OWNER ADDRESS: ///. " 0/ / // -vL=/
(ay.?)
TAX MAP NO. : Section Block Lot
cAS CROSS STREET: 't511-71.- S Uo
BUILDING PERMIT NO. CROSS REFERENCE:
Signature of Applicant
RECEIVED BY:
Town Clerk's Off ce
DATE: Q 02- 3 , / 7K
&%C)IFO(K`pli
RESIDENTIAL y�G�
NON-RESIDENTIAL
TOWN OF SOUTHOLD
SOUTHOLD.WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
as-
Fee $ /4
DATE 7/ i/4
OWNER NAME: /, //, ah1 14. (1orW,n
OWNER ADDRESS: // / �i AD() /k. Avenue
Ale-1414u (
OWNER TELPHONE: (CPO/ -36G _61 kr-j) Z9I 37°
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TAX MAP NO. : Section Block Lot
CROSS STREET :
TYPE OF SYSTEM: Septic Tank New Existing tt
Cesspool New Existing X
Residential Non-Residential �. )
DATE OF PREVIOUS PUMP-OUT. (77inQ (IP—rAl g raf/A-/ 7 Oyyf�vt
LOCATION MAP: Must be attached hereto before permit may be issued. //'2 /7C
(Locate building and system; give north arrow and feet of
distance, approximately, to building and closest road.)
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Signature of A. icant
RECEIVED BY:
Town Clerk's Office
DATE:
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