HomeMy WebLinkAboutCoyne, Maureen d ® 1
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Town Hall, 53095 Main Road
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� Southold,New York 11971
JUDITH T.TERRY "'�� 765-1823
TELEPHONE(5 6)765-1801
TOWN CLERK
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. 566 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 ONE OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. HOLD TO A 12'0" MAXIMUM BETWEEN POOLS.
NOTE: EXCAVATION INSPECTION REQUIRED.
Name Of Owner COYNE, MAUREEN
Mailing Address 1 P. O. BOX 291
City St Zip MATTITUCK NY 11952
Property Address 1 1220 SIGSBEE ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 144.00 block 1 lot 4.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 11/08/89 Judith T. Terry
Southold Town Clerk
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=� . ','� P.O. Box 1179
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JUDITH T. TERRY ''�"4', "'�
TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October 23, 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. A576 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Maureen Coyne
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 X
DISAPPROVE -
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COMMENTS: 0..e y+��.;.c.0. j..,1 ov c tO'Ju ea k-i J1 .
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Signature
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Date
tlftCE bF THE TOWN CLERK
Town of Southold �'
Application No /
Judith T. Terry, Town Clerk pp
Town Hall, 53095 Main Road x �;s't Construction
P. O. Box 1179
'4 Alteration r/
Southold, New York 11971 R`
Telephone _ / Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No.
Fee $
DATE '647 d 7
APPLICANT NAME: a
APPLICANT ADDRESS: / /D i Clea„tor-0-)4--
SEPTIC CESSPOOL
D ;OPTION OF PR•POSED CONSTRUCTION OR ALTERATION
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• LOCATION MAP: Must be attached hereto before permit may be issued.
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LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: C�`���
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: /1i7,e) /z- •
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: 2 ' 1G 5Y
TAX MAP NO. : Section / 'T y Block 1' Lot
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
,. /41/•.7
Signature of Applicant
•
RECEIVED BY:
Town Clerk's Office
DATE:
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