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JUDITH JUDITH T. TERRY Town Hall, 53095 Main Road
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TOWN CLERK : .2e P.O.P.O. Box 1 179
Lin �• Southold, New York 11971
REGISTRAR OF VITAL STATISTICS . y ���
MARRIAGE OFFICER ; Oy►���'��'TFax 516 765-1823
Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 821 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL SERVICE
Address 1 : 2760 YENNICOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF NEW OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED PROVIDED NEW POOL IS PLACED 10'0" FROM EXISTING POOL (SEE
ATTACHED). EXCAVATION INSPECTION REQUIRED. CALL SOUTHOLD TOWN
BUILDING DEPARTMENT (765-1802) FOR AN APPOINTMENT.
Name Of Owner CRESCENT BEACH ASSOC.
Mailing Address 1
City St Zip 0000
Property Address 1 END OF MAPLE LANE
City St Zip EAST MARION NY 11939
Tax Map No. section 38.01 block 1 lot 3.000
Cross Street MAPLE LANE
Building Permit Number Cross Reference:
Issue Date: 4/10/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
. ow iii ,,,, ( L
O .G Town Hall, 53095 Main Road
JUDITH T. TERRY ;
TOWN CLERK p rZ P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS ‘",:V4.
Southold, New York 11971
MARRIAGE OFFICER ,y0 ° Fax (516) 765-1823
=_',yo ��0 °�� Fax
(516) 765-1801
; 1 lit to
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
April 8, 1992 ►�r___._@ a ri rf' r
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To: Southold Town Code Enforcement Officer {`LJ Utel�``' APR8 E9?
, ,._,. 1.
From: Linda J. Cooper, Southold Town Clerk's Office TOWN L:. L.:,
Transmitted herewith is a copy of application No. A844 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Crescent Beach Assoc. .
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 - J<
DISAPPROVEAA -
COMMENTS: A.) at. elk Owle 1 ?, g. ,U
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Signature
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Date
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OFFICE OF THE TOWN CLERK ,,,'",,,"''--.
Town of Southold .''" iFFD�K`' " L/4-
Judith T. Terry, Town Clerk ;' �� l/ Application No. O
Town Hall, 53095 Main Road I Construction
P. O. Box 1179 ; v rri
Southold, New York 11971 ,tts Alteration
Telephone -y,jjy� ��� . $10.00 - Residential
(516) 765-1801 = 1
!� $25.00 - Non-Residential
• -- -iii/,,,,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ t
DATE 1749
APPLICANT NAME: MORRIS CESSP,QOL SPIVICE
2760 YFNNIOTI' DRIVE
APPLICANT ADDRESS: SOUTHOLD, N. Y. 11971
765-3300
SEPTIC CESSPOOL �,Y<
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
, h?J'et/1".<)
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: � o .2J5'
OWNER MAILING ADDRESS: (e--xiY-'
7)/94pe- 'OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: Øiy
TAX MAP NO. : Section 38-, I Block
/ Lot
CROSS STREET: e
BUILDING PERMIT NUMBER CROSS REFERENCE:
$2/(0J7--(';
nature
o
g
i Applicant
RECEIVED BY: 0�
Tow CI r 's Office
DATE: jF C_.---
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