HomeMy WebLinkAboutArnold, Joyce ',I/I,,.'.��
JUDITH T. TERRY ; Z Town Hall, 53095 Main Road
TOWN CLERK p T P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER yQ O� � Fax (516) 765-1823
'/i,. + 1D �� 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. 1048 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 AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED. MAINTAIN REQUIRED SCHD SETBACK DISTANCES FROM WELLS,
BUILDINGS, PROPERTY LINES AND WETLANDS. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner ARNOLD, JOYCE
Mailing Address 1 2350 DEEPHOLE DRIVE
City St Zip MATTITUCK NY 11952
Property Address 1 2350 DEEPHOLE DRIVE
City St Zip MATTITUCK NY 11952
Tax Map No. section 123.00 block Li lot 7.000
Cross Street NEW SUFFOLK AVENUE
Building Permit Number Cross Reference:
Issue Date: 10/06/93 Judith T. Terry
Southold Town Clerk
TOWN SEAL)
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JUDITH T. TERRY -Z L. : Town Hall, 53095 Main Road
TOWN CLERK : p rZ P.O. Box 1179
REGISTRAR OF VITAL STATISTICS VI �� Southold, New York 11971
6) 765-1823
MARRIAGE OFFICER =yv�'40 ����0�'�, Telephone Fax l(5 6) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD _..
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office 3
DATED: September 30, 1993
Transmitted herewith is a copy of application No. A1079 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Joyce Arnold and others .
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. ° CAVARM IHS ;CION
,<.___ RE
RED
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the followinginrecommendation:
APPROVE - �/
DISAPPROVE -
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OFFICE Oh THE TOWN CLERK ,,,,,, "...
Town of Southold r.. ,�1''/0�O��V /�f 1-7
Judith T. Terry, Town Clerk ;' b G Application No
Town Hall, 53095 Main Road ;►� Construction
P. O. Box 1179 c• . �--
Southold, New York 11971 sirs a n-
TelephonetZr ; $10.00 - Residential
(516) 765-1801 _ 1 '�
' $25.00 -Non-Residential
•
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•.
APPLICATION
.M for
CONSTRUCTION or ALTERATION PERMIT R E c F V E 0
SEPTIC TANK or CESSPOOL Sri) ' 04123
.46f1) Cl.r4
Permit No.
Fee $
DATE 7P9_5
APPLICANT NAME: •
APPLICANTADDRESS: #401. 0131/7
//'5S-2—
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION R A
LTS TION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONST UCTION OR ALTERATION:
OWNER OF PROPERTY: C.0 At - .- ,ae, t.s,C cri,Z ,
OWNER MAILING ADDRESS: 23$
•
OWNER PROPERTY ADDRESS: -----
TELEPHONE NUMBER OF CONTACT PERSON: 01-9i—Yc4
TAX MAP NO. : Section 17-3 Block y Lot 7
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Si.nature of .,:plic.nt
RECEIVED BY:
Town Clerk'srOffice
DATE: 36 -- cj�
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