HomeMy WebLinkAboutBayley, Robert %t',,oc��r F Wire PGy
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rr+ ; Town Hall, 53095 Main Road
W�`� P.O. Box 1179
;y0 �O�'''/ Southold, New York 11971
JUDITH T.TERRY 6°
�,I��I FAX(516)765-1823
TELEPHONE(516) 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. 571 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : BAYLEY, ROBERT
Address 1 : P. O. BOX 595
City St Zip EAST MARION NY 11939
Descripton of Proposed Construction or Alteration
REPLACING AN EXISTING SYSTEM WITH ONE 900 GALLON SEPTIC TANK AND TWO
Li' X 8' CESSPOOL RINGS.
APPROVED AS SUBMITTED. HOLD 10'0" SEPARATION FROM GREASE TRAP.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner BAYLEY, ROBERT
Mailing Address 1 P. O. BOX 595
City St Zip EAST MARION NY 11939
Property Address 1 150 LAKEVIEW TERRACE
City St Zip EAST MARION NY 11939
Tax Map No. section 31 .00 block 9 lot 18.000
Cross Street BAY AVENUE
Building Permit Number Cross Reference: 18580
Issue Date: 2/01/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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BLDG. DEPT """' ' tr2�y ` • Town Hall, 53095 Main Road
TOWN OF SOUTEa(J�0 ��1. a0�'�.` P.O. Box 1 179
a' ,� •••• Southold, New York 11971
JUDITH T. TERRY TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. . 1902' for an
ALTERATION PERMIT for a cesspool or septic system submitted by
' /6 Cc(y Ler .
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 -
COMMENTS: q,o ALS. ��.Ct.lw
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Signature
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Date
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OFFICE OF THE TOWN CLERK �S�FFO(i� "% SSS--
-
Town of Southold 4° CO Application No.
Judith T. Terry, Town Clerk „4
Town Hall, 53095 Main Road j� Construction
cn
P. 0. Box 1179 ` Alteration
Southold, New York 11971 O ����
�� . Residential —/
Telephone - 1 ,f
(516) 765-1801
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ 70 —
DATE
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APPLICANT NAME: Wefp..e/rt—
.,Z a, (RA/
APPLICANT ADDRESS: 54ittlite. ab LeAMI
SEPTIC 'CESSPOOL i
DESCRIPTION OF PROPOSE!? CONSTRUCTION OR ALTERATION y • _
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSCTION OR ALTERATION:
OWNER OF PROPERTY: (96---t— I�
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OWNER MAILING ADDRESS: 150 �UteW i
Y& ce_ AD. &))(5js
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OWNER PROPERTY ADDRESS: 150 LaAvc -retrace_ Qt Dex 595
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TELEPHONE NUMBER OF CONT PERSO : . I P4f r
TAX MAP NO. : Section '3 1 l _A
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Lot 16 ,
CROSS STREET: V A'f g Ov �kAUILoI.t)
BUILDING PERMIT NUMQER CROSS--_REFERENCE: I 0 650
7(te- --S
Signature o 'Ap icant
/
RECEIVED BY:
Town Clerk's Office
DATE:
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c.... _ IS OAK ElkivriN COTTAV-1e=65EASONA t.) GUILT 1949
t t_ K A1Z�A of LOT 3,170 46Z. FT (Lo% = 638 s4.FT.)
l am '.�)AQEA of E.x15T• corm'.e. CcuHT1Nfl I)02.c ti-tDEC> GSo 561. FT. = 1'I7$ 7 Cay. (<20%)
5)-ARE OF PROP. ALT.CoTTA«- : 23.5 s 25.5 ii, Gob +3-(arca) g G3$ = 20 Z Coy.