HomeMy WebLinkAboutBecht, John „,0��FFo�,��oGy
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• cls •• Town Hall, 53095 Main Road
0�-���� P.O. Box 1179
`��o,+' Southold, New York 11971
JUDITH T.TERRY :..,,,,i��' FAX(516)765-1823
TOWN CLERK TELEPHONE(516)765-1801
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. 644 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 10'0” BETWEEN NEW AND EXISTING POOL.
EXCAVATION INPSECTION REQUIRED.
Name Of Owner BECHT, JOHN
Mailing Address 1 1045 HOWARD AVENUE
City St Zip MATTITUCK NY 11952
Property Address 1 1045 HOWARD AVENUE
City St Zip MATTITUCK NY 11952
Tax Map No. section 113.00 block 9 lot 3.000
Cross Street MEDAY ROAD
Building Permit Number Cross Reference:
Issue Date: 10/12/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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" -1 ,t'!,,!' .° �0 Town Hall, 53095 Main Road
�_� �t� P.O. Box 1179
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1 t� Southold, New York 11971
JUDITH T. TERRY �.0.04,00"At"
TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD11-1-76-7171\''
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September 18, 19 f \/
SEP I 7 lu
.
To: Southold Town Code Enforcement Officer BLDG. DEFT.
TOWN OF SOUTHO6.I7
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A659 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for John Becht
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 - JC
DISAPPROVE -
COMMENTS: 14U, J U '-o N 94,0 4
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RECEIVED
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Town t rk Som ���
.0 � Signature
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V' Date
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OFFICE OF THE TOWN CLERK S�FFUL4
Town of Southold 0\) -
Judith T. Terry, Town Clerk Application No. (� �/q
Town Hall, 53095 Main Road a
cr3 ARConstruction
P. O. Box 1179 `
Southold, New York 11971 0 ��� Alteration
009 Residential t�-
Telephone _�l .
(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 $
DATE 9/7/f y(/
APPLICANT NAME: "e-e- CI—)fr.:"
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APPLICANT ADDRESS:
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as i,r-7-----
SEPTIC CESSPOOL 4-----
DESCRIPTION
/DESCRIPTION OF PROPOSED CONSTRUCTION 0' • LTERATION
...i.../ ��! ' i- / 1.7.4._..i.,...% - , - �,� '..a..
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: �C�-$ ,t
OWNER MAILING ADDRESS: /904,5"-- Ar,c _Ofeiii
/ / / /
J -7 ___ 1/ 7:-)--- --
OWNER PROPERTY ADDRESS: /2-7' y,7_,e. •
TELEPHONE NUMBER OF CONTACT PERSON: d--fri '- r�5 V
TAX MAP NO. : Section /1,3 Block 7 Lot 3
CROSS STREET: 7 .(�Q .
BUILDING PERMIT NUMBER CROSS REFERENCE:K,r,A --z- "'r‘`C
Signature of App ' ant
RECEIVED BY: (Al,C-P.4-'��
own Clerk's Office
DATE: f[< g�Z r/
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