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HomeMy WebLinkAboutBurns, John ,,„i"c four, �,�O Gy; JUDITH T. TERRY ; < . Town Hall, 53095 Main Road • TOWN CLERK v T P.O. Box 1179 • REGISTRAR OF VITAL STATISTICS 1 IP Southold, New York 11971 `y0 MARRIAGE OFFICER ` . or Fax (516) 765-1823 =_'Itn! � Fax (516) 765-1801 Mr ro. OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1032 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 SETBACKS FROM WELLS AND PROPERTY LINES. EXCAVATION INSPECTION REQUIRED. Name Of Owner BURNS, JOHN AND WIFE Mailing Address 1 1460 GREAT PECONIC BAY BLVD. City St Zip LAUREL NY 11948 Property Address 1 1460 GREAT PECONIC BAY BLVD. City St Zip LAUREL NY 11948 Tax Map No. section 145.00 block 2 lot 14.000 Cross Street LAUREL LANE Building Permit Number Cross Reference: Issue Date: 8/04/93 Judith T. Terry Southold Town Clerk (TOWN SEAL) 4tjLi ' /C3 itoo 10 Gym► JUDITH T. TERRY Z Town Hall, 53095 Main Road TOWN CLERK tt p r=n P.O. BOX 1179 REGISTRAR OF VITAL STATISTICS . vs 'W $ Southold, New York 11971 MARRIAGE OFFICER y0 �- �� Fax (516) 765-1823 �� �/ Fax (516) 765-1801 rpP2E5 Pr' i. I ,JUL 2 7 1993 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD �` '" Southold Town Building Department FROM: Linda Cooper, Southold Town Clerk's Office DATED: July 27, 1993 Transmitted herewith is a copy of application No. A1062 for an ALTERATION PERMIT for a cesspool or septic system submitted by • Peconic Cesspool for John Burks 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. dce._.- Linda J. Cooper * * * * * * * * * * * * * I have reviewed the application and location map of the project listed above and make the following recommendation: APPROVE - v DISAPPROVE - EXCAVATION INSPECTION`` COMMENTS: ll i -iii f /� / ��� � i_ ' t/i _i_ 3R D / '� 4 / AUG 3 1993 L-s,e4j i Signatu -e / Toreln, 0111# Noe* eF/3/93 Date ( , OFFICE OF THE TOWN CLERK „ ,'” ,,, / 6 :Z� Town of Southold .�' , �J C� Application No. u Judith T. Terry, Town Clerk ;' y , Town Hall, 53095 Main Road � Construction zS1/ P. O. Box 1179 Southold, New York 11971 cra Alteration i„,"" Telephone 0�� � 11,' $10.00 - Residential (516) 765-1801 ,,,, '' $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE 7 7 y3 APPLICANT NAME: t-ee---17?-4c,c..- APPLICANT ADDRESS: 1OE 977— SEPTIC 72SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ' LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: OWNER MAILING ADDRESS: /*46e, / _r OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON:© - 9 $ff> /5�S / V TAX MAP NO. : Section Block Lot CROSS STREET: .� BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Ap cant RECEIVED BY: Town Jerk's Office DATE: 7 • • 11 4,4 N. ift/P 11 I 1 oDt S' I0%% _O��, tt55r I"" /......../".---)./mile TfP/U 4) w L