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Home My WebLink AboutMoore, John LUIQ. k Cr 4 )04 - v -,n6 - " 4- ' JUDITH T. TERRY . Town Hall, 53095 Main Road TOWN CLERK t T P.O. Box 1 179 REGISTRAR OF VITAL STATISTICS s tin Southold, New York 11971 MARRIAGE OFFICER O�' Fax (516) 765-1823 =_'LI�. + 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. 35 N Residential Non-Residential X Fee $ 25.00 Septic Cesspool X PERMIT ISSUED TO: Name : PECON I C CESSPOOL Address 1 : P. O. BOX 972 City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration ADDITION OF AN OVERFLOW TO AN EXISTING SYSTEM. APPROVED AS SUBMITTED. EXCAVATION INSPECTION REQUIRED. CALL 765-1802 FOR AN APPOINTMENT. Name Of Owner MOORE, JOHN Mailing Address 1 DRAWER 1444 City St Zip MATTITUCK NY 11952 Property Address 1 SILKWORTH REAL ESTATE 12700 MAIN ROAD City St Zip MATTITUCK NY 11952 Tax Map No. section 1114.00 block 11 lot 16.000 Cross Street LOVE LANE Building Permit Number Cross Reference: Issue Date: 11/30/92 Judith T. Terry Southold Town Clerk (TQWN 00 I •_ - 30•CA frit yam► JUDITH T. TERRYTown Hall, 53095 Main Road TOWN CLERK v T P.O. BOX 1 179 REGISTRAR OF VITAL STATISTICS � Southold, New York 11971 MARRIAGE OFFICER yQ O�' , Fax (516) 765-1823 ‘000A, Fax �� Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 35 N Residential Non-Residential X Fee $ 25.00 Septic Cesspool X PERMIT ISSUED TO: Name : PECON I C CESSPOOL Address 1 : P. O. BOX 972 City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration ADDITION OF AN OVERFLOW TO AN EXISTING SYSTEM. APPROVED AS SUBMITTED. EXCAVATION INSPECTION REQUIRED. CALL 765-1802 FOR AN APPOINTMENT. Name Of Owner SILKWORTH REAL ESTATE Mailing Address 1 MAIN ROAD City St Zip MATTITUCK NY 11952 Property Address 1 MAIN ROAD City St Zip MATTITUCK NY 11952 Tax Map No. section 114.00 block 11 lot 15.000 Cross Street LOVE LANE Building Permit Number Cross Reference: Issue Date: 11/30/92 Judith T. Terry Southold Town Clerk [TOWN SEAL) • JUDITH T. TERRY ; _ :'� Town HPalll,, 533095Box1 Main 17Road TOWN CLERK REGISTRAR OF VITAL STATISTICS * �' Southold, New York 11971 MARRIAGE OFFICER = Q * Fax (516) 765-1823 1 .e Fax (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit o. 35 N Residential Non-Residential X Fee $ 25.00 Septic Cesspool X PERMIT ISSUED TO: Name : PEC NIC CESSPOOL Address 1 : P. O. OX 972 City St Zip MATTITUCK NY 11952 Descripton of Pro ed Construction or Alteration ADDITION OF AN OVERFLOW Tp AN EXISTING SYSTEM. APPROVED AS SUBMITTED. EXCAVATION INSPECTION REQUIRED. CALL V 765-1802 FOR AN APPOINTMENT. Name Of Owner SILKWORTH REAL ESTATEV ei\ Mailing Address 1 $" ' rn R.i N ,moi City St Zip MATTITUCK NY 11952 \ Property Address 1 /?--1 0 iN �D City St Zip MATTITUCK NY 11952 Tax Map No. section 113.00 block 13 lot 11 .000 --- \ ti Cross Street LOVE LANE \ J Building Permit Number Cross Reference: ,'`' 4 7/CI---l/ -1 6 fr)a ORE 0#0 /°2766 /17e, 41 CyeitvEitiqqv 114711144 Issue Date: 11/30/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) 6 '2)5 ''e Gym► JUDITH T. TERRY : Town Hall, 53095 Main Road TOWN CLERK p T P.O. BOX 1179 REGISTRAR OF VITAL STATISTICS .�► �� Southold, New York 11971 MARRIAGE OFFICER y0 �- s°, Fax (516) 765-1823 �� Fax (516) 765-1801 + OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD November 9, 1992 To: Southold Town Code Enforcement Officer From: Linda J. Cooper, Southold Town Clerk's Office Transmitted herewith is a copy of application No. A958 for an ALTERATION PERMIT for a cesspool or septic system submitted by Peconic Cesspool for Silkworth Real Estate 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 - DISAPPROVE - COMMENTS: Ot,o eitli je.J.ttga, C-4,0 34-1.14,A. glfroaad€41to `O, gaGJQ ,t , a1/44, • ,41. itt‘ > nGSignature'`"V 1 (5\4 Date OFFICE OF THE TOWN CLERK ,,,'""""'- Town of Southold Town Clerk qq Application No. Judith T. Terry, Town Hall, 53095 Main Road Construction P. O. Box 1179 ; or1", Southold, New York 11971 til 13/4 Alteration Telephone ; ,�� Q�i� $10.00 - Residential (516) 765-1801 = Ol o $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE It f 41 'q- APPLICANT NAME: APPLICANT ADDRESS: ,Q f L- SEPTIC CESSPOOL ci 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: 4 - OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section /13 Block /3 Lot 11 CROSS STREET: �.v BUILDING PERMIT NUMBER CROSS REFERENCE:- ire-eA4t-^" , Signature of pplicant RECEIVED BY: L Office DATE: �� il‘A/InIC.,.._lerk's • N\N,Zep(1‘ A 4 5P�'V' N � W I E 3 1 ' • f