HomeMy WebLinkAboutFeirick, Raymond ,
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,��iva.•,'',-0Town Hall, 53095 Main Road
W$ P.O. Box 1179
_� Or/et Southold, New York 11971
JUDITH T.TERRY 62 4'"" TELEPHONE
TOWN CLERK 4" , '��I (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. 15 N Residential Non-Residential X
Fee $ 25.00 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 NEW OVERFLOW TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. NOTE: NOT TO EXCEED 12'0" BETWEEN POOLS.
Name Of Owner FEIRICK, RAYMOND
Mailing Address 1 NORTH FORK DELI
P. O. BOX 790
City St Zip MATTITUCK NY 11952
Property Address 1 NORTH FORK DELI
MAIN ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 142.00 block 2 lot 22.000
Cross Street LEGION AVENUE
Building Permit Number Cross Reference:
Issue Date: 11/17/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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'TOWNOF SOU HOLD �,%� Town Hall, 53095 Main Road
;ifr&- �Q��•• P.O. Box 1179
1 is Southold, New York 11971
JUDITH T. TERRY --t......,,,,,,,//�°�
TELEPHONE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS (516)765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
November 16, 1988
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. NR433 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Raymond Feirick (North Fork Deli)
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: A)e-y- to x_esZ cp.. I .' v ' JJ-,I cam_ Lie.
\(<5t—IP-L4G4-t-a—.
Signature
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Date
,
OFFICE OF THE TOWN CLERK O�jVFFUCI�' O
i/Ju^' hTown of Southold Clerk - : Application W. ..3 3
it T. Terry, Town --
Vwn Hall, 53095 Main Road tr. Construction
P. O. Box 1179 O�i Alteration �J
Southold, New York 11971
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Telephone - '� Residential
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(516) 765-1801 /
�ttrn-Resi e '
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE // /‘Pk'
APPLICANT NAME: eaC.--tr?" , &I:2,417—e
APPLICANT ADDRESS: /ec _ 77z,
SEPTIC CESSPOOL t/
DESCRIPTION OFF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: it'd F -I t . k (A/0-74)
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OWNER MAILING ADDRESS: /�d / 770 ,4-14,..A, .D ,
1/ 95-2_
O „ SS: / / h rriC , # .
TELEPHONE NUMBER OF lCO11NTACT PERSON:
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TAX MAP NO. : Section `7'z Block 2. Lot 2.2-
CROSS
2.CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applican
RECEIVED iz1,:• vc' r,
Town Clerk's Office
DATE: NOV 16 1988
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