HomeMy WebLinkAboutDart, Edward JUDITH T. TERRY : Town Hall, 53095 Main Road
; o Tt P.O. Box 1179
TOREGISTRARF VITACL STATISTICS Southold, New York 11971
MARRIAGE OFFICER O Fax (516) 765-1823
'' 1 % �s' Telephone (516) 765-1801
17
41 r
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1006 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL SERVICE
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. KEEP AT LEAST 10' APART. EXCAVATION
INSPECTION REQUIRED.
Name Of Owner DART, EDWARD
Mailing Address 1 PECONIC LANE
City St Zip PECONIC NY 11958
Property Address 1 PECONIC LANE
City St Zip PECONIC NY 11958
Tax Map No. section 74.00 block 4 lot 14.002
Cross Street COUNTY ROAD 48
Building Permit Number Cross Reference:
Issue Date: 6/03/93 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
/ d
ems► ;
JUDITHT. TERRY 'ac P.O.
HPall,, 530951 Main Road
179
TOWN
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER Q `� ;� Fax (516) 765-1823
1 /11D Telephone (516) 765-1801
lit
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: May 27, 1993
Transmitted herewith is a copy of application No. A1035 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Edward Dart
•
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: 41 !l/ , 1/4/0/44--
REIMID
JUN 2 1993 •
Exemoi
7 '_7/ ,4 -
uisucn Signature
REQUIRED D- �' r3
i
OFFICE OF THE TOWN CLERK ,,'",,,,,
Town of Southold Application No. /0 3
Judith T. Terry, Town Clerk les
Gy',
Town Hall, 53095 Main Road = Construction
P. O. Box 1179
Southold, New York 11971 t�J� �� Alteration
Telephone =• O. $10.00 - Residential
(516) 765-1801 = Ol 4 ' $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
Rt
APPLICANT NAME: � ii -
APPLICANT ADDRESS: 7.t,4; -2- 40nr<7/ 7
SEPTIC CESSPOOL
DESCRIPTION OF "OPOSED CONSTRUCTION OR ALTERATION
a
,(,%emsbtei/40zre e
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTIO OR RAT ON:
OWNER OF PROPERTY: ��
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 7 AI Block y Lot /4 oZJ
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
12/tiP-
•nature of Applicant
RECEIVED BY:
Town C erl k's Office
DATE:
w
r
/(24 .
I
(5 d 4--
•
3
',
, ,
, ,
---"r---'b."-C . i
{
(..s--