HomeMy WebLinkAboutDavey, Wade _e
O��FFO�CD�
O
Town Hall, 53095 Main Road
Ln P.O. Box 1179
Southold,New York 119 71
JUDITH T.TERRY 1 TELEPHONE
TOWN CLERK (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. 412 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 NEW OVERFLOW CESSPOOL TO EXISTING SYSTEM.
APPROVED AS SUBMITTED.
Name Of Owner DAVEY, WADE
------------------------------
Mailing Address 1 375 ALVAHS LANE
------------------------------
------------------------------
City St Zip CUTCHOGUE NY 11935
-------------------- -- ----------
Property Address 1 375 ALVAHS LAND
------------------------------
------------------------------
City St Zip CUTCHOGUE NY 11935
-------------------- -- ----------
Tax Map No. section 109.00 block 1 lot 31 .000
Cross Street MAIN ROAD
------------------------------
Building Permit Number Cross Reference:
----------------------------------
Issue Date: 10/13/88 Judith T. Terry
-------- Southold Town Clerk
(TOWN SEAL)
r �
C7 i 'ssrzi�tT'a w
i a ta-��Vin;
�? g � � �g4 ' '47'r�' v✓"X Town Hall, 53095 Main Roac
P.O. Box 1179
- I."16RY Southold, New York 11971
TOWN CLERK
TELEPHONE
GIST (516)765-1801
g .�G, 6 � OFFICE OF THE TOWN CLERK
1rdWNOF SOUTHOLI ,..._ � TOWN OF SOUTHOLD
Octotrer 6, 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. 417 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Wade Davey
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
have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: �, � n
Signature
Date
OFFICE OF THE TOWN CLERK
Town of Southold ��� COQ Application No. <<�
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Construction,
P. 0. Box 1179 ` Alteration
Southold, New York 11971
Telephone �l Aid
Residential
(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
APPLICANT NAME:
APPLICANT ADDRESS: e) t;77,
11 w-z
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 4-89;6
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: 757 4z AL"
D ci1/��C
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section eo,9 Block Lot 3l
CROSS STREET: / ,0
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicard
RECEIVED BY:
Town Clerk's Office
DATE:
� � I
� II
C6,
.- P
Or
/n