HomeMy WebLinkAboutDeLong, George 3,0
VJUDITH T. TERRY I
Town Hall, 53095 Main Road
TOWN CLERK P.O. BOX 1 179
r+ ` Southold, New York H971
REGISTRAR OF VITAL STATISTICS : tj'i ` Fax (516) 765-1823
MARRIAGE OFFICER � %O./ 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. 722 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL SERVICES
Address 1 : 2760 YENNECOTT
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. HOLD 15'0" MAXIMUM BETWEEN POOLS. EXCAVATION
INSPECTION REQUIRED.
Name Of Owner DELONG, GEORGE
Mailing Address 1 LAUREL LANE
City St Zip SOUTHOLD NY 11971
Property Address 1 LAUREL LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 56.00 block 2 lot 5.000
Cross Street ROUTE 25
Building Permit Number Cross Reference:
Issue Date: 6/06/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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Town Hall, 53095 Main Road
� _ � ,•11 P.O. Box 1179
• _ r'� .0 Southold, New York 11971
JUDITH T. TERRY '"� '� TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 23, 1991
To: Southold Town Code Enforcement Officer
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. 740 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for George DeLong
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 - JC
DISAPPROVE -
COMMENTS: C2„ ,t„.e re Cjtc Qaal tea— -(.eik . 14-+Q
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LAS—
`k\40Signature
OS) SIZZoirf j
Date
OFFICE OF THE TOWN CLERK """"'
Town of Southold ,'',,��FFOLK°�
%`' % G Application No. 7`7/)
Judith T. Terry, Town Clerk ; y';
Town Hall, 53095 Main Road ; Construction
P. O. Box 1179 s _
Southold, New York 11971 •W'$ Alteration
Telephone ,�' �Q �� $10.00 - Residential
(516) 765-1801 "1 l �, �'� $25.00 - Non-Residential
• . ,,,,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ /"-j
DATE /9'77--
APPLICANT
9'r/APPLICANT NAME: g0/1/0:5 c e/ -.<-9Oao/ __S'i_.e!v /f•�
APPLICANT ADDRESS: 2��6 ]/ /�/f e.e) cif
SEPTIC CESSPOOL
DESCRIPTION OF PR POSED CONSTRUCTION R ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 6
ON7O�
OWNER MAILING ADDRESS: ,
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section -- (r, Block ;,?!/��, Lot 5
CROSS STREET: e 2.5--
BUILDING PERMIT NUMBER CROSS REFERENCE:
Y7/7b ZZo
Signature of Applicant
RECEIVED BY : R
own lerk's Office
DATE: MAY 2 4 1�4
Town Clerk Southold
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