HomeMy WebLinkAboutDioca, Pete o��FFOL�c�y,
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T Town Hall, 53095 Main Road
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��' P.O. Box 1179
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JUDITH T.TERRYO'trrrr FAX(516)765-1823
TOWN CLERK TELEPHONE(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. 589 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
REPLACE OLD CESSPOOL WITH NEW TYPE.
APPROVED AS SUBMITTED. HOLD 15'0" SEPARATION. EXCAVATION INSPECTION
REQUIRED. PLEASE ARRANGE AN APPOINTMENT WITH THE SOUTHOLD TOWN
BUILDING DEPARTMENT (765-1802) AT LEAST 24 HOURS IN ADVANCE.
Name Of Owner DIOCA, PETER
Mailing Address 1 2120 KENNYS ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 2120 KENNYS ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 59.00 block 3 lot 12.000
Cross Street CHESTNUT ROAD
Building Permit Number Cross Reference:
Issue Date: 3/09/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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Town Hall, 53095 Main Road
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e* P.O. Box 1179
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JUDITH T. TERRY '����i• ��•�i
TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD 1l1 f ,i
March 7, 1990 •
To: Southold Town Code Enforcement Officer Ip,, ,j--
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A603 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Peter Dioca
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,.. -. a'. -e+ cC -49.-
Signature
aD
Date
OFFICE OF THE TOWN CLERK i
S.FFOL4' .•
Judith T. Terry, Town Clerk < Application o.�
Town' Hall, 53095 Main Road a Construction
P. 0. Box 1179
Southold, New York 11971 �,y� O •`J Alteration X�
Telephone 4/l 4 't �? Residential [,r
(516) 765-1801
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. e r
Fee $ 1 b J L
DATE XfrZi-C/4 ',5.-A
APPLICANT NAME: 4,..G -77. C��
APPLICANT ADDRESS: ioel 4-j7 972—
'-'7'71f 2-.
SEPTIC CESSPOOLS V1
DESCRIPI PROPOSED CONSTRUCTION ALTERATION �%2'Ur_r_
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTR - TON O' ALTERATION:
OWNER OF PROPERTY: I ' ,�
OWNER MAILING ADDRESS: )/2d4ed.....14.7-..'
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:1 - 61 (0.-.
TAX MAP NO. : Section ' Block J Lot .4V-07--
7
CROSS STREET: _..--C.-
BUILDING PERMIT NUMBER CROSS REFERENCE:
44'-' 4--"It'i7(
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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