HomeMy WebLinkAboutDruck, Fred III OO
Town Hall, 53095 Main Road
4� P.O. Box 1179
\-401 � .� ••• Southold, New York 11971
JUDITH T.TERRYFAX(516)765-1823
� TELEPHONE(516)7654801
TOWN CLERK
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. 519 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : RICHARD MACILL
Address 1 : PECONIC CESSPOOL
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF NEW OVERFLOW CESSPOOL TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. NOTE: AN EXCAVATION INSPECTION IS REQUIRED.
Name Of Owner DRUCK III, FRED
Mailing Address 1 BOX 355
City St Zip LAUREL NY 11948
Property Address 1 PECONIC BAY BOULEVARD
City St Zip LAUREL NY 11948
Tax Map No. section 126.00 block 10 lot 13.000
Cross Street BRAY AVENUE
Building Permit Number Cross Reference:
Issue Date: 8/08/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY "'/////-° TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
July 21, 1989
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A532 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Fred Druck III .
Please review the application and location map and advise if this office may
issue the permit.
Please complete the form Wily and return it to this office.
�C.\
Thank you. Is
� ► Linda J. Cooper
.1
* 110 * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - X
DISAPPROVE -
COMMENTS: o,,, .A.v,IL.co scQ. o.� Lisc.e. czlt.&cQ,n g., ay—nec ,} ,;,�
fir. (2_, .-d
REQ/ye) _
AUG U( 1989
Signature\CY- ,cM
Date
r,
If
OFFICE OF THE TOWN CLERK �FFO
Town of Southold D��S �C'
Judith •T. Terry, Town Clerk 1 Application No.k.‘3�
Town Hall, 53095 Main Road tn 'mac Construction
P. O. Box 1179
Southold, New York 11971 0 **'$ Alteration
Telephone �l [ � 0 ,�Y 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 74409_
APPLICANT NAME: t-e-e--fr iL
/4-7)/X-e 49'8-4
APPLICANT ADDRESS: led `/- 972
SEPTIC CESSPOOL //'
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
e2De rr'
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:/
OWNER OF PROPERTY: /'� y e ;/ L ,g /�
U L
OWNER MAILING ADDRESS: P-2--.G_*/yte 6%1 pj
f 3.rs /
OWNER PROPERTY ADDRESS: 4 /16 i'. // ?S4J
TELEPHONE NUMBER OF CONTACT PERSON: 2--9,--- f9' ( av
TAX MAP NO. : Section /7,4 Block /0 Lot 13
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CROSS STREET: /,.yy� ,,,.At.
BUILDING PERMIT NUMBER CROSS REFERENCE:
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1 Signat of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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