HomeMy WebLinkAboutEkster, M 4iiLk .
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Town Hall, 53095 Main Road
y0 �� P.O. Box 1179
.����," Southold, New York 11971
JUDITH T.TERRY
FAX(516)765-1823
TELEPHONE(516)765-1801
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. 520 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : RICHARD MAGILL
Address 1 : PECON I C CESSPOOL
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF ONE OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. HOLD 10'0 MAXIMUM BETWEEN POOLS
NOTE: EXCAVATION INSPECTION REQUIRED.
Name Of Owner EKSTER, M.
Mailing Address 1 NEW SUFFOLK ROAD
City St Zip NEW SUFFOLK NY 11956
Property Address 1 NEW SUFFOLK ROAD
City St Zip NEW SUFFOLK NY 11956
Tax Map No. section 117.00 block 4 lot 31 .000
Cross Street FANNING ROAD.
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. A533 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for M. Eksten
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 - e(
DISAPPROVE - II �
COMMENTS: Qom, .w��cca �& 0,, �odice& k. Pi . M-�'���
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1989 Signature
44.1 r'ONn &1189
Date
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OFFICE OF THE TOWN CLERK O`'1FO O ---
Town
fSouthold Town Clerk �� �'G =•
JudithApplication No.��33
Terry,
Town Hall, 53095 Main Road . g j�C Construction
P. O. Box 1179 vSouthold, New York 11971 0 ,`J Alteration �-
Telephone 0l [ ��O �� Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 7 S, _
� �}
APPLICANT NAME: if,llr.rl't/s.-�..... A. f.. /9, h,// (� -ci'71-2 , j
APPLICANT ADDRESS: Pe ''''?..4.>i 97
7/1.A.-t 2 y //?Sz
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
______A,eete , ,5.-e " /" -
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Ai. / ` c rEra. —
OWNER MAILING ADDRESS: /4 /5 /, / / ' /2e-/l-
/Z/ 7v' s ,e,o/- /1. f,%.
OWNER PROPERTY ADDRESS: -S'/ -y," ej`
TELEPHONE NUMBER OF CONTACT PERSON: 2A-- - jt- fr
TAX MAP NO. : Section /17 Block Lot ,_*5 /
CROSS STREET: , -A.41.414/r 4 7
BUILDING PERMIT NUMBER CROSS REFERENCE:
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Signature of /plicant
RECEIVED BY :
Town Clerk's Office
DATE:
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