HomeMy WebLinkAboutMcDonald, Mark •
Town Hall, 53095 Main Road
P.O. Box 1179
- We� $',•06 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
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 356 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 11935
Descripton of Proposed Construction or Alteration
REPLACE EXISTING CESSPOOL WITH NEW TYPE AND ADDITIONAL SHALLOW POOLS.
APPROVED AS SUBMITTED.
Name Of Owner MCDONALD, MARK
Mailing Address 1 P.O. BOX 1258
City St Zip SOUTHOLD NY 11971
Property Address 1 510 CLARK ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 135. 00 block 2 lot 4. 000
Cross Street NORTH ROAD
Building Permit Number Cross Reference:
Issue Date: 6/17/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
• VI
goo CI Air ,ra.
C' ` te, , , ,.,,....,.: .. ` ; ,O� �G -
, ; f .
, ,,• ,
liAci JUN I 610:.
_, `Li"
t it 1 * .3/4, =I %
BLDG. DEPT. =p r:,; ^4 `��/�� Town Hall, 53095 Main Row.
TOWN OF SOUTHOLD _,,,� '�,,�0�'�� P.O. BOX 1 17-9
1 :fit ! 0. Southold, New York 11971
•JUDITH T. TERRY -.Weir/��°A°
TELEPHONE
TOWN CLERK . (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
June 15, 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. A359 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
_peconic Cesspool for Mark McDonald
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 - '1),4
DISAPPROVE -
,"3-tea
COMMENTS: 4„ �. -,, ,Q n S t ' 2 - -
•
\CIo.4., c-32, 4.412-
Signature
totivn
Date
of,
','',
OFFICE OF THE TOWN CLERK 0`31FUL .
Judith' Town of Southold � C� Application N�`3S�
T. Terry, Town Clerk er k 1
Town Hall, 53095 Main Road gConstruction
P. 0. Box 1179 *.$ Alteration
Southold, New York 11971 ��- •
Telephone 0lJialt , \' 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: A4, 6.„)e
;Z'�i�?� ' .�,C� /l/,u✓,� //95-2.-
SEPTIC CESSPOOL li
DESCRI •TION OF PROPOSED CONSTRUCTION OR ALTERATION
,
G% fir/
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 7>04AAG
OWNER MAILING ADDRESS: v� 2$8'
..�
001/5.-
OWNER
yOWNER PROPERTY ADDRESS/7e' c4/�j��, //e
TELEPHONE NUMBER OF CONTACT PERSON: 1,--"9Gjf
TAX MAP NO. : Section /35 Block 2- Lot L74
CROSS STREET: 7/,
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
ye.14..b.L.Thefer)(0
Signature of plicant
RECEIVED R#C'EP c a, ,
Town C rk's Of ice
DATE: 'it IN 15 1988
Town Clerk Southold
rI 1,1 ,p
3S -0. -- g
aI
- 2
to(
10 ,to. 0k1 sSporac
41# lei virtegf
'1
S
40
•
E