HomeMy WebLinkAboutMcFarland, James �o��FFo�KeoGy
JUDITH T. TERRY � L ; Town Hall, 53095 Main Road
TOWN CLERK G T P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS �� Southold, New York 11971
MARRIAGE OFFICER ; 0 �. �� Fax (516) 765-1823
�,y0 1D0 � Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 897 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 SYSTEM IN NEW LOCATION.
APPROVED AS SUBMITTED. REMOVE OLD POOL AND FILL. EXCAVATION
INSPECTION REQUIRED.
Name Of Owner MCFARLAND, JAMES F.
Mailing Address 1 P. O. BOX 1267
City St Zip CUTCHOGUE NY 11935
Property Address 1 1130 LITTLE PECONIC BAY ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 111 .00 block 14 lot 17.000
Cross Street WUNNAWETA ROAD
Building Permit Number Cross Reference:
Issue Date: 8/25/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY Z Town Hall, 53095 Main Road
TOWN CLERK : rZr P.O. BOX 1179
REGISTRAR OF VITAL STATISTICS � Southold, New York 11971
MARRIAGE OFFICER ‘**40 40-
��, Fax (516) 765-1823
�,yo � �� Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
f� . , TOWN OF SOUTHOLD
AUGUST 18, 1992
To. Southold Town Code Enforcement Officer
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A921 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
PECONIC CESSPOOL FOR JAMES F. MCFARLAND
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: leir✓! 4 • Pi-+-F 4 �.t,Q! . 0.4.121 30114A. 0.14.404 4,�,,,�
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Signature
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Date
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OFFICE OF THE TOWN CLERK ,,,'",,"
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Town of Southold • •�C���F��Kej= Application No.
Judith T. Terry, Town Clerk
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Town Hall, 53095 Main Road Z <; Construction
P. O. Box 1179 ; ' rn
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Southold, New York 11971 : tt� ,W ; Alteration Telephone O ��0� , $10.00 - Residential `-•
(516) 765-1801 _ 1
�' $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 7-tV
APPLICANT NAME:
APPLICANT ADDRESS: A /37-i‘ 97 -2----
SEPTIC
2 -SEPTIC CESSPOOL
DESC' PTION OF PROPOSED CONSTRUCTION OR ALTERATION -
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATIO
OWNER OF PROPERTY: # G
OWNER MAILING ADDRESS: //P0/�ate Grr7 U
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section ,// Block Lot / 7
CROSS STREET: k It-r,q. /L9
BUILDING PERMIT NUMBER CROSS REFERENCE:
Zers.4.„...0"0,
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Signatur of Appl' ant
RECEIVED BY:
Town Clerk's Office
DATE: -
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