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JUDITH T. TERRY z .0 Town Hall, 53095 Main Road
TOWN CLERK It v T P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS w �` Southold, New York 11971
MARRIAGE OFFICER 0 , Fax (516) 765-1823
��� �� 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. 802 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : LYNCH HOMES, INC.
Address 1 : 1725 ROUTE 58
City St Zip RIVERHEAD NY 11901
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 1/2/92.
Name Of Owner MCGURN, EDWARD & ADELAIDE
Mailing Address 1 550 GROVE DRIVE
City St Zip SOUTHOLD NY 11971
Property Address 1 OAK DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 80.00 block 1 lot 30.000
Cross Street REYDON DRIVE
Building Permit Number Cross Reference:
Issue Date: 2/07/92 Judith T. Terry
Southold Town Clerk
(TrIWKI CG AI I
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!a\JUDITH T. TERRY ,�� wn Hall, 53095 Main Road
TOWN CLERK TZ 3 P.Q. BOX 1179
REGISTRAR OF VITAL STATISTICS : : outhold,view York 11971
MARRIAGE OFFICER • yO 01 FaX:(116) 765-1823
�Q ��Q �� Telephone (516) 765-1801
41
OFFICE OF THE TOWN. CLERK
TOWN OF SOUTHOLD
To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office
Dated: January 23, 1992
Transmitted herewith is a copy of application No. 823 for a Cesspool/
Septic Tank Construction Permit submitted by:
Lynch Homes Inc. for Edward and Adelaide McGurn
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE X
DISAPPROVE
Comments: � .1r. et 0 . „1
�.(Cr Y
FEB O'7 199a Signature
loon Dated
i A r`.
OFFICE OF THE TOWN CLERK ��0FOL/0,;)
Town of Southold �3
Judith T. Terry, Town Clerk Application No.
Town Hall, 53095 Main Road ; ? r ;;T:= Construction
P. O. Box 1179 �,.
Southold, New York 11971 �• Alteration
Telephone Nit 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 •$ �(7
DATE
APPLICANT NAME: / INCH M ES Z A JC_
APPLICANT ADDRESS: / 7 cal- ROUTE 58
p t v Ei rt-E 0 N y 11 o f
SEPTIC / CESSPOOL /
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/iU5T/4-LL- / 5-e:1074-76,_
,,7 '�'Cc n k � / Ce55poc7 / to � G hf t7
R e u i Q erm� ✓ -co 2 lit 5e O-ia' CU e-Gu c (m 5 -Fr CA.c-fes w►
6 l'j/e 1 t nt) 1`/t res{CE'✓ncc .
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 6V Jf}r2b A &.. /3lpE ✓hcC)UeIJ
OWNER MAILING ADDRESS: 55o G)R0✓E ,) i✓C
5out - y
OWNER PROPERTY ADDRESS: OAK tD i/C (fp10A-T6 RoAb)
1�T 3 pyo E.\V I NI 50 LT l+o(-f
TELEPHONE NUMBER OF CONTACT PERSON: 7c,17 -c�aat (CI1,�E1,3-Re_,E-vr)
pC c--.30 ,
TAX MAP NO. : Section ORO Block 1 Lot l L(5 i s 50
CROSS STREET: REyDQN (72t VE—
BUILDING
6BUILDING PERMIT NUMBER CROSS REFERENCE:_.
Signature of Applicant
RECEIVED BY: �p
r� Town C eJ / rk's Office
DATE: /A-3/9 7_
, .• . .
MAP OY. PROPERTY
....., SUFFOLK CO ktEtsL.THNOR.Ept: APPROVAL
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UQVg,Y .C) FOra
`f 1 1901 \ ELL COVENANT REQUIRED c
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APPROVAL ,
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------ STATEMENT OF INTENT
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. , 0 i. P AT THE WATER SUPPLY AND SEWAGE DISPOSAL ,
14i/‹. R f tz
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AY V I EW SYSTEMS FOR THIS RESIDENCE WILL
citaivE .4. TC'N.KiN OF '501...,ITH.-,*)-L.,0 , NM CONFORM TO THE STANDARDS OF THE '
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SUFFOLKi,t0Z_PT HEALTH SERVICES. ,
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APPLICANT
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SUFFOLK COUNTY DEPT. OF HEALTH
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SERVICES - FOR APPROVAL FOR
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- •L LYNCH NOM ES, INC NO.. eat*
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!Dec, L , ,e \\,/ . _ SUFFOLK CO. TAX MAP DESIGNATION:
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1725 ROUTE 58 . OWNERS ADDRESS:
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1 RIVERHEAD
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//90/ 550 GROVE Dr2.1V,g
(5/6/ 727-0221
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GREENPORT NEW YORK