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HomeMy WebLinkAboutFeerick, RaymondA ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hal], 53095 Main Road P.O. Box 1179 Southold, New York 1.1971 Fax(516)765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 88 N Residential Non -Residential X Fee $ 25.00 Septic X Cesspool PERMIT ISSUED TO: Name : HENRY BREMER Address 1: PO BOX 790 City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration ADDITION OF GREASE TRAP AND NEW SEPTIC TANK TO EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner FEERICK, RAYMOND Mailing Address 1 PO BOX 405 ------------ ------------------------------ City St Zip AQUEBOGUE NY 0000 -------------------- -- ---------- Property Address 1 11155 MAIN ROAD ------------------------------ ------------------------------ City St Zip MATTITUCK NY 11952 -------------------- ------------ Tax Map No. section 142.00 block 2 lot 22.000 Cross Street LEGION AVENUE ------------------------------ Building Permit Number Cross Reference: Issue Date: 3/17/99 ---------------------------------- Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK T� OF SOUTHOLD TO: Southold Town uillding Department FROM: Linda Cooper, Southold Town Clerk's Office DATED: March 17, 1999 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Transmitted herewith is a copy of application No. NR2123 for an ALTERATION PERMIT for a cesspool or septic system submitted by Henry Bremer 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 thefolio ing recommendation: APPROVE - DISAPPROVE - COMMENTS: Maintain required setbacks from adjacent wells, buildings, property lines and water bodies. EXCAVATION INSPECTION REQUIRED. Signat r 31►-)�Ry Date O'FFICg OF THE TOWN -CLERK Town of Southold Judith T. Terry, Town Clerk Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Telephone (516) 765-1801 Permit No. TOWN OF SOUTHOLD T Application No. Construction Alteration $10.00 - Residential 5.00 - n -Residential SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION f (.) r CONST RUC'T ION or ALTERAViON PERMIT SEFIT!C TANK or CESSPOOL 9W_r.1r_nMft MAR 1 7 1999 [own CWk Utnow Fee DATE_ APPLICANT NAME: APPLICANT ADDRESS: -)o r2 7 SEPTIC i�;ESSPOOL-__ DF�CPIIPT!ON OF PROPOSED CONSTRUC.'TION OR ALTERATION LOCATION MAP: Must be attached herpt--.-) before permit inay be issued. LOCATION OF PROPOSED (,',0NSTR1_('Tl(.)N 0111 A!.TC__PA­1'lON: OWNER OF PROPERTY:r AJd e -ee I'c- K_ OWNER MAI'L!'NIG ADDPESS:- - OWNER PROPERTY ADDRESS: jjIs--f .TELEPHONE NUMBER OF CONTACT PERSON. /70 /,5721 TAX MAP NO, - Section_f Iilur_I, CROSS STREET: — -1!3. -_ - - 40e BUILDING PERMIT NUMBER CROSS nature of Applicant RECEIVED BY: z Town C � Town C �tl's Office DATE: er kA I Az