HomeMy WebLinkAboutStewart, Robert ,o,,O��gtF FO�,�-BOG
ELIZABETH A. NEVILLE �� * ; Town Hall, 53095 Main Road
TOWN CLERK y - •
P.O. Box 1179
REGISTRAR OF VITAL STATISTICS
Southold, New York 11971
MARRIAGE OFFICER Fax (631) 765 6145
RECORDS MANAGEMENT OFFICER yjai 10,1�� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ ' 1 '
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2267 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL SERVICES INC
Address 1 : PO BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF OVERFLOW TO EXISTING SYSTEM.
APPLICATION APPROVED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner STEWART, ROBERT & ELIZABETH
Mailing Address 1 65 REGAN ROAD
City St Zip LYNBROOK NY 11563
Property Address 1 2122 WESTPHALIA ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 114.00 block 7 lot 11 .002
Cross Street
Building Permit Number Cross Reference:
Issue Date: 3/21/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE �h`�` GZ�`•` Town Hall, 53095 Main Road
P.O. Box 1179
TOWN CLERK
y = Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ' v Ivy 1
. p
MARRIAGE OFFICER *. Fax (516) 765-6145
•
RECORDS MANAGEMENT OFFICER - 49ap�/'�� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER i '� ���
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED : March 7, 2000
Transmitted herewith is a copy of application No. 2355 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Robert and Elizabeth Stewart
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 - `f
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
54'gnatore
` I
Date
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OFFICE OF THE TOWN CLERK 0' O 01.K
TOWN OF SOUTHOLD �QG Application No. Q.,336
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971 a T
Alteration
Telephone 051,�,0 09: $10.00 - Residential v _
(516) 765-1801 _ 1 ��' $25.00 -Non-Residential
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TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE /� 02000
APPLICANT NAME: �-e�-r-A.,ti &le-a/fx(
APPLICANT ADDRESS: ,P•4 449, 972-
SEPTIC
z.SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
or7'`-e yas-%) •A/FS
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:.
OWNER OF PROPERTY:-(' jefigerr�¢ - /tet- -2
OWNER MAILING ADDRESS: Koz-I iA ti
OWNER PROPERTY ADDRESS: a\an--- !� `
TELEPHONE NUMBER OF CONTACT PERSON: 96 g'
TAX MAP NO. : Section //V Block 7 Lot 1/: 2-
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
'4241( 41(
ignature f Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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4/4-57;4 //;rr . Al Iva
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Stewart