HomeMy WebLinkAboutDuggan, James �,' tfFO(�
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ELIZABETH A. NEVILLE Gy Town Hall, 53095 Main Road
TOWN CLERK I o ..4P.O. Box 1179
N 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS , Fax MARRIAGE OFFICER Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER \#4, �%st-, Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER l [ �` ✓
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2039 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1 : PO BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner DUGGAN, JAMES
Mailing Address 1 465 FARMER ROAD
City St Zip MATTITUCK NY 11952
Property Address 1 465 FARMER ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 139.00 block 3 lot 29.000
Cross Street WICKHAM AVENUE
Building Permit Number Cross Reference:
Issue Date: 3/17/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
(90 5cf
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ELIZABETH A.NEVILLE )1.p oGy�► Town Hall, 53095 Main Road
TOWN CLERK c -� >> P.O. Box 1179
►? ; Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823
MARRIAGE OFFICER l��I Telephone (516) 765-1800
FREEDOM ORECORDS MANAGEMENT %.NF INFORMATION OFFICER y� 4t OI P
ti X11
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: March 11 , 1999
Transmitted herewith is a copy of application No. 2119 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for James Duggan
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 followin recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
nature
3I1Zg5
Date
11/
. OFFICE OF THE TOWN CLERK s°e,��� o`K4
TOWN OF SOUTHOLD �',Q (rQG Application No. �/ / 7
F!.i7ABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 z ! Construction
SOUTHOLD,NEW YORK 11971 T
• in 1/ Alteration
Telephone 0,�� �O�i' $10.00 - Residential C/
(516) 765-1801 = Ol � $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for ... ..
CONSTRUCTION or ALTERATION PERMIT v c r E I V E D
SEPTIC TANK or CESSPOOL MAR 1 1 1999
Suutnosa 'awn %erk
Permit No.
Fee $
DATE � 9r9?
APPLICANT NAME: O -4
APPLICANT ADDRESS: ",)j , f
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /,
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRU TION OR ALTERATION:
OWNER OF PROPERTY: L4
OWNER MAILING ADDRESS: 4 '
OWNER PROPERTY ADDRESS: s'� --
TELEPHONE NUMBER OF CONTACT PERSON: .70--K- 9G 5r
TAX MAP NO. : Section /�q Block 5 Lot -2
9
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Y. 1( t/Z
f
Signature of plicant
RECEIVED BY: OA
7cin,cCi lerk's Office
DATE: 3 C l
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