HomeMy WebLinkAboutBower, John A
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ELIZABETH A.NEVILL'E �1.0 �; Town Hall, 53095 Main Road
TOWN CLERK 4 p '4 P.O. Box 1179
ti Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Pry hone (516) 765-1800
�, Fax(516) 765 6145
MARRIAGE OFFICER `
RECORDS MANAGEMENT OFFICER Ly�� ,0011/ Telephone 1
FREEDOM OF INFORMATION OFFICER =
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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. 2103 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1 : PO BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
REPLACEMENT OF EXISTING CESSPOOL.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner BOWER, JOHN & KATHLEEN
Mailing Address 1 2740 MAIN BAYVIEW ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 MAIN BAYVIEW ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 75.00 block 4 lot 21 .000
Cross Street GLENN ROAD
Building Permit Number Cross Reference:
Issue Date: 7/06/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLEyam► Town Hall, 53095 Main Road
TOWN CLERK p 'g P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Cl) Z Southold, New York 11971
MARRIAGE OFFICER ‘1),f, Fax(516) 765-6145
RECORDS MANAGEMENT OFFICER =?,jf� 4$ot- Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER :.l * s•d
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: June 23, 1999
Transmitted herewith is a copy of application No. 2191 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peocnic Cesspool for John & Kathleen Bower
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.
"1
Linda J. Cooper
* * * * * * * * * * * * *
I
have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
Signature
6 / a- `/ / qq
Date
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