HomeMy WebLinkAboutWickham, Thomas (2) oFFO4c
ELIZABETH A. NEVILLE '�� OGy1` Town Hall, 53095 Main Road
TOWN CLERK , c _ , P.O. Box 1179
1 V2 REGISTRAR OF VITAL STATISTICS v. Southold, New York 11971
MARRIAGE OFFICER �
O 1 Fax (516) 765-6145
RECORDS MANAGEMENT OFFICER `.1/4y�fO a0,' / Telephone (516) 765-1800
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. 2110 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF OVERFLOW TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner WICKHAM, THOMAS
Mailing Address 1 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Property Address 1 DEPOT LANE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 102.00 block 2 lot 4.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 7/06/99 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
1 D
7.0F0tit
ELIZABETH A. NEVILLE �`1` t N Town Hall, 53095 Main Road
TOWN CLERK y -4 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS v. T Southold, New York 11971
MARRIAGE OFFICER
O Fax (516) 765-6145
RECORDS MANAGEMENT OFFICER y�f 0�111 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER //'� 4/1
NO
0,01
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: June 29, 1999
Transmitted herewith is a copy of application No. 2198 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris cesspool for Tom Wickham
•
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.
-4 7.'Gf.4--
Linda
.tLinda 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.
f 41, _
ignat
Date
MICE OF THE TOWN CLERK ' G
CE OF TI SOUTHOLD L 'At,' Application No. 19 p
ELIZABETH A.NEVILLE,TOWN CLERK ► f '!%`
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971
Alteration
Telephone 4,tr
�se $10.00 -Residential ✓
(516) 765-1801
__ /it �'� $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION RE+r'!F'fl/ew
for JUN 2 9 1999
CONSTRUCTION or ALTERATION PERMIT ( O l;leCKSWUM
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE dz,
APPLICANT NAME: iV/Y/7/A-
APPLICANT ADDRESS: 2 ?, 2 D,�?Z/ui�cc
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
4o47/4/,14)
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATIO
• OWNER OF PROPERTY: 1 V n W
OWNER MAILING ADDRESS: /974>L) ,
ce 4
OWNER PROPERTY ADDRESS: 4 �c �
TELEPHONE NUMBER OF CONTACT PERSON: fc)--0
TAX MAP NO. : Section /0 Z Block 2 Lot
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
ignature of Applicant
RECEIVED BY: AllbAP
ow clerk's Office
DATE: CQ ect
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11101
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