HomeMy WebLinkAboutField, Richard /'�II.'�s I OLf /1D
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'_*' Town Hall, 53095 Main Road
10 ��� P.O. Box 1179
----_71
����'� Southold, New York 11971
JUDITH T.TERRY =------,,,#//00� '0 FAX(516)765-1823
TOWN CLERK TELEPHONE(516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 581 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF NEW OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. NOTE: HOLD 12'0" SEPARATION. EXCAVATION
INSPECTION REQUIRED. CALL 765-1802 FOR AN APPOINTMENT AT LEAST 24
HOURS IN ADVANCE.
Name Of Owner FIELD, RICHARD
Mailing Address 1 1520 WESTVIEW DRIVE
City St Zip MATTITUCK NY 11952
Property Address 1 1520 WESTVIEW DRIVE
City St Zip MATTITUCK NY 11952
Tax Map No. section 107.00 block 7 lot 14.000
Cross Street BROWER ROAD
Building Permit Number Cross Reference:
Issue Date: 2/01/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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�1 I � Ut `}a(jE DA k. �'�. trYi ,,Nr-r �� Town Hall, 53095 Main Road
TOWN OF 661 .��e� P.O. Box 1 179
•:O : t i ;re Southold, New York 11971
JUDITH T. TERRY 10-
TELEPHONE
TOWN CLERK
(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Janaury 31, 1990
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A,9S for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Richard Field
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 - b
DISAPPROVE -
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OFFICE OF THE TOWN CLERK WO �CI�`
Town of Southold
Town Clerk1� 0y : Application No./" 5 5S
Judith T. Terry,
Town Hall, 53095 Main Road g Construction
AR
P. O. Box 1179
Southold, New York 11971 ��`J Alteration
�Ol � ��� ��/ Residential
Telephone �--
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 1/2?-,A)
APPLICANT NAME: ("M-- AiAlei
APPLICANT ADDRESS: ^yye /-&f,x17 2
SEPTIC CESSPOOL c/
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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(6/2--=7/7-1---6
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 1'. - 1-sr
OWNER MAILING ADDRESS: /'sZS'
OWNER PROPERTY ADDRESS: • / f
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section /0 2 Block '7 Lot /ie.
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of App ant
•
RECEIVED BY:
Town Clerk's Office
DATE:
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