HomeMy WebLinkAboutHartge (2) Ià'
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Town Hall, 53095 Main Road
.„u T�? P.O. Box 1179
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o�®% � Southold, New York 11971
JUDITH T.TERRY M
TOWN CLERK ilio'i1�11/11 TELEPHONE
(516) 765-1801
REGISTRAR O} VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 382 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MAGILL, RICHARD
Address 1: PECONIC CESSPOOL
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF NEW OVERFLOW TO EXISTING SYSTEM.
APPROVED AS SUBMITTED WITH THE STIPULATION THAT THE NEW POOL IS NOT
MORE THAN 15' 0” FROM THE OLD CESSPOOL.
Name Of Owner HARTGE, KIETH
Mailing Address 1 WILLOW POND LANE
City St Zip SOUTHOLD NY 11971
Property Address 1 WILLOW POND LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70. 00 block 9 lot 66. 000
Cross Street CLEARVIEW ROAD
Building Permit Number Cross Reference:
Issue Date: 8/10/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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oFol � ork 1971. • iTOWN OFSu 1-11)L'Air..irr iirJUDITH T. TERRY
ELEIiONE
TOWN CLERK
(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
August 9, 1988
To: Victor Lessard, Southold Town Building Department
•
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. 388 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Richard Magill for Keith Hartge
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 - X
DISAPPROVE -
COMMENTS: r. Azej r_ SAfa 9
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VArCTE117
Signature
Date 2// U/V2
OFFICE OF THE TOWN CLERK FUL -
Town of Southold
Application No. cYg
Judith ;T. Terry, Town Clerk r _•: ,C
Town Hall, ` �
53095 Main Road Construction
. F�, FYr
P. O. Box 1179 u... 114" ~� � J Alteration
Southold, New York 11971 SO '
�lt � ; Residential
Telephone
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No.
Fee .$
DATE
APPLICANT NAME: /&4', L /17 r 'CC 4..9- 4-6 00t' - - ,o0 G
-APPLICANT ADDRESS: "9. 0 9 7 L
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SEPTIC CESSPOOL 1/
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:
f ✓�� fJ OWNER MAILING ADDRESS: •
OWNER PROPERTY ADDRESS: .C --e-
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : " Section � Block 9 Lot
CROSS STREET: G j az A—it -
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Appli nt
RECEIVED E/ilf - ce.c- �
Town Cterk's Office -
DATE: l'
Town Clerk Southold
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