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Home My WebLink AboutHiggins (4) ULAic- JUDITH T. TERRY =_, .,= F„ y� Town Hall 53095 Main Road TOWN CLERK =._ ` P.O. Box 1179 .a 2Z ® Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ��ems ® $ ��` Fax (516) 765-1823 � MARRIAGE OFFICER e_ Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER ®� ° FREEDOM OF INFORMATION OFFICER _ ��.Ai��!��` OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1276 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 A CESSPOOL TO AN EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner HIGGINS, LAWRENCE Mailing Address 1 P. O. BOX 865 City St Zip MATTITUCK NY 11952 Property Address 1 LUPTON POINT City St Zip MATTITUCK NY 11952 Tax Map No. section 115.00 block 11 lot 16.000 Cross Street MARRATOOKA ROAD Building Permit Number Cross Reference: Issue Date: 1/19/95 Judith T. Terry Southold Town Clerk (TOWN SEAL) ,a7j. T ,, ____ T ••ii\stHi Or 799 et; , JUDITH T.TERRY 1© ' '' �-y �� , Town Hall,53095 Main Road TOWN CLERK k _ --r.1-01,- t P.O.Box 1179 wy q- :,' ., 0: Southold,New York 11971 REGISTRAR OF VITAL STATISTICS : ®,p 6 " - 1 Fax(516)765-1823 MARRIAGE OFFICER . : ®� 11 RECORDS MANAGEMENT OFFICER -jell 0 .0/. Telephone(516)765-1800 FREEDOM OF INFORMATION OFFICER '''''•• „.. ,.•'' _r 7, --- -- i OFFICE OF THE TOWN CLERK ;JAN _ 1995 LILi TOWN OF SOUTHOLD j TO: Southold Town Building Department BLDG.DEPT FROM: Linda Cooper, Southold Town Clerk's Office TOWN OF SOUTHOLD DATED: January 6, 1995 Transmitted herewith is a copy of application No. A1323 for an ALTERATION PERMIT for a cesspool or septic system submitted by _poo-__Aeall:sc...ces_Pbt k C.1. _for Lawrence Higgins . 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 llowing recommendation: �_ ��pt�® APPROVE - L,��T�® REQUIRED DISAPPROVE - COMMENTS: Maintain required setbacks from adjacent wells, buildings, property lines and water bodies. EXCAVATION INSPECTION REQUIRED. Signa nre / Date /// OFFICE OFA THE TOWN CLERK ,,,'"" Town of Southold ,1'��40our ti-___ Judith T. Terry, Town Clerk .%` Application No. Town Hall, 53095 Main Road Z .G "= Z Construction �"" P. 0. Box 1179Alteration Southold, New York 11971 s trll W�,' Telephone °,y�o �,��,' $10.00 - Residential :[� (5 6) 765-1801 1 '0 , $25.00 - Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE CVO( /95 , 1,/,/ APPLICANT NAME: 4 �� D,6, „ 8` / J // APPLICANT ADDRESS: %may i SEPTIC CESSPOOL DESCRIPTION 0 PROPOSED CsNST' UCT ION OR ALTERATION i c.t_di • is_ liE.� -.111E LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: 42 Le--- A c` OWNER MAILING ADDRESS: /63/7 /13,r 4k-Cr--- . OWNER PROPERTY ADDRESS: 4, P ______________ , TELEPHONE N-14MB€UF CONTACT PERSON: r , 1r67cr, TAX MAP NO. : Section ti S Block it( Lot 4 CROSS STREET: ,t BUILDING PERMIT NUMBER CROSS REFERENCE: .1 ' , . i.,A).'/,/ Signature of Ap.,icant RECEIVED BY: Town Clerk's Office DATE: J 2&,,Z-4:/ ,1"-- C----- .. /V/ ,,,, t-...,--" ile-z_c_ • ., , 5 . ' . .A.7.A/ .//, . "iy i.,;-,,,t., . , ,.--- . . . et.7 -- c vky ( / Gae._.