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HomeMy WebLinkAboutHoman (4) JUDITH T. TERRY �� O (, Town Hall, 53095 Main Road TOWN CLERK ` 0•••• Z • P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Fri ISouthold, New York 11971 MARRIAGE OFFICER Fax Fax (516) 765-1823 ®�'��4 Telephone (516) 765-1801 - 0 $ ,, OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 673 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : SEA BREEZE CESSPOOL SERVICE Address 1 : P. O. BOX 156 City St Zip CUTCHOGUE NY 11935 Descripton of Proposed Construction or Alteration ADDITION OF A NEW CESSPOOL TO AN EXISTING SYSTEM. APPROVED AS SUBMITTED EXCEPT THE DISTANCE FROM THE GREASE TRAP TO THE NEW POOL TO BE 45'0". EXCAVATION INSPECTION REQUIRED. CALL 765-1802 FOR AN APPOINTMENT. Name Of Owner HOMAN, KEN Mailing Address 1 1180 GRATHWOHL ROAD City St Zip NEW SUFFOLK NY 11956 Property Address 1 1180 GRATHWOHL ROAD City St Zip NEW SUFFOLK NY 11956 Tax Map No. section 117.00 block 4 lot 8.000 Cross Street FANNING ROAD Building Permit Number Cross Reference: Issue Date: 1/14/91 Judith T. Terry Southold Town Clerk (TOWN SEAL) ,v im��v Dlx,o� 0 Cg© --fi ii ,'_ : ..::"1-7-7 � Li J 9 p T 1999 .,I _ _.v. -.pc, _= i in . �, ;` `--"".. t`� BLDG. Hall S 95 Main Road TOWNG. DEPT. OF sUt1TF6, O. Bo 1 179 •....... 1 ..3( o d lea York 11971 JUDITH T. TERRY "' oil TELEPHONE TOWN CLERIC (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD _ January 4, 1991 To: Southold Town Code Enforcement Officer - From: Linda J. Cooper, Southold Town Clerk's Office Transmitted herewith is a copy of application No.A 691 for an ALTERATION PERMIT for a cesspool or septic system submitted by Seabreeze Cesspool for Ken Homan 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. w • Linda J. Cooper * * * * * * * * * * * * * I have reviewed the application and location map of the project listed above and make the following recommendation: APPROVE - DK ---- -- DISAPPROVE - COMMENTS: ct.,, .I.,,,LI U,,) Zjita..!'4 . C pr,,t (�; , -1)-2,,t.:-frr, G %To A) -14.0 i'd-4) .b Lst ,.......__Lh"----/ 0 ::=, tc,,..u.. z...„)"-17"L)LIAAr -1 _ le_95,,,,L,40 CS‘\44, \ /(C)f;"ealf4-4-4Q- . _ T • '''\4b C51 Signature f, <,;,.1..0,0* ; ! 1 t 1 . Date bl , .� . " . .q . azo.n:.r ,,t ...._`:v.s.isb. a _...,,,- . .:. ..- _,. -, - ,.: -,..- ... =t.a i�a.�nz,ic-"nc-:ti--.✓'Li'- :.ic:,,:...'.;=....4 „, _v«.�.:,.:w-: V1k OPF10E OF THE TOWN CLERK ,,'' "'- Town of Southold e'��,stf lxe'l = Application No. 7s/ Judith T. Terry, Town Clerk `; Gy Town Hall, 53095 Main Road ` Construction P. O. Box 1179 o 1-11 V =m Southold, New York 11971 cn � Alteration Telephone l �O�i/ $10.00 - Residential (516) 765-1801 * , �' $25.00 Non Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No.�j Fee .$ II DATE C q APPLICANT NAME: SeC 11C eZ C C €55 PCU 1 Servat e• APPLICANT ADDRESS: , is t`n D c c -7 SEPTIC CESSPOOL / DESCRIPTION OF PROPOSED -CONSTRUCTION OR ALTERATION Ok V) 664 Pod t LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: k Hyl /-40/// q OWNER MAILING ADDRESS: ILO I'L1 1O t . he k/ SU1 i/ l (' OWNER -PROPERTY ADDRESS: ! ko 141 / O Q fl e k/ 504-r-d//c TELEPHONE NUMBER OF CONTACT PERSON: )Z 3- 3 1 S 1 TAX MAP NO. : Section l /7 Block Lot e CROSS STREET: EGM n c 1 • BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Applicant RECEIVED BY: /I41 —4a Town Clerk's Office - _ •' DATE: � 4/79 s . = Ectnhcii Feel -7('\11 )5‹ ) Cb J, cy 1 Cb 0 • • psis.,„,. f-h---rg—g--- --------;.----, , ,.. ,.� UCFQ(,,n _ r ! i it -v' = JAN — f l • _ 7 19 91 t ii . - 0 44. u,. ' :' -; �,,� BLDG. Deo n` I 11, 53095 Main Road O",�i��'-_.�_.: � � �,�>�OWtV OF BOE!�t-COLD I ;�,�ms•--' , ��'�•` P:O.-.Box 1179 ='0.1 i\W0 Southold, New York 11971 " ' . JUDITH T. TERRY !",II TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERIC TOWN OF SOUTHOLD `'^' `„ Janaury 4, 1991 To: ' Southold Town Code Enforcement 'Officer From: Linda J. Cooper, Southold Town Clerk's Office Transmitted herewith is a copy of application No. -6 692 for an ALTERATION PERMIT for a cesspool or septic system submitted by Vincent Annabel and others • `wr Please review the application and location map and advise if this office may issue the permit. ,, :