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HomeMy WebLinkAboutHukill (3) syy-e JUDITH T. TERRY . ='" =-F.,3.' Town Hall, 53095 Main Road TOWN CLERK � ® P.O. Box 1179 (01 <' '�" Southold, New York 11971 REGISTRAR OF VITAL STATISTICS .cP'"> ' Q ,ur�Y'; ��` Fax (516) 765-1823 MARRIAGE OFFICER �• RECORDS MANAGEMENT OFFICER �/� j Telephone (516) 765-1801 EZn FREEDOM OF INFORMATION OFFICER 4"4":w4roi r''''' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1210 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X 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 AN OVERFLOW 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 HUKILL, WILLIAM Mailing Address 1 12632 MAIN ROAD City St Zip EAST MARION NY 11939 Property Address 1 12632 MAIN ROAD City St Zip EAST MARION NY 11939 Tax Map No. section 31 .00 block 14 lot 8.002 Cross Street BAY AVENUE Building Permit Number Cross Reference: Issue Date: 9/26/94 Judith T. Terry Southold Town Clerk (TOWN SEAL) C, 1 j ( k 46 CZt-4441% JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK :® L - P.O. Box 1179 , lirSouthold, New York 11971 REGISTRAR OF VITAL STATISTICS = �.� Fax (516) 765-1823 MARRIAGE OFFICER ® t RECORDS MANAGEMENT OFFICER __�®1 ���i� Telephone (516) 765-1801 FREEDOM OF INFORMATION OFFICER -:"%.,,,,,,,,,,i-i OFFICE OF THE TOWN CLERK 9 IE IVm, TOWN OF SOUTHOLD u �_ . i TO: Southold Town Building Department L SFP I 1994 - FROM: Linda Cooper, Southold Town Clerk's Office ;'L.,.._. / DATED: September 16, 1994 _1---tB OF D• EPT Transmitted herewith is a copy of application No. A1255 for an ALTERATION PERMIT for a cesspool or septic system submitted by Morris Cesspool for William Hukill . 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 - EXCAVATION INSPECTIO DISAPPROVE REQUIRED - / COMMENTS: %,,' ' e -p © i �' / i- , .0 I, / a/ s e > Civ .:�_ � ,,� -: !< ' F 4 4/1111-6C " r ,_ - RECEIVED Apv.,P A ,... ° = ./ SEP 2 3 1994 5ignatur- fawn Clerk Southold /7,0 Dat ti r • OFE CE 1OF THE TOWN CLERK ,,'""'"'- Town of Southold ..." � f our J Judith T. Terry, Town Clerk � �/y 1 Application / �. No. `-5 Town Hall, 53095 Main Road 1; Construction P. 0. Box 1179 Alteration Southold, New York 11971 cI $10.00 - Residential Telephone ,f�O ��0t,'� (516) 765 1801 1 �� $25.00 -Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee •$ • DATE 5, ,r , /lQQ l 6 APPLICANT NAME: 00A S 3.61-4free APPLICANT ADDRESS: 02PZ. �� VC SEPTIC CESSPOOL r- DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached'hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATI//O/ : _ OWNER OF PROPERTY: Zje �i L�% � OWNER MAILING ADDRESS: /2�,,(Z dCe OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: • TAX MAP NO. : Section .7/. Block /4" Lot e?. CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: fiD&" ‘ ignature of Applicant RECEIVED BY: � TowlitEc V s Office DATE: SEP 1 6 1994 fawn Clerk Clerk Southold . _ ,Exy l' 9. 4/ '') 5 A-6 ° I° '&Z-6-79-<-- ------ 71-e-e--()O-- I 4 6ci AI