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OFFICE OF THE TOWN CLERK C�FFO(/rz,'
Town of Southold , DEQ s� Olj
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Judith T. Terry, Town Clerk ` 42A.
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Town Hall, 53095 Main Road z r4, 3.1,
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P. O. Box 1179 .to r,
Southold, New York 11971 04,1'
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Telephone �l ifs I,/�.
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. A251 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Richard Magill d/b/a Peconic Cesspool
ADDRESS: P.O. Box 972
• •
Mattituck, New York 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
Replace existing cesspool with- new type.
•
APPROVED with the stipulation that the new pool is not to exceed 15'0" from existing
pool in opposite direction of well. . -
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Becky Johnston
OWNER MAILING ADDRESS: 471 West 22nd Street .
New York, New York 10011
OWNER PROPERTY ADDRESS : Bridge Lane Extension
Cutchogue, New York 11935
TAX MAP NO. : Section 73 Block 2 tot 1
CROSS STREET: Oregon Road -
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
Judith T. T y
Southold Town Clerk
.
DATE November 9, 1987 -
(TOWN SEAL) I -
eiffINMI AN,
1010 C�� FOLA /.
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v. -1,,--v----,,4\--) P.O. Box 1179 ,
30,�° 4i N ,l Southold, New York 11971
JUDITH T. TERRY 4"'•'"""'01. TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
November 9, 1987
Richard Magill d/b/a Peconic Cesspool
P.O. Box 972
Mattituck, New York 11952
Re: Becky Johnston
Bridge Lane Extension
Cutchogue, New York 11935
Enclosed herewith is the Construction, Alteration or Modification _
Permit for -a Septic Tank or Cesspool System for which you applied.
Please be advised that each owner of real property operating an
on-site sewage disposal system, such as a septic tank or cesspool must,
• prior to such operation, possess in the name of the owner an Operation
Permit for the system. The Operation Permit is issued by the Town
Clerk's Office.
The fee for an Operation Permit is ten dollars ($10. 00) for •
residential use and twenty-five dollars ($25.00) for non-residential.
Please have the owner complete the enclosed Application for an Operation
Permit and return it to this office along with the proper fee.
For your general information I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by the Southold
Town Board. Should you have any questions pertaining to either permits
or the Scavenger Waste Laws, please do not hesitate to contact -this
office. We will be glad to assist you in any way possible. -
Very truly yours,
• Judith T. Terry
Southold Town Clerk
- Enclosures (3)
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C.,1Fair I. 6198
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t=3y 'i TOWN OF SOUTHOLD
Town iTa�T753095 Main Road-
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-4-./4/1 Plit y of° Southold, New York 11971
JUDITH T. TERRY '"���" _ TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
November B, 1987
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A255 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Richard Magill d/b/a Peconic Cesspool for Becky Johnston .
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 -
DISAPPROVE -
COMMENTS: &) „2,j / c' 314.9,1,1 )44,4_,t31
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Signature
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Date
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OFFICE OF THE TOWN CLERKc.jVFFLiY _
Town of Southold CO
G . Application No.,9S 5
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road • "� '" Construction
P. O. Box 1179 � E' ."- �� �
® Alteration
Southold, New York 11971
of
Telephone Residential
(516) 765-1801 ,-
' ' NonResidential
TOWN OF SOUTHOLD -
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for`
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL =-
Permit No.
Fee .$
DATE
APPLICANT NAME: /��LA e J le /11111601[ %� C3/ sr
APPLICANT ADDRESS: ,qD • 972-
777
SEPTIC , CESSPOOL II"'
_ 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:
OWNER MAILING ADDRESS: `f/6r3 tZZ 4/4/S71":44--a-
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OWNER PROPERTY ADDRESS: G, J'
�✓ 41' ,15-A1 (ea/' 7./e4 k",1177;.v s;oil
Cv7e—A � 9 'a- A,.k //fY5
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section 73 Block 2 Lot
CROSS STREET: 6/(, 7 p/t) Z Y "
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
Signature of Ap.icant
RECEIVED BY: .
Town Clerk's Office -
DATE: -
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