HomeMy WebLinkAboutSalminen OFFICE OF THE TOWN CLERK c.OFU(x�,
Town of Southold �� - - OG
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Judith T. Terry, Town Clerk .._
Town Hall, 53095 Main Road o
P. O. Box 1179 .
Southold, New York 11971 -= 0N- ••'
Telephone
'170 �,, ••
(516) 765-1801 '
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. A303 Residential x
Non-Residential
Fee $ 10.00
Septic Cesspool x
PERMIT ISSUED TO:
NAME: Peconic Cesspool
ADDRESS: P.O. Box 972
Mattituck, New York 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
Add new overflow to existing system.
APPROVED - MAXIMUM 15' FROM EXISITNG POOL AND NO CLOSER THAT
10' FROM PROPERTY LINES.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Christian B. Salminen
OWNER MAILING ADDRESS: P. O. Box 395
East Marion, New York 11939
OWNER PROPERTY ADDRESS: 240 Lakeside Terrace
East Marion, New York 11939
TAX MAP NO. : Section 31 Block 9 Lot 15
CROSS STREET: Bay Avenue
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
Southold Town Clerk
•
DATE : March 15, 1988
(TOWN SEAL);
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JUDITH T. TERRY i�I��� TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 8, 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. A307 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Christian Salminen .
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: ,Vyis / 5-l-0 "-pII--
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Signature
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Date
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OFFICE L-F THE TOWN CLERK c$FO(r `,�
Town of Southold Application No ,R%7
Judith T. Terry, Town Clerk '3 ""---44:4 %
Town Hall, 53095 Main Road o �' Construction /
P. O. Box 1179 u� r. _� J
Alteration
Southold, New York 11971 .,�• -�X=,=-- � �
l Residential
Telephone
(516) 765-1801
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE 1'/i r
APPLICANT NAME:
APPLICANT ADDRESS: • 7 Z
SEPTIC CESSPOOL��
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: 666. 9#.�i%7...t:��e.e„
OWNER MAILING ADDRESS: A d �9$
ti. 5 /r3,1
OWNER PROPERTY ADDRESS: v
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section .3 /,-1) Block 4 % Lot O •
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:(/'5)
Signature of Appli d t
RECEIVED BY:
TownClerk's Office
DATE: /1/i0
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