HomeMy WebLinkAboutMoreno (2) 144..$Z0, , aig,"--
; Town Hall, 53095 Main Road
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' _ P.O. Box 1179
��n Southold New York 11971
JUDITH T.TERRY "'"ilii/
TELEPHONE 765-1823
NE765-1801
TOWN CLERK
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 628 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
ADDITON OF AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. DO NOT PLACE ANY CLOSER TO WELL POINT.
EXCAVATION INSPECTION REQUIRED PRIOR TO COVERING. CALL 765-1802 FOR
AN APPOINTMENT.
Name Of Owner MORENO, CONSTANCE AND JOSEPH
Mailing Address 1 990 SIGSBEE ROAD
City St Zip MATTITUCK NY 11952
Property Address 1 990 SIGSBEE ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 144.00 block 1 lot 1 .000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 7/20/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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, ` Town Hall, 53095 Main Road
y-9 -� �',% f* P.O. Box 1179
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JUDITH T. TERRY ''"� 0-11 TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD ^ -,,___1'2_1`
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July 19, 1990 ' 1
j\t4 JUL 191999
To: Southold Town Code Enforcement 'Officer 11 _-.
TOWBLDG.F ayaoLg� "
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A646 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Constance and Joseph Moreno .
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.
4ciudw
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the followin ecommendation: -
APPROVE -
DISAPPROVE -
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COMMENTS: !yam- eir,"��
acg C1\
p,110" 90
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Signature
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OFFICE OF THE TOWN CLERK ,,,'"'""""'
Town of Southold �.�'�� If c �
�J �0 Application No. C 7 �O
Judith T. Terry, Town Clerk �%1 ��-. ' �y'�
Town Hall, 53095 Main Road $ ,_ 4'' Construction r
•P. O. Box 1179 ; o 0: . - rrrt ; Alteration
Southold, New York 11971 thti - $
Telephone =y®,j�o ����.i• $10.00 - Residential
(516) 765-1801 = 1
$25.00 -Non-Residential
...,,,,,
TOWN OF SOUTHOLD
SOUTHQLDi WASTEWATER DISPOSAL DISTRICT
t
APPLICATION
for
,, CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee -$
DATE 7/1/7/91
APPLICANT NAME: /e"--e-'z.r-7T-e-.<..,' ea-e--ri-07--le'
APPLICANT ADDRESS: ,4/, 42wry Jam, z
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
e
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ,i " , L7' /4... ..'A&.6?-/VO
OWNER MAILING ADDRESS: ./�s
OWNER PROPERTY ADDRESS: _��.7�„.._
TELEPHONE NUMBER OF CONTACT PERSON: 2- 'P 71,V
TAX MAP NO. : Section T T Bloc I Lot I\CROSS STREET:
BUILDING PERMIT NUM ER CROSS REFERENCE:
'41 ' /'r
Signatur jof Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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