HomeMy WebLinkAboutNowachek (2) OFFICE OF THE TOWN CLERK c�FFLire
Town of Southold • -
Judith T. Terry, Town Clerk . =
Town Hall, 53095 Main Road • c .�
P. O. Box 1179 ��' � �--a :
Southold, New York 11971 O_0` �O�-..:,
Telephone d �./0/
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 114 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool x
PERMIT ISSUED TO:
NAME: Richard Magill (Peconic Cesspool)
ADDRESS: P.O. Box 972
Mattituck. New York 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
Additional cesspool.
RESTRICTIONS: Place within 15' of existing cesspool.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Anthony Nowachek
OWNER MAILING ADDRESS: P.O. Box 355
Cuthcogue. New York 11935
OWNER PROPERTY ADDRESS : Fleetwood Road
Cutchogue. New York 11935
TAX MAP NO. : Section 110 Block 4 Lot
CROSS STREET: Pequash Avenue
BUILDING PERMIT NUMBER CROSS REFERENCE:
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Judith T. Terry
Southold Town Clerk
DATE : March 9, 1987 •
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JUDITH T. TERRY /00 TELEPHONE
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TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 9, 1987
To: Richard Magill - Peconic Cesspool
From: Linda Cooper, Town Clerk's Office
Enclosed herewith is Construction or Alteration Permit No. /\114
for Anthony Nowachek
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)‘� Southold, New York 11971
JUDITH T. TERRY
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TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 4, 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. A118 for an
ALTERATION Permit for a cesspool or septic system submitted by
Richard Magill (Peconic Cesspool) for Anthony Nowachek .
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.
Pait)
Linda• o J--Cooper
Clerk
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I have reviewed the application and location map of the project cited
above and make the following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: ���� / S —v
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Date
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O'FFICe OF THE TOWN CLERKc,31FDL4C
Town of Southold &��SG
Judith T. Terry, Town Clerk GT'f:A : Application No./9//.,
Town Hall, 53095 Main Road `'r `' ' Construction
P. O. Box 1179
Alteration ✓
Southold, New York 11971 .y,
Telephone Ol ; Residential L/
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
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Permit No. • -
4767' Fee $ /D
DATE /"/rn/ 5/�_41-'7
APPLICANT NAME: / '9if_///42tJf ",2g-co/v/C,&9 O/£ zdc br`
APPLICANT ADDRESS: ieQ, f 9' 772.-
, M-777T -,r /!/may f/9
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION': /
OWNER OF PROPERTY: i2� dam/, , /v� /9e -
OWNER MAILING ADDRESS: era, e„--,J. -5 //E t/4/0 ,/ R./- -
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OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section t9 Block Lot
CROSS STREET: /efts-rA 4,%emr"
BUILDING PERMIT NUMBER CROSS REFERENCE:
/4rie
Signat re of Applica
RECEIVED BY: c2f,...Ly) G_ Q
1. Town gl'lerk's Office
DATE: i'ir;
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