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HomeMy WebLinkAboutPisano ' _r - - OFFICE OF THE TOWN CLERK c0FUL'e' Town of Southold �G Judith T. Terry,, Town Clerk , Town Hall, 53095 Main Road , z P. 0. Box 1179 :cr3 : her ; Southold, New York 11971, O �V- 4 Telephone (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT ' SEPTIC TANK or CESSPOOL Permit No. A184 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 Relocate existing cesspool APPROVED as per submitted drawing. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Vincent R. Pisano OWNER,MAILING ADDRESS: 52 River Heights Drive Smithtown, New York 11787 OWNER PROPERTY ADDRESS : 1565 Meday Avenue Mattituck, New York 11952 TAX MAP NO. : ' Section 113 , + Block 9 Lot 6 CROSS STREET: Howard Avenue BUILDING PERMIT NUMBER CROSS REFERENCE: N/A Judith T. Terry Southold Town Clerk DATE: June 15, 1987 (TOWN/SEAL) ,x ,1, AMA ? Ln "` ``; `"`'' " ' I Town Hall, 53095 Main Road P.O. Box 1179 izz °'� Southold, New York 11971 JUDITH T. TERRY .U., i 1110TELEPHONE TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL SI ATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD June 15, 1987 Peconic Cesspool P.O. Box 972 Mattituck, New Yo rk 11952 Re: Vincent R. Pisano 1565 Meday Avenue Mattituck, New York 11952 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 ?tours, a,. Judith T. Terry Southold Town Clerk Enclosures (3) _ JTT/Ijc B I `///cp-F u r • !JUS_I2 198 f.r' , ;�a ; Town Hall, 53095 Main Road BLDG. DEPT.TOWN OF SOU T HOLD 10,-* `� 'r `� ` r ; sig P.O. Box 1179 +7/21 � �i���� Southold, New York 11971 JUDITH T. TERRY l�.y;�,Rrs/ TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Victor Lessard, Southold Town Building Department From: Linda J. Cooper, Southold Town Clerk's Office - Transmitted herewith is a copy of application No. A187 for an ALTERATION Permit for a cesspool or septic system submitted by Peconic Cesspool for Vincent R. Pisano 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 Clerk * * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendation: APPROVE - X DISAPPROVE - COMMENTS: o,o Signature 1/@/ 7 Date OFFICE OF THE TOWN CLERK Town of Southold Application N /?7 Judith T. Terry, Town Clerk Town Hall, 53095 Main Road Construction P'. O. Box 1179 Alteration Southold, New York 11971 Telephone Residential (516) 765-1801 - Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. k Fee $ /O DATE i/ fig !.y APPLICANT' NAME: SCO 1G CeS ©d APPLICANT ADDRESS: /gar, Dex '77 /Mgr-771u c t( ,c�Y. ((9,1")---- SEPTIC (9 )SEPTIC CESSPOOL / DESCRIPTIOp OF PROPOSED CONSTRUCTION OR ALTERATION eeie) Utz. • LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERRAATIO OWNER OF PROPERTY: V hc -e ,C. i S 0— YI o OWNER MAILING ADDRESS: T� Rid vex- l r . OWNER PROPERTY ADDRESS:' TELEPHONE NUMBER OF CONTACT PERSON: .7' Q 6' 7_ TAX MAP NO. : Section 1/ ' Block Lot ^ CROSS STREET: /-/ , c,c',,,_ tie BUILDING PERMIT NUMBER CROSS REFERENCE: • 1Le'rkZL Signature of Applicant RECEIVED BY: Rr- (e_evyicf,•.ivn C�rk's Of ce DATE: - <. l1!'a t:-'',/, Southold - r4.4 60,2.'66 -Lace r. -. &-t (,c._6-6. 7 - . - - le'K i 5 %i nl 1441-Se 1 f ,1 I I ( 17 o cL.s G ) 1 a,cfoi,Ti fl,v' 1 L ! I ( zre ) a..ge 1 ' 7 1 I /� G�M,YL Lua y 49 1 r )1 s E J / • e x �ST, nI '' ee3s fdc/ tl (71 frel6, ccz7Q cesspool ( 7I I l \ 1 V ,ifee eJ ! R. ?/ cz A/0 if5( 5 re_do c), ave• fact T?, 7-Lc ') , rt` (). 3 piai /,,va czddaess .5A )-3, v, f-fe� ATS, Aei ✓�' s� .1, #%o0,1nl ./Y. i/ 77 ehQnr€ 17a4—dco76