HomeMy WebLinkAboutPlimpton JUDITH T. TERRY O Si..1 Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS : T i Southold, New York 11971
Fax (516) 765-1823
MARRIAGE OFFICER '�`�
�'0r Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 707 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
ADDITION OF ONE OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. DO NOT EXCEED 12'0" SEPARATION OF POOLS.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner PLIMPTON, ELIZABETH
Mailing Address 1 P. O. BOX 613
City St Zip CUTCHOGUE NY 11935
Property Address 1 NEW SUFFOLK AVENUE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 116.00 block 6 lot 11 .000
Cross Street SHORT ROAD
Building Permit Number Cross Reference:
Issue Date: 5/08/91 Judith T. Terry
Southold Town Clerk
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'' MAY ® 31991 ; 1 i , ';'',/ '' ;,' _
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IL ', _IL ' - jJ Town Hall, 53095 Main Road
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;;Of E�,a,� - , �' :>.:^',y, P.O. Box 117
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Southold, New York 11971
JUDITH T.TERRY �,, ,rZ:;� TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office
' Dated: May 3, 1991
Transmitted herewith is a copy of application No. A726 for a Cesspool/
Septic Tank Construction Permit submitted by:
Peconic Cesspool for Elizabeth Plimpton .
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE x
DISAPPROVE t
•
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\�.‘ Signature
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Dated
N./- AY0819P
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OFFICE OF THE TOWN CLERK ,,,,"""
Town of Southold �0"c5IFU[xe►.
Judith T. Terry, Town Clerk �o '4:- Application No.4-7.2
Town Hall, 53095 Main Road ;• Construction
P. 0. Box 1179 we
v .' Alteration
Southold, New York 11971 ct'� _ - •.
Tele hone �® - Q��•• $10.00 - Residential
(516) 7p65-1801 A�01 � '� $25.00 -Non-Residential
"1110,,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
APPLICANT NAME: 464/2t4„4., /
APPLICANT ADDRESS: p 8 61 '17z-
SEPTIC CESSPOOL C/
DESCRIIONFPROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTIO,N OR ALTERATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: /gQt .0 6/3
OWNER PROPERTY ADDRESS.:
TELEPHONE NUMBER OF CONTACT PERSON: a"--fl/�?"
TAX MAP NO. : Section '1, 1 (p Block (e Lot f I
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:-
SEE ILOag ��(�
Signatu` of Applicant
RECEIVED -BY l p
sad Town I k's Office
DATE: •
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