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OFFICE OF THE TOWN CLERK S\FFOCr(��,�
Town of Southold ��
Judith T. Terry, Town Clerk A
Town Hall, 53095_Main Road-
P: O. Box 1179 .Lr2 VA pitIM, �►`�
Southold, New York 11971 O , 4 � ��. -
Telephone !
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. A194 Residential X
Fee $ 10.00 - Non-Residential
Septic Cesspool X
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PERMIT ISSUED TO:
NAME: ' Richard Magill d/b/a Peconic Cesspool
ADDRESS: P.O. BOX 972
Mattituck, New York 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
Additional overflow to existing system.
APPROVED as per i.subm.itted plans.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Richard Pollett
OWNER MAILING ADDRESS: 85 Beach Road
Greenport, New York 11944
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OWNER PROPERTY ADDRESS : 85 Beach Road
Greenport, New York 11,944
TAX MAP NO. : Section 43 Block 3 Lot 7
CROSS STREET: Manhasset Road
BUILDING PERMIT NUMBER CROSS REFERENCE: N/A
Judith T. Teri-
Southold Town Clerk
DATE : July 8, 1987
(TOWN SEAL)
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:S'r iti Y r3iY 4%i
Lc) • � fs; 4 �� Y ,\ Town Hall, 53095 Main Road
V P.O. Box 1 179
r � oi Southold, New York 11971
JUDITH T. TERRY 4?.."/Si° TELEPJIONF
TOWN CLERK (-516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
July 8, 1987
Richard Magill -
Peconic Cesspool
P.O. Box 972 •
Mattituck, New York 11952
Re: Richard Pollett
85 Beach Road
Greenport, New York 11944 -
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 6yours,
Judith T. Terry
Southold Town Clerk
Enclosures (3)
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I1 1987 f t9- t*- i' r, . Town Hall, 53095 Main Road
` ;�� P.O. Box 1179
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_._ v_ OLD l.Ll� M, 1� Southold, New York 1 1971
TOWN OF SOUTHOLD
JUDITH T. TERRY ----------„ ..�....,,,/,_6, TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
June 30, 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. A193 for an
ALTERATION Permit for a cesspool or septic system submitted by
Peconic Cesspool for Richard Pollett .
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.
g
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 -
ej}4.......
COMMENTS: 0..i `
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Y: ---4 C319.0....2—vc4-4...L
Signature
-itsIii
Date
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OFFICE OF THE TOWN CLERK ,c,1FUL4�o
Town of Southold �Q� � Application No.� �%3
Judith T. Terry, Town Clerk i _Y` z k,
Town Hall, 53095 Main Road 'f r ` " Construction
P. O. Box 1179 % t
Southold, New York 11971 O ® ! Alteration
Telephone 01 t Y+���'�, Residential .'
(516) 765-1801 I Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. -
Fee $
DATE 6/7 Ai?
APPLICANT NAME: /4,(1C.--/1/9-/Z1,1-6;t( ( C, S poo C
APPLICANT ADDRESS: /?o' 'v/- 971-
, 7.g77-; /: of/- // 95-7--
SEPTIC
S7--
SEPTIC CESSPOOL1
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
nete7//r7, w n--4- A7o L',Fo S 7;'vf$'/
LOCATION MAP: Must be attached hereto before permit .may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
7OWNEOWNER OF PROPERTY: / r fiep./1/ --77-
OWNER
R MAILING ADDRESS: /''J c-% /Z/
6'%ZE a'//,JGl2 7-
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OWNER PROPERTY ADDRESS: `i—
TELEPHONE NUMBER OF CONTACT PERSON: 274-- 7C SS' •
TAX MAP NO. : Section 413 - Block � Lot
CROSS STREET : ,4.4/x"/4 g 7 4--e/
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant • /
RECEIVED BYer.flf' L � J •
Town Clerk's
i7Office
DATE: JUN 2 9 19E7
Thwr Mert, Southole
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