HomeMy WebLinkAboutSheppard (2) so fir
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,�' Town Hall, 53095 Main Road
P.O. Box 1179
bycj� uNj iop Southold, New York 11971
JUDITH T.TERRY . ,,zii�`/� FAX(516)765-1823
TOWN CLERK TELEPHONE(516)765-1801
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. 607 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECON I C CESSPOOL
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF NEW OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. HOLD TO 12'0" BETWEEN POOLS. EXCAVATION
INSPECTION REQUIRED. CALL 765-1802 FOR AN APPOINTMENT.
Name Of Owner SHEPPARD, WARREN
Mailing Address 1 1925 WEST CREEK AVENUE
City St Zip CUTCHOGUE NY 11935
Property Address 1 1925 WEST CREEK AVENUE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 110.00 block 2 lot 6.000
Cross Street MIDWOOD ROAD
Building Permit Number Cross Reference:
Issue Date: 5/04/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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111,\ APR 2 4199011
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�3�_Dr 1 pi ` , ; Town Hall, 53095 Main Road
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SCD wN OF SOUTHOLD tr� "" '����•� P.O. Box 1179
1 O.
Southold, New York 11971
JUDITH T. TERRY '�To"so-'
TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
-
TOWN OF SOUTHOLD
April 24, 1990
To: Southold Town Code Enforcement 'Officer
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A622 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
_Peconic Cesspool for Warren Sheppard
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
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - DC
DISAPPROVE - ,
COMMENTS: cZ, yr,,Qc. a,tS cr-., c ec).4,a cl `('.c� , A aL.
V1 t,)..._ \A Yr: '..I.A..
Signature
PS ACIA. C9,....
\ k04‘/% L14 .\e\ck0
Date
0.
OFFICE OF THE TOWN CLERK cOFUL4 - _
Town of Southold O�0
Judith T. Terry, Town Clerk �,. =. % Application No. r�
Town Hall,. 53095 Main Road canConstruction
P. O. Box 1179 O y� Alteration k.
Southold, New York 11971 -cifei �O ,.
Residential
Telephone [
(516) 765-1801 '0
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE -14/?iW &.•
APPLICANT NAME: ta-C4/2,1z.t.i /
APPLICANT ADDRESS: x.-47 /2 972
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALW ATION:
OWNER OF PROPERTY: /�i%a-�•s.. SAWZ
OWNER MAILING ADDRESS: /,j e4,4-2-4--e-
2 d 4
OWNER PROPERTY ADDRESS: c�-2-,,.�
TELEPHONE NUMBER OF CONTACT PERSON: .0.1"-fJ %6 $7
TAX MAP NO. : Section //2 Block 2.— Lot "er.'
CROSS STREET: ,fL. ie•-riv---d 41
BUILDING PERMIT NUMBER CROSS REFERENCE:
.A.,,..„„,,it.; . 2,,, , -
Signature of Appl' ant
RECEIVED Bim/
Town Clerk's Office
DATE: APR 2 41:•:J
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