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HomeMy WebLinkAboutSmith (18) „ ��� ����d� JUDITH T. TERRY tE 177. Town Hall, 53095 Main Road TOWN CLERK ® P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold New York 11971 MARRIAGE OFFICER® ''�. Fax (516) 765-1823 ea ® e} Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 819 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : RAY NINE Address 1 : P. O. BOX 1401 City St Zip MATTITUCK NY 11952 Descripton of Proposed Construction or Alteration ADDITION OF TWO NEW OVERFLOW POOLS TO AN EXISTING SYSTEM. APPROVED AS SUBMITTED. HOLD 10'0” SEPARATION. EXCAVATION INSPECTION REQUIRED. CALL THE BUILDING DEPARTMENT (765-1802) FOR AN APPOINTMENT. Name Of Owner SMITH, THORNTON E. Mailing Address 1 44 BROOKSIDE DIRVE City St Zip PLANDOME NY 11030 Property Address 1 PRIVATE ROAD City St Zip MATTITUCK NY 11952 Tax Map No. section 123.00 block 6 lot 15.000 Cross Street CAMP MINEOLA ROAD Building Permit Number Cross Reference: Issue Date: 4/10/92 Judith T. Terry Southold Town_Clerk (TOWN SEAL) „,,,LY%,,%iii_ Z® �% ”. Town Hall, 53095 Main Road JUDITH T. TERRY TOWN CLERK ti ® P.O. Box 1179 REGISTRAR OF VITAL STATISTICS % Southold, New York 11971 MARRIAGE OFFICER Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK ..«Fn , TOWN OF SOUTHOLD � / ` � April 10, 1992 ; ' k; APR 1 u 1992 ';;i To: Southold Town Code Enforcement 'Officer - - - J From: ,Linda J. Cooper, Southold Town Clerk's Office— Transmitted herewith is a copy of application No. A 846 for an ALTERATION PERMIT for a cesspool or septic system submitted by Ray Nine for Thornton E. Smith . 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. 41,/-x. --0,--, Linda J. Cooper * * * * * * * * * * * * * I have reviewed the application and location map of the project listed above and make the following recommendation: APPROVE - X DISAPPROVE - COMMENTS: q o .,,,,SL, cc' D-v, catad( ..e • Atka-. U-0 . C ut /+1k.c..."- 0.4.4) .0R e.dArN. V *tt943 , 0:Se A Nr14,4 - 0 t4:11/4 \ A f a ,,,.. , 0 „„,,, sis, % , Signature LI\ )CS\ IN')--- Date Sr- • OFFICE OF THE TOWN CLERK "', Town of Southold .''1./ \MI.A' Q� ry; Application No.ft Judith T. Terry, Town Clerk �� : Town Hall, 53095 Main Road :G Construction P. O. Box 1179 . = i ,�, • Alteration Southold, New York 11971 %0�, _ ���' $10.00 - Residential Telephone L `a , (516) 765-1801 '�O1 , " $25.00 -Non-Residential • ,,# I , TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION `" - - for CONSTRUCTION or ALTERATION PERMIT r " SEPTIC TANK or CESSPOOL Permit No. Fee $ /Q � DATE / °/ y 2, APPLICANT NAME: ]' ff iU 1'✓ 7`U h/ r s' 1711/ APPLICANT ADDRESS: G/ L/ /3 ,k ,c / E /f j v-4 Po 8 /C/O( (4)9/v , //a3� LfY1 r. . • SEPTIC CESSPOOL V DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /R/5-T 49G L. T W G ,ti•f- W O GBl/ FLGW /GODS LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: T# /16 h' To yv . rel 711 OWNER MAILING ADDRESS: i)'i .6.8p/A s/41e /(/ y'F' OWNER PROPERTY ADDRESS: y0n„ ' - 0�@G,{ l(4a , �rllG-P'�- • TELEPHONE, NUMBER OF CONTACT PERSON: TAX MAP NO. : Section 1�3 Block Lot /5 CROSS STREET: G om f ?� t�v FU�- � 61170 BUILDING PERMIT NUMBER CROSS REFERENCE: (1 ; /P ' �y�s� ig,ature of Applicant RECEIVED BY: • Town - lerk's Office • DATE: -i-ld - 2� I ��� �✓� � sly I ^+ 0 SANK perp / (LA Sc © VV