HomeMy WebLinkAboutSonneborn ol'Icaqf ULA-c-
I' Town Hall, 53095 Main Road
t- O P.O. Box 1179
��,'0,i' Southold, New York 11971
JUDITH T.TERRY ��ti/�/��, 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. 546 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 NEW OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. NOTE: EXCAVATION INSPECTION REQUIRED.
Name Of Owner SONNEBORN, DONALD
Mailing Address 1 132 BREWSTER ROAD
City St Zip SCARSDALE NY 0000
Property Address 1 1825 SMITH ROAD
City St Zip PECONIC NY 11958
Tax Map No. section 98.00 block 5 lot 29.002
Cross Street INDIAN NECK LANE
Building Permit Number Cross Reference:
Issue Date: 9/14/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
,,,
fri7,,,...6v6
ri—i-cr, ,--
,.,_,
,_
,..„„„ ......„
s „ .
0 ci\V F
��'��� 41,
ti4r:} �� SEP 81959 ekr----:--il ,Ill
tat ,,,{ ��`
L70' 0iffjb)95MI
BLDG.DETain Road
®4, •,.. °®��I P.O. Box 1 179
_®( 0,00 Southold, New York 11971
JUDITH T. TERRY t%•�"�"/01°/ TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 11, 1989
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A560 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Donald Sonneborn .
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.
4f....--y_a_,-
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - D(
DISAPPROVE -
•
COMMENTS: ( e_ J1 LJ'c i
, \co r--7.;.c ,----:.,..0 w , e„ -1
���;',Q �� Signature
cc54 Date
OFFICE OF THE TOWN CLERK
fowls of Southold : �
Judith T. Terry, Town Clerk • t Cj Application No. �c.)
Town Hall, 53095 Main Road ` Construction
P. O. Box 1179 'Cat, � `
Southold, New York 11971
® ;« f�®� Alteration
Telephone _ 1 ' , 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.
Fee $
DATE ' Cr, is1r
APPLICANT NAME: ,t;e9Ge::
APPLICANT ADDRESS:Ale
6e.
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
-add "4")
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTE)ATION:
OWNER OF PROPERTY: J
OWNER MAILING ADDRESS: /32-
OWNER PROPERTY ADDRESS( S',"7/2 /tie
TELEPHONE NUMBER OF CONTACT PERSON: F 9‘ 1'V
TAX MAP NO. : Section /5 Block 3 Lot
CROSS STREET: , e -4 L
BUILDING PERMIT NUMBER CROSS REFERENCE:
-- g/
Signature of )) plicant
•
RECEIVED -BY.:
Town Clerk's Office -
DATE:
•
i- E )A P
r
S
xR,+. ..
.
Gl CI L.ft-55 p00(.—
71'g-7-27' iii.
/4-- -...— v
\ [I .
�� \e it
S
,,,,,:\\\j s.. * ,
.
\\ -
1
Y
1-
1110