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HomeMy WebLinkAboutStapleton gf YT �"' Town Hall, 53095 Main Road ®��;��` P.O. Box 1179 ��®� ,Lrr ,A01 In"`'' Southold, New York 11971 JUDITH T.TERRY .r.% FAX(516)765-1823 TOWN CLERK TELEPHONE(516)7654801 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. 592 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 REPLACE EXISTING CESSPOOL WITH NEW TYPE. APPROVED AS SUBMITTED. NOTE: EXCAVATION INSPECTION REQUIRED. CALL SOUTHOLD TOWN BUILDING DEPARTMENT (765-1802) FOR AN APPOINTMENT AT LEAST 24 HOURS IN ADVANCE. Name Of Owner STAPLETON, RICHARD T. Mailing Address 1 2030 BRAY AVENUE City St Zip LAUREL NY 11948 Property Address 1 2030 BRAY AVENUE City St Zip LAUREL NY 11948 Tax Map No. section 126.00 block 7 lot 20.000 Cross Street THIRD STREET Building Permit Number Cross Reference: • Issue Date: 3/28/90 Judith T. Terry � Southold Town Clerk (TOWN SEAL) �,,�'0 ..,1 v- a ..... ,:-b [g©g u vi,,,LgInl 00,. ..c0 F O(r`; �� 2., ,,_:. ' i T1s . -f G 1' , (fin < ' tt..7,01, „; A +;x , ,! _.-� .- �� Town Hall, 53095 Main Road l���a = _ °i �� `" -. ���,�� P.O. Box 1179 pi _0,- ,,i,.„....,%, 1 �oi�� Southold, New York 11971 JUDITH T. TERRY tri _, - a .�t.'..��int° TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD March 23, 1990 To: Southold Town Code Enforcement 'Officer From: Linda J. Cooper, Southold Town Clerk's Office Transmitted herewith is a copy of application No. A607 for an ALTERATION PERMIT for a cesspool or septic system submitted by Peconic Cesspool for Richard T. Stapleton 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. .- 4t&' Linda J. Cooper • * * * ' * * * * * * * * * * I have reviewed the application and location map of the project listed above and make the following recommendation: APPROVE - DISAPPROVE - , COMMENTS: q.,, w,,, e, .l.& CNN car q a,SZ -Nv�. ,x-0(Cc -w "-NA)to--324...,L,...C2-14.4.4iga O . - St i\Cc c...,,k-4.. ( .42.474..A.412.-... v ` ® Signature 10 ‘ Date .„ ,,''. OFFICE OF THE TOWN CLERK �S�FFOik _ Town of Southold �, Judith T. Terry, Town Clerk , i Application No. 6,07 Town Hall, 53095 Main Roadcr3Construction P. O. Box 1179 Southold, New York 11971 O/SJ Alteration Telephone -�l 44 " 0 � 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 APPLICANT NAME: APPLICANT ADDRESS: ,- aa SEPTIC CESSPOOL , DESCRIPTION OF PROPOSED CONSTRKTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: .4z i.--1- OWNER MAILING ADDRESS. 3D /P:,r, /79W OWNER PROPERTY ADDRESS: =�-��� ;. TELEPHONE NUMBER OF CONTACT PERSON: (9-9?-15,1/ TAX MAP NO. : Section /12.---(:' Block 7 Lot 0 CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of AppI/ant RECEIVED BY: '•� Town Clerk's Office • DATE: W\R 2 1:' x01"' .__----' ......,i ' ...., . • , i, . ‘1*' , ef \ 0 , ...„7,‘ . ,- I ------ s"-----,—.1'.7 1 • ' 1-4-61 -r i_' t ' , tl V, I., ,,,...„ ... ii. 3 ,• le..... 11..V.,..,Mtaleale01...0...... F.,,, 0