HomeMy WebLinkAboutStiles JUDITH T. TERRY % L Town Hall, 53095 Main Road
TOWN CLERK t v T P.O. Box 1179
REGISTRAR OF VITAL STATISTICS • Southold, New York 11971
y �' Fax 516
MARRIAGE OFFICER ® ( ) 765-1823
a1�®��� Telephone (516) 765-1801
0.
1�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1036 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECON I C CESSPOOL SERVICE
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED DISTANCES FROM ADJACENT
WELLS. EXCAVATION INSPECTION REQUIRED.
Name Of Owner STILES, WILLIAM
Mailing Address 1 2700 NEW SUFFOLK AVENUE
City St Zip CUTCHOGUE NY 11935
Property Address 1 2700 NEW SUFFOLK AVENUE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 116.00 block 6 lot 14.000
Cross Street MOOR ES LANE
Building Permit Number Cross Reference:
Issue Date: 8/20/93 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
- —
.0,419
JUDITH T. TERRY ' Town Hall, 53095 Main Road
TOWN CLERK P.O. BOX 1179
REGISTRAR OF VITAL STATISTICS .�` Southold, New York 11971
MARRIAGE OFFICER r v® O ''�. Fax (516) 765-1823
�_ �®,.�!' Telephone (516) 765-1801
as-' i i.�
.iii%01—
f-r -dllz--irt'l'il
OFFICE OF THE TOWN CLERK AUS mip
TOWN OF SOUTHOLD 1993 1 p
TO: Southold Town Building Department Op.s Pr.
ourilow
FROM: Linda Cooper, Southold Town Clerk's Office �."",.
DATED: August 3, 1993
Transmitted herewith is a copy of application No. A1066 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for William Stiles
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 - onati P 0
6
DISAPPROVE - ,di
COMMENTS: , .. ../Le//���6" ' 6e-et '
P //
eV,Gril
iZ,0--
reil--4
RECEIVED
AuG 19 1993 it
v
# a
T Signatur-
Date
OFFICE OF THE TOWN CLERK ,,,'"',"
Town of Southold ,' �FFULK
, J
' �� Application No. ID
Town Clerk
Judith T. Terry,
Town Hall, 53095 Main Road ; L. Construction
P. O. Box 1179
p
Southold, New York 11971 tt� Alteration
Telephone ' $10.00 - Residential t./-
(516)
/(516) 765-1801 ."1 41 11, $25.00 -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: / , � � 772—
SEPTIC CESSPOOL
DESCRIPTION ,OF PROPOSED CONSTRUCTION OR ALTERATION,
LOCATION- MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF ,PROPERTY:
a •
OWNER MAILING ADDRESS: a7 -i 910-1' ag*#`0--- `1"2"'"
OWNER PROPERTY ADDRESS: k
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : ' Section /4- Block 4 Lot
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE: •
•Signature of Apo icant
RECEIVED BY: (g
Town Cler 's Office '
DATE: (� �
,
_, , •
i I
__ __ _ _ - - : -. - .
__,_ „.„..e/e."..,,a, 4.,,,,,_ ___ _
1-1(-. -- - il- '46
__ - 14,45relyet.1??, , - -,,,,,: I_44,4194:__
111
- i�®.
kife- _ ,
_ _\,..
1
5
,/
4