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HomeMy WebLinkAboutThompson 010 JUDITH T.TERRY (=) ' Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 ,1� REGISTRAR OF VITAL STATISTICS ® 1 Southold,New York 11971765-1823 MARRIAGE OFFICER Fax(516)V� � l Telephone(516) -1823 765-1800 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1267 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : GARY TABOR Address 1 : 680 NAVY STREET City St Zip ORIENT NY 11957 Descripton of Proposed Construction or Alteration ADDITION OF AN 8 X 8 LEACHING POOL TO AN EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION REQUIRED. Name Of Owner THOMPSON, GEORGE ROBERT Mailing Address 1 BOX 2109 GREENBRIAR City St Zip WHITE SULPHUR SPRING WV 0000 Property Address 1 52875 MAIN ROAD City St Zip SOUTHOLD NY 11971 Tax Map No. section 61 .00 block 1 lot 5.000 Cross Street HORTONS LANE Building Permit Number Cross Reference: Issue Date: 12/28/94 Judith T. Terry Southold Town Clerk (TOWN SEAL) lii OTFOL47 4:.. (°)--( ' JUDITH T.TERRY ® Town Hall, 53095 Main Road TOWN CLERK t cis, % P.O.Box 1179 REGISTRAR OF VITAL STATISTICS � .V. IS Southold,New York 11971 MARRIAGE OFFICER 4.°64' • 1 Fax(516)765-1823 RECORDS MANAGEMENT OFFICER `V .I. Telephone(516)765-1800 FREEDOM OF INFORMATION OFFICER ,.,,„ iii' OFFICE OF THE TOWN CLERK • /r` ,— TOWN OF SOUTHOLD e ,f'' - ' TO: Southold Town Building Department .'0 FROM: Linda Cooper, Southold Town Clerk's Office"f 0; , 13EC Q 1994 DATED: December 19, 1994 Transmitted herewith is a copy of application No. A1313 for an ALTERATION PERMIT for a cesspool or septic system submitted by Gary Tabor for George Robert Thompson • 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 - EXCAVAN ONSPECT0O0\1 DISAPPROVE - REUORED COMMENTS: Maintain required setbacks from adjacent wells, buildings, property lines and water bodies. EXCAVATION INSPECTION REQUIRED. `l//. iii �.�/ !-- - !gnat Fe 7 Date _ .00 •� :4--OFFICE OF THE TOWN CLERK cj��FDCA-e,- Town of Southold &.,N) f 1 Application No. 19 /3 Judith T. Terry, Town Clerk Town Hall, 53095 Main Road . a ° , -s "~ Construction P. O. Box 11791y Southold, New York 11971 O !J Alteration �J Telephone 4f4:1 �[ 0;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 $ J /9 DATE /7- / /9/4y � // �/ APPLICANT NAME: -6-74 1' Y / , -.-..4 07 APPLICANT ADDRESS: 0 TO "//*/,/y. C h r ' s . 7 -1-: � NY ( ( F -7 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION' 7 ��S 7 // c ?� �^ -e e-i, '-17 /0 0 /-- LOCATION MAP: Must be attached hereto, before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: -e--e, `'y c )(O Set 1 AO//P`75 d ' OWNER MAILING ADDRESS: )/ C 1.-?/(7 7 (1"1' e ‘eG1/41.4b i , P- 71/A. '71•'_ .zi/A. '/1•'_ S 01''1//i,-' s„ �, ifr✓zys rns k OWNER PROPERTY ADDRESS: )�' 'g-Z._.5 /9/14)/ 1/-vf l�o 4c/ 5 ®u7-' .v--/d TELEPHONE NUMBER OF CONTACT PERSON: 3 v- 3 — o (, 7 TAX MAP NO. : Section to / Block / Lot S CROSS STREET: ) To c-/5 O” ,Pyll-c.----- BUILDING PERMIT NUMBER CROSS REFERENCE: . /`�"/rte` S' natuof Applicant RECEIVED BY: (1/(P(.' _ To n Cf.lerk's Office DATE: l � ro0 0 0 l- 0'14 (15) ° j" iPs p ' r 1�© �