HomeMy WebLinkAboutThorp (3) JUDITH T. TERRY = Town Hall, 53095 Main Road
TOWN CLERK ® r ; P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS • Fax Fax (516) 765-1823
MARRIAGE OFFICER - � '�� Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER _ � i
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1284 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL SERVICE
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW 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 THORP, JANET
Mailing Address 1 P. O. BOX 795
City St Zip EAST MARION NY 11939
Property Address 1 230 SOUTH LANE
City St Zip EAST MARION NY 11939
Tax Map No. section 38.00 block 6 lot 15.000
Cross Street ORCHARD STREET
Building Permit Number Cross Reference:
Issue Date: 2/06/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY ` ® Town Hall, 53095 Main Road
TOWN CLERK t . ". g t P.O.Box 1179
, Southold,New York 11971
REGISTRAR OF VITAL STATISTICS : /
MARRIAGE OFFICER ` Fax(516)765-1823
RECORDS MANAGEMENT OFFICER ' -®I ED io�1,, Telephone(516)765-1800
FREEDOM OF INFORMATION OFFICER •0'‘.
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OFFICE OF THE TOWN CLERK c A eO
TOWN OF SOUTHOLD
TO: Southold Town Building Department o1
FROM: Linda Cooper, Southold Town Clerk's Office 0A� .
DATED: January 31, 1995
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Transmitted herewith is a copy of application No. A1331 for an ''
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool Service for Janet Thorp .
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 - d......-"'-
DISAPPROVE
/DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
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OFFICE OF THE TOWN CLERK ,s "" /
Town of Southold .�'`• �FF �� 4-/3
•' ®� ,��G Application No.
Judith T. Terry, Town Clerk ,� �.. y
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Town Hall, 53095 Main Road :G Construction
P. 0. Box 1179 s.
c ^' t Alteration
Southold, New York 1 1971cn x.. •.`
Telephone � ®,�0, �Q��•• $10.00 - Residential
(516) 765-1801 : Ol ' $25.00' - Non-Residential
•
TOWN OF SOUTH,OLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE -2/9-4,/ /Y/S/
APPLICANT NAME: ,�� / ,
APPLICANT ADDRESS: ( �
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SEPTIC CESSPOOL V
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
- /,
LOCATION MAP: ' Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERAT ON:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS: 66Sc(JI /c
r
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section ge)-- Block Lot ' /$
CROSS STREET: , ePL ,
BUILDING PERMIT NUMBER CROSS REFERENCE:
Ignature of Applicant
•
RECEIVED BY: cO,
Towr j le k's Office
DATE: 3 C�5 •
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