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JUDITH T. TERRY y 4'-z- Town Hall, 53095 Main Road
TOWN CLERK ` ® f P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER Fax (516) 765-1823
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si Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 810 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : DONALD H. TONYES
Address 1 : MAIN ROAD
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
PUMP AND REMOVE OLD CESSPOOL AND INSTALL NEW POOL.
APPROVED IF THE OLD CESSPOOL IS PUMPED AND REMOVED. APPROVAL OF NEW
POOL IS WITH THE UNDERSTANDING THAT THE PROPERTIES WILL MERGE INTO ONE
LOT. CALL 765-1802 (BUILDING DEPT. ) FOR AN EXCAVATION INSPECTION.
Name Of Owner TONYES, DONALD AND OTHERS
Mailing Address 1 2155 JOCKEY CREEK DRIVE
City St Zip SOUTHOLD NY 11971
Property Address 1 54655 MAIN ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 62.00 block 1 lot 14.000
Cross Street BOISSEAU AVENUE
Building Permit Number Cross Reference:
Issue Date: 3/20/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
Ali. ��f�L.4-e®
JUDITH T. TERRY y Town Hall, 53095 Main Road
TOWN CLERK tg [p P.O. Box 1179
REGISTRAR OF VITAL STATISTICS '.0 Southold, New York 11971
C ' ���`' Fax (516) 765-1823
MARRIAGE OFFICER
®e ,,!� Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 19, 1992 .
To: Southold Town Code Enforcement 'Officer
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A836 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Donald H. Tonyes .
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. `
C4C.-ltd.,el---
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - X
DISAPPROVE -
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SURVEY FOR
' :r: ANN ARACRI , JOHN. Di CARLO a M1C1-I04E•L Di CARLO
AT ,SOUTHOLD '
TOWN OF SOUTHOL n -
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SOUTHOLD SAVINGS BANK
.J , ' - ANN ARACRI
N.Y. S LIC. NO 49'&68 JOHN Di CARLO
•
PECONIC SURVEYORS a ENGINEERS, P. C. MICHAEL D; CARLO
,( 516) 765 - 5020
: 54655 SOUTHOLD,N.YA971 24582842
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OFFICE OF THE TOWN CLERK a,, .,,_ , ,f ‘
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Town of Southold Application No ���Judith T. Terry, Town Clerk +� ,. +
Town Hall, 53095 Main Road o t� ��
Construction v
P. O. Box 1179 cn t� ' `'l+
Southold, New York 11971
O. Zl & Alteration
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Telephone 1 4 0_,4\)-f 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 $ lO —
DATE A S
i -2--,
APPLICANT NAME: (1/0/41 /-TM /V, 7 cvoy-r r 7;.st., as, .
APPLICANT ADDRESS: r-. -'
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SEPTIC CESSPOOL A
DESCR TION/OF PROPOSED ONSTRUCTI N OR ALTERATION )-
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/f." _q ) C 0 7
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED C NSTRUCTION OR ALTERATION: •
OWNER OF PROPERTY: j )r3 i,J ( ,,//
OWNER MAILING ADDRESS: v7( (-1^
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OWNER PROPERTY ADDRESS: f-5K 'SS / 71-V/ V ,j �4j /i:
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57,5TTELEPHONE NUMBER OF CONTACT PERSON: D6 ---,57,5-
TAX
AX MAP NO. : Section 6 r Block (0 ( Lot 7
CROSS STREET:_ (�S- 46,41 >9(1E
BUILDING PERMIT NUMBER CROSS REFERENCE)
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Signature of Applicant
RECEIVED BY : X C. Cg-C �
Town Clef-k' j 1 .
DATE: d7 i/S Z� �l1
MAR 19199?
Town Clerti SottttiO1
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SURVEY FOR
' ;; - 'ANN. ARACRI JOHN. Di CARLO a MICHAEL DiCARLO
AT SOUTHOLD I
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;?: '`_ ,/,.:. TOWN OF SOUTHOLD i
3 4F *rLJ SUF'FO !t COUNTY N. Y. 1
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j' " • Fp LAND SV\� • CERTIFIED TO:
TICOR TITLE GUARANTEE COMPANY
i'a ,1/•' T 1285- 3090
SOUTHOLD SAVINGS BANK
•
ANN ARACRI
; -
; 6'
N.Y. S. LIC. NO 4968 JOHN Di CARLO
• • PECONIC SURVEYORS & . ENGINEERS, P. C. MICHAEL D; CARLO
( .516) '765 — 5020
'1, SOUTHOLD, N• YA971 24592842 _I
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