HomeMy WebLinkAboutTravers (2) e� Town Hall, 53095 Main Road
. ���' P.O. Box 1179
,- �� ��� Southold, New York 11971
JUDITH T.TERRY -_:. �.%// i���� TELEPHONE
TOWN CLERK (516)765-1801
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. 346 R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL
Address 1: P.O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF NEW CESSPOOL TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. NEW POOL MUST BE WITHIN 15 ' OF EXISTING POOL.
Name Of Owner TRAVERS, EUGENE
Mailing Address 1 61 MASON DRIVE
City St Zip CUTCHOGUE NY 11935
Property Address 1 61 MASON DRIVE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 104. 00 block 5 lot 35. 000
Cross Street HAYWATERS ROAD
Building Permit Number Cross Reference:
Issue Date: 5/25/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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BLDG.DEF?. `• ;'r �' Town Hall, 53095 Main
TOWN OF SOUTHOLD • Roac
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1 I 0' Southold, New York 11971
JUDITH T. TERRY 110"
TELEPHONE
TOWN CLERK
(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 24, 1988
ys-
To: Victor Lessard, , Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A350 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Richard Magill d/b/a Peconic Cesspool for Eugene Travers
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.
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I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - �C
DISAPPROVE -
COMMENTS: -�}'- nn
a� a,n os yy a cup A.. � leQ..� . 0 Q...v .
Signature
Date
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OFFICE OF THE TOWN CLERK Ocj�F��Cl6'`O
Town of Southold per, �f
Judith T. Terry, Town Clerk � = Application No.L2S6A-
Town Hall, 53095 Main Road
cnConstruction
P. O. Box 1179 Alteration ✓
Southold, New York 11971 , s
Telephone v1 � 0 Residential
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(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 f/7,7-yl/W •
APPLICANT NAME: ../.‘;‘--/-?1,i-e." /5A,, =
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APPLICANT ADDRES ��'• `'L;..�• Y•,,•,�{s,r, ,,•4.,;::_ <<:...:,. „ ` �S" €r.� �, h,,,; _
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SEPTIC CESSPOOL •
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: civ a -
OWNER MAILING ADDRESS: / �✓�i a-►v-� ,G��•
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: ��,9f �J
TAX MAP NO. : Section /O lt Block S Lot
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
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Signature o Applicant f
RECEIVED BY: jL / _
o n CI:rk s I ce
DATE: •
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