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Home My WebLink AboutWagner (2) i1 / , i t. JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK ® rn P.O. Box 1179 tri Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ® ' Fax (516) 765-1823 MARRIAGE OFFICER s,' � Telephone (516) 765 1801 RECORDS MANAGEMENT OFFICER �_�®1 FREEDOM OF INFORMATION OFFICER -r �iri7!l�ri��° OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1228 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 CESSPOOL 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 WAGNER, HOWARD Mailing Address 1 510 LEGION AVENUE City St Zip MATTITUCK NY 11952 Property Address 1 510 LEGION AVENUE City St Zip MATTITUCK NY 11952 Tax Map No. section 142.00 block 2 lot 9.000 Cross Street PACIFIC STREET Building Permit Number Cross Reference: Issue Date: 10/24/94 Judith T. Terry Southold Town Clerk (TOWN SEAL) ,'r rrrr1C•,r.,4,,,,,�' 44S4 .4%1 JUDITH T. TERRY : • Town Hall, 53095 Main Road TOWN CLERK • ® ` ac P.O. Box 1179 ;� Southold, New York 11971 REGISTRAR OF VITAL STATISTICS = aY® Fax (516) 765-1823 MARRIAGE OFFICER '_aj' et �!� Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER ®,Q FREEDOM OF INFORMATION OFFICER r� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1288 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 CESSPOOL 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 WAGNER, HOWARD Mailing Address 1 510 LEGION AVENUE City St Zip MATTITUCK NY 11952 Property Address 1 510 LEGION AVENUE City St Zip MATTITUCK NY 11952 Tax Map No. section 142.00 block 2 lot 9.000 Cross Street PACIFIC STREET Building Permit Number Cross Reference: Issue Date: 10/24/94 Judith T. Terry Southold Town Clerk (TOWN SEAL) qei, , iiss/ {y,,, / '—C./ C o �� JUDITH T. TERRY - : Z .4 t. Town Hall, 53095 Main Road TOWN CLERK t ® Fri 1 P.O. Box 1179 €1' w �� Southold, New York 11971 REGISTRAR OF VITAL STATISTICS . y ® � �� Fax (516) 765-1823 MARRIAGE OFFICER ® 1� RECORDS MANAGEMENT OFFICER = �®1 4. �' � �� Telephone (516) 765-1801 FREEDOM OF INFORMATION OFFICER „„,,,,i'�� OFFICE OF THE TOWN CLERK 17D---- ---' - - -J-5n-GJJJjjjfl TOWN OF SOUTHOLD P ji l'yi J y OCT m 7 le ill , ji i ill' L,..._.,.......,_L------j I TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office i OWN OF SOU71iOl_O DATED: October 7, 1994 Transmitted herewith is a copy of application No. A1272 for a Cesspool/ Septic Tank Construction Permit submitted by: Morris Cesspool Service for Howard Wagner . - Please review the application and location map and advise if the project has received Suffolk County Health Department approval and if this office may issue the permit. Please complete the form below and return it to me. Thank you. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: ��`` APPROVE �� EXCAVATION1 ultR4SEDPETi1� DISAPPROVE s'EQ / Comments: /......,-.,; ........... / / - �,`/ 'fes �� 11 -.�_' _�� i, / / / ( f i '/ C,� _e=` .5� Signature / OCT 2.v! 1994 /(97.: //e- Town ® // - Town Clerk Southold Dated OFFICE OF THE TOWN CLERK '"""''- ;1-,Town of Southold 00 ��f Judith T. Terry, Town Clerk �� ®� 42-1, Application No.4 Town Hall, 53095 Main Road Z ;< Construction P. O. Box 1179 _ Alteration Southold, New York 11971 I$0�, . Telephone � ®��'�, $10.00 - Residential (516) 765-1801 : �1 NO 0 $25.00 - Non-Residential • TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for RECEIVED CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL OCT 1994 Southold Town Clerk Permit No. Fee $ DATE (��° APPLICANT NAME: %► # Va.1/ le-4 I APPLICANT ADDRESS: 22o F ,i n y SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRU TION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: ,, � )1 OWNER OF PROPERTY: WCG r)Gr OWNER MAILING ADDRESS: _Cid Z-i2% � ��t/ V. OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: 76( _Fc TAX MAP NO. : Section //2 Block Lot CROSS STREET : rge*PA, BUILDING PERMIT NUMBER CROSS REFERENCE: %.ignature of Applicant RECEIVED BY: i // T•wn Ierk's Office DATE: /()// 97 • Ilk OP I, 4 1 r f, ( /26 z, 1' 4 "