Loading...
HomeMy WebLinkAboutWalker OFFICE OF THE TOWN CLERK c0FOLA- , Town of Southold Judith T. Terry, Town Clerk : x � Town Hall, 53095 Main Road r� 'mac P. 0. Box 1179 .tri .: 37 Southold, New York 11971 O cak • Off- • Telephone Yol ��'i/ (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. A179 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: NAME: Peconic Cesspool ADDRESS: P.O. Box 972 • Mattituck, New York 11952 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION Add of existing system, overflow cesspool as per submitted plans. APPROVED as submitted; not to exceed 15'-0 from replacement LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Eben T. Walker • OWNER MAILING ADDRESS: 36 Wesskum Wood Road Riverside, Connecticut 06878 OWNER PROPERTY ADDRESS : 1825 Smith Road Peconic, New York TAX MAP NO. : Section 98 Block 4 Lot 19.1 CROSS STREET: Indian Neck Road BUILDING PERMIT NUMBER CROSS REFERENCE: N/A e're-eeee;:e,4 Judith T. Ter Southold Town Clerk DATE : June 8, 1987 . (TOWN SEAL) ct� a }Nr', 'gip Town Hall, 53095 Main Road '1%,55 :` ?%` • P.O. Box 1179 . 477 1111) Southold, New York 11971 TUDITH T. TERRY TI:LEI'HONP TOWN CLERK (516) 765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD June 8, 1987 Peconic Cesspool Box 972 Mattituck, New York- 11952 - Re: Eben T. Walker 1825 Smith Drive Peconic, New York 11952 Enclosed herewith is the Construction, Alteration or Modification Permit for a Septic Tank or Cesspool System for which you applied. Please be advised that each owner of real property operating an on-site sewage disposal system, such as a septic tank or cesspool must, prior to such operation, possess in the name of the owner an Operation Permit for the system. The Operation Permit is issued by the Town Clerk's Office. The fee for an Operation Permit is ten dollars ($10. 00) for residential use and twenty-five dollars ($25. 00) for non-residential. Please have the owner complete the enclosed Application for an Operation Permit and return it to this office along with the proper fee. For your general information I have enclosed an Informational Bulletin regarding the Scavenger Waste Laws adopted by the Southold Town Board. Should you have any questions pertaining to either permits or the Scavenger Waste Laws, please do not hesitate to contact this office. We will be glad to assist you in any way possible. Very truly yours, tea," triododallt Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc ‘-- - t N@7-4nrirg t Ili\I:JUN , 3.1987 � �p ��''`„o'r�"x„'��.� �pC�, B_ ,DEPT u i I td3 e' , ' � -P Town Hall, 53095 Main Road s" OF Sa3UftLD L - t % ,.'e 'i� P.O. Box 1179 %-.74/4/ y� ��°�©��. Southold, New York 11971 1UDITH T. TERRY ���''�4,..of, TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD June 3, 1987 To: Victor Lessard, Southold Town Building Department From: Linda J. Cooper, Southold Town Clerk's Office Transmitted herewith is a copy of application No. A182 for an ALTERATION Permit for a cesspool or septic system submitted by Peconic Cesspool for Eben T. Walker , 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. a Cc-- . C a-o Linda J. 'Cooper Clerk * * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendation: - APPROVE - X DISAPPROVE - COMMENTS: CI.%frepoga Q.,b AAA, Lr 10 cn.e_ck. /6 //- o 0. \Ce/A-c) 4-4-12- Si-gnature 10 i/.---/1,2 7 Date 'OFFICE OF THE TOWN CLERK CO _ /� Town of Southold �� ; �" kC�y Application No. Judith T. Terry, Town Clerk Pp �� Town Hall, 53095 Main Road 8 x 4Ez , 4n - cn r�r Construction P. O. Box 1179p1 '' h° �� Alteration fr Southold, New York 11971 '37 Telephone _®,( , 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 $ /O /' DATE a! �i Y7 _ APPLICANT NAME: G 4'4614.4 -ferw-‘-ci‘ 6-44,04 APPLICANT ADDRESS: 4:0 "349( .97L' n4 /V. SEPTIC CESSPOOL 1--;"-d DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ,fa/9/ 73 e.r.-`, :4-7 Sys j v, —?4. A70.1 Cis/0i�,/ LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:' OWNER OF PROPERTY: ' 71/ W0}-/fires-it OWNER MAILING ADDRESS: tp tk$,s fJ .49 4/ qt &I-74,5%e Wige D/EV,t/c ''i G 7~'04.6si OWNER PROPERTY ADDRESS: /k2S �'/ r /e4e. TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section df4 Block '/ Lot / 9. CROSS STREET: ..2411/4.4-4/ /ye.c. /L 4 BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of A plicant RECEIVED BY : Town Clerk's Office DATE: 5 e 6/ 1 ‘,1 1 vs' \ '•)\> 1 _ _