HomeMy WebLinkAboutWallman pass e„tz
Town Hall, 53095 Main Road
�® O P.O. Box 1179
®�!''" Southold, New York 11971
JUDITH T.TERRY =? � FAX(516)765-1823
TOWN CLERK TELEPHONE(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. 605 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECON I C CESSPOOL
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF OVERFLOW CESSPOOLS TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. EXCAVATION INSPECTION REQUIRED. CALL
765-1802 FOR AN APPOINTMENT.
Name Of Owner WALLMAN, RAYMOND
Mailing Address 1 P. O. BOX 951
City St Zip CUTCHOGUE NY 11935
Property Address 1 NEW SUFFOLK AVENUE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 116.00 block 6 lot 10.002
Cross Street MOORES LANE
Building Permit Number Cross Reference:
Issue Date: 5/04/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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TOWN OF SOUTHOLD ='�® "' �®�Get P.O. Box 1 179
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TJUDITH T. TERRY �'"��""o-i TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
-
TOWN OF SOUTHOLD
April 24, 1990
To: Southold Town Code Enforcement 'Officer
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A620 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Raymond Wallman
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 - JC
DISAPPROVE -
COMMENTS: Gltla
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C Signature
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\'N'‘. .%);%\ ,\?:`‘ ' Date
OFFICE OF THE TOWN CLERK %c5
1Fete-
Town of Southold �• Application No. (p.2
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road ` Construction
P. O. Box 1179
Southold, New York 11971 0 Alteration
Telephone Ol t � , �' 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 $
DATE04-51/9e'
APPLICANT NAME: e ;j C�
APPLICANT ADDRESS: 97z_
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
/
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUC ION ORATIOIy
OWNER OF PROPERTY:
7/6p11, 91....-46 :
i2
OWNER MAILING ADDRESS: 2r &2A-
9 -,
OWNER PROPERTY ADDRESS: •
TELEPHONE NUMBER OF CONTACT PERSON: cL9S~ 577
TAX MAP NO. : Section 0% Block Lot 11/)°, 1.
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of App cant
REe 1)
RECEIVED BY:
APR 2c awn)Clerk's Office
DATE:
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