HomeMy WebLinkAboutWallman ''�1®���f0 ®T t.
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trs . Town Hall, 53095 Main Road
� i� P.O. Box 1179
__ .1 Southold, New York 11971
JUDITH T.TERRY '
„�'H .'�ltq'b, 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. 355 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 TWO OVERFLOW POOLS TO EXISTING SYSTEM.
APPROVED AS CORRECTED. SECOND OVERFLOW POOL TO BE PLACED 10 ' , NOT 3 '
FROM FIRST POOL.
Name Of Owner WALLMAN, RAYMOND
Mailing Address 1 NEW SUFFOLK AVENUE
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 MOORE'S LANE
Building Permit Number Cross Reference:
Issue Date: 6/17/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
JUN •
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e:; t a 17.2,cs" t`; 1" v'�`��' :27�� Town Hall, 53095 Main Roac
BLDG DEPT. P.O. Box 1179
TOWN OF SOUTHOLD _-Q ...1 °‘;
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1 ��t 1 ��i� �`" Southold, New York 11971
-JUDITH T. TERRY ����
TELEPHONE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS (516)765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
June 15, 1988 •
.4c-
To: Victor Lessard, Southold Town Building Department
•
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A358 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 - X
DISAPPROVE -
COMMENTS: q„ A dam, J .
•
Signature
61 /(42
Date
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OFFICE OF THE-TOWN CLERK C$FD(� _
Town of Southold ��, :w. COGe. �"3S lr zA:
Judith T. Terry, Town Clerk '; tr : Application No.
Town Hall, 53095 Main Road, Ln M . W Construction
P. O. Box 1179 ,Y M. `,A •
p .x Alteration
Southold, New York 11971 .. : ,,;:),'
Telephone ®1 ��0 ' Residential "
(516) 765-1801 "' 0 Non-Residential '
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
a
Permit No.
Fee $ ':.4d5:/r/ :
DATE � 1
A ,=:r''1fi'F(�;
APPLICANT NAME: f `,;,e',,=f
APPLICANT ADDRESS: /4-)d, 97Z , -,',";',T.,%'''':
--7-7 ;_ e--Xl //ke-z.v.,-,41 ' '-?,:;••,;,.:6--,,
- SEPTIC CESSPOOL !L
s,
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued. ,,,;; '�=-
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: "�`
OWNER OF PROPERTY: /e/4 /-)700,i/d/ ��//i1i !f/ .0 ..
�/ /,
OWNER MAILING ADDRESS: J r?7� .. C.- ,. ',E_
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• OWNER PROPERTY ADDRESS: .f= ,�.„....._ ' +` : .,
TELEPHONE NUMBER OF CONTACT PERSON: e` � `''
TAX MAP NO. : Section //6. "' Block Lot /0, 2- ,,,,`'
CROSS STREET: a4, :.',;6;1
CROSS
X22 -N
BUILDING PERMIT NUMBER CROSS REFERENCE:_ r‘\,='
fi•r °6 P- ---7,,/1 i f
J Signature of Appl ant
RECEIVED BY: ce , l
RE �� °rt`rown Cl rk's Offic ,6g
w;r
DATE: ;, .,-� 15 � ,-:,K
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Town Clerk South*l ,t :
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