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Home My WebLink AboutWells (4) • OFFICE OF--THE TOWN CLERK cgFOLA- , Town of Southold Judith T. Terry, Town Clerk Town Hall,, 53095 Mainn--Roadc r" ._ P: O. Box 1179tr3• .5&o: Southold, New York 11971 OSA ,; o • Telephone ®1 ,r. (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. A198 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: NAME: ' Richard:,Magill d/b/a Peconic Cesspool ADDRESS: P.O. Box 972 Mattituck, New York 11952 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION Additional cesspool to be install to existing system. APPROVED with the stipulation that the additional pool be placed within 15' ± of the nearest existing pool. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Russell C.Wells OWNER MAILING ADDRESS: 1158 Grand Avenue Mattituck, New York 11952 OWNER PROPERTY ADDRESS : 1158 Grand Avenue Mattituck, New York TAX MAP NO. : Section 107 Block 8 Lot 41 CROSS STREET: Westview Drive BUILDING PERMIT NUMBER CROSS REFERENCE: N/A Ju iPT. erry�_�� Southold Town CI rar k DATE : July 8, 1987 (TOWN SEAL)) • V roffir a.. C' poltR2 ,< -}r' Town Hall, 53095 Main Road P-Tz. O • P.O. Box 1179 - ' vim°s i' Southold, New York 11971 JUDITH T. TERRY - �+1. 14111ry TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 8, 1987 . Richard Magill Peconic Cesspool P.O.Box 972 Mattituck, New York 11952 - Re: Russell C. Wells 1158 Grand Avenue Mattituck, 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 ($25. 00) for non-residential. Please have the owner complete the enclosed Application for an Operation Permit and return it to this office along with the proper fee. For your general information I have enclosed an Informational Bulletin regarding the Scavenger Waste Laws adopted by the Southold Town Board. _Should you have any questions pertaining to either permits or the Scavenger Waste Laws, please do not hesitate to contact this office. We will be glad to assist you in any way possible. Very truly ours, Judith T. Terry Southold Town Clerk • Enclosures (3) JTT/Ijc - n -g oroomo,,,,' e4016c$FQ C,' • '= ' &VA Q uA (13f'' S Town Hall, 53095 Main Road 47%), �.� P.O. Box 1 179 � "3. 000 Southold, New York 11971 JUDITH T. TERRY �'��f" TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ; C \ f:// Jul 7, 1987 Y • July f ® 7198 1 To: Victor Lessard, Southold Town Building Department _.---BLDG. DEPT, TOWN OF SOUTHOLD From: Linda J. Cooper, Southold Town Clerk's Office Transmitted herewith is a copy of application No. A201 for an ALTERATION PERMIT for a cesspool or septic system submitted by Richard Magill for Russell C. Wells 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 - DISAPPROVE - COMMENTS: %V.0 a. of f 1U st.c -e-o N" • \(: ek..112— Signature Date OFFICE OF THE TOWN CLERKO�jVFFOLIS'CO Town of Southold F y Judith T. Terry, Town Clerk � � � Application No./9o267 Town Hall, 53095 Main Road • �. ;� Construction C!7 ;; P. O. Box 1179 Alteration Southold, New York 11971 Telephone , ,_01t 1�O le 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 $ DATE / A APPLICANT NAME: 4.4*-7....-70( Al•67.1" APPLICANT ADDRESS: ".-e) /. SEPTIC CESSPOOL 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: OWNER MAILING ADDRESS: /f C$ gWL OWNER PROPERTY ADDRESS: �_�„ . TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section /0 7 Block Lot 9l CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Applica't RECEIVED BY: Town Clerk's Office ,DATE: _ .:. _ • -.. . 0I ,-.., 0 11.1 -til,,,p r NJ' Nits.. -s, f a -- lAi 1 Iv a ( r) N / 6 .., 4----I 4. ,-- 14 • vt 1 1/4.1 1 1 1 ..., .._ i , - . _ •