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HomeMy WebLinkAboutWenk 10 D JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK v 4.1" � ; P.O. Box 1 179 REGISTRAR OF VITAL STATISTICS CJ, Southold, New York 11971 MARRIAGE OFFICERyQ�, `" �( Fax (516) 765-1823 ,y�jol ,�,, ot° Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1045 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 AN OVERFLOW TO AN EXISTING SYSTEM. APPROVED 'AS SUBMITTED. MAINTAIN DISTANCE FROM WETLANDS AND ADJACENT WELLS. EXCAVATION INSPECTION REQUIRED. Name Of Owner WENK, NORMAN Mailing Address 1 675 EAST LEGION AVENUE City St Zip MATTITUCK NY 11952 Property Address 1 675 EAST LEGION AVENUE City St Zip MATTITUCK NY 11952 Tax Map No. section 122.00 block 3 lot 31 .000 Cross Street BAY AVENUE Building Permit Number Cross Reference: Issue Date: 9/24/93 Judith T. Terry Southold Town Clerk TnWM CFA! 1 .. � � r -r�rI7C.1[t�i--- apt%MLA(' " rD1 ,,, 4•,,:-.. /1)4 JUDITH T. TERRY y �, Town Hall, 53095 Main Road TOWN CLERK i� P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 j O ��' Fax (516) 765-1823 MARRIAGE OFFICER r • s2 1 �! Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK _. TOWN OF SOUTHOLD D [E© E f-1 \_J/i ' 1� I TO: Southold Town Building Department +' SEP 1 51993 111 ey FROM: Linda Cooper, Southold Town Clerk's Office j i; :I,,,'" DATED: September 14, 1993 `'g'` Sour' j Transmitted herewith is a copy of application No. A1076 for an ALTERATION PERMIT for a cesspool or septic system submitted by • Peconic Cesspool for Norman Wenk 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 - Y INSPECTION kyr DISAPPROVE - REQUIRED COMMENTS: -/--2 ' a...L.,W 4e1.-1,,,,e fr.', ,eeheameZ - e7,--1 , ,-,17//7;i..2.1t.,1 .e./ tz/ • ,A, ;!1, Signature 977. /,#/C4.,_.3 Date a s OFFICE OF THE TOWN CLERK ,,,'",,,"'' Town of Southold ,'* C" FFULK14 = Application No./676 Judith T. Terry, Town Clerk Gy'; Town Hall, 53095 Main Road Construction • P. 0. Box 1179 ; c ' Southold, New York 11971 • to _ Alteration Telephone $10.00 - Residential "I/ (516) 765-1801 ' 1 *0N, �' $25.00 - Non-Residential ,,. TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. / ' Fee $ DATE APPLICANT NAME: f-e-e-27-7-Ze-r„, APPLICANT ADDRESS: /f7P 4, 612e 9' SEPTIC CESSPOOL v DESCRIPTION OF PROPOSED CONSTRUCTION Or ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTR CTION OR ALTER TION: OWNER OF PROPERTY: tf/f • OWNER MAILING ADDRESS: a 7,5- 11 OWNER PROPERTY ADDRESS: �� S TELEPHONE NUMBER OF CONTACT PERSON: p298-_--9/6s-E-- TAX MAP NO. : Section /7.1... Block Lot 3 CROSS STREET: 157,1 a/13—t, 5 BUILDING PERMIT NUMBER CROSS REFERENCE: • ‘ve€,* Signature of Applican RECEIVED BY: l', /6 ,�C • - • • Town Clerk's Office - • DATE: 7/%T/9j. • N v4\, 6 ,n4 ola . 0,000 bcor otr 5 E