HomeMy WebLinkAboutFrerking, Richard ` ,/,,,/I//,,,,,,i
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JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK : p rZr P.O. Box 1179
to �•' Southold, New York 11971
REGISTRAR OF VITAL STATISTICS . y �� Fax (516) 765-1823
MARRIAGE OFFICER ; 0��� ����'� Fax
(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. 851 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
REPLACE OLD CESSPOOL WITH NEW TYPE AND ADD SEPTIC TANK TO EXISTING
SYSTEM.
APRPOVED AS SUBMITTED. EXCAVATION INSPECTION REQUIRED.
Name Of Owner FRERKING, RICHARD K.
Mailing Address 1 50 THREE SISTERS ROAD
City St Zip ST. JAMES NY 11780
Property Address 1 680 DEEPHOLE DRIVE
City St Zip MATTITUCK NY 11952
Tax Map No. section 115.00 block 12 lot 9.000
Cross Street NEW SUFFOLK AVENUE
Building Permit Number Cross Reference:
Issue Date: 6/05/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY • Z ` ; Town Hall, 53095 Main Road
Z
TOWN CLERK • P.O. Box 1179
zt
REGISTRAR OF VITAL STATISTICS $ Southold, New York 11971
y ' Fax (516) 765-1823
MARRIAGE OFFICER Q �'
��O � ' �� Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
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TOWN OF SOUTHOLD
June 1, 1992
To: Southold Town Code Enforcement Officer
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A872 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Richard K. Frerking
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:
•
Signature
Date
OFFICE OF THE TOWN CLERK �,,,,'",,,,,'''., f� 47
Town of Southold �.'' �FF01K t
''�'
Judith T. Terry, Town Clerk 0��9 C�Gy Application No._4
Town Hall, 53095 Main Road Z .G ; Construction 11:2e'
P. O. Box 1179
Southold, New York 11971 s� ItesG-
Telephoney'0�� „O.4,„ $10.00 - Residential v`
(516) 765-1801 = Ol $0.-
0 $25.00 - Non-Residential
•
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ i()
DATE ti ir1
APPLICANT NAME: e7zj
APPLICANT ADDRESS: Pi, "3,,,y 971-
SEPTIC l/ CESSPOOL L�
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 4.41,14-7 4
OWNER MAILING ADDRESS: %CD
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OWNER PROPERTY ADDRESS: 6p/4 ®�w�, ���
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ADA"- A./
TELEPHONE NUMBER OF CONTACT PERSON: ' 9r
TAX MAP NO. : Section 1/5 Block /Z Lot q
CROSS STREET: 1147A.1
BUILDING PERMIT NUMBER CROSS REFERENCE:
/1(41
Signat a of Applicant
RECEIVED BY: , - �¢
Town Clerk's ffice
DATE: -
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