HomeMy WebLinkAboutGrathwohl, Norman OOO OO
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JUDITH T. TERRY : ` ; Town Hall, 53095 Main Road
TOWN CLERK p rZ • P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS 11, .� �` Southold, New York 11971
MARRIAGE OFFICER �Q Fax (516) 765-1823
,�� ��� � Fax
(516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 890 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECONIC CESSPOOL SERVICE
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITON OF AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. HOLD 10'0" SEPARATION. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner GRATHWOHL, NORMAN
Mailing Address 1 305 DEVON STREET
City St Zip SMITHTOWN NY 11787
Property Address 1 295 OAK ROAD
City St Zip NEW SUFFOLK NY 11956
Tax Map No. section 110.00 block 8 lot 11 .000
Cross Street GRATHWOHL ROAD
Building Permit Number Cross Reference:
Issue Date: 7/23/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY : ; Town Hall, 53095 Main Road
am P.O. Box 1179
TOWN CLERK 0 T
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (516) 765 1823
MARRIAGE OFFICER , 0��A 4�Qr��� Fax
(516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
July 17, 1992
To: Southold Town Code Enforcement Officer
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A 914 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Norman Grathwohl
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.
lece-itota_
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE -
DISAPPROVE - ` L
COMMENTS: q„ aQ,�Qe l� ca•, ZENZZa. vl ,1 , 4•6.41 / C)
41VILAZt;M QX=4521 62)..4Ar. (',NoVu
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Signature — 1'o
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Date
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OFFICE OF THE TOWN CLERK ,,,,, %,
Town of Southold ,0 � VUL/(
CO Application No. /Y
Judith T. Tellry, Town Clerk ,���O�O . � Gy
Town Hall, 53095 Main Road ; Z !� Construction
P. O. Box 1179 i,-
rr+ �
Alteration
Southold, New York 11971 �tti �'�C
Telephone . y0 Q��i� $10.00 - Residential
(516) 765-1801 _ 'y�01 $�
' $25.00 - Non-Residential
. i.01"
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 74/72,-----
APPLICANT
APPLICANT NAME: ,% ✓ ')rn C
APPLICANT ADDRESS: "7a . "� "z
SEPTIC CESSPOOL "---
DESCRIPTION
I�/�JOF PROPOSED CONSTRUCTION OR ALTERATION
4iC - ,,,---,.fre.-2 .---", __ _..rj...-tek...—‘,... it--z.4..0-‘../(0-e-t.)
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTE TION:
OWNER OF PROPERTY: ‘7k-2.4.2/,.0...--1--
OWNER MAILING ADDRESS: `,34c .ie.---
Si u i- .-�.. 2, }- /77;7
OWNER PROPERTY ADDRESS: ..1-9,5- 4044C -z.- ..,
i%7 C--(4/,--eift
TELEPHONE NUMBER OF CONTACT PERSON:
TAX
TAX MAP NO. : Section //v Block f Lot //r
CROSS STREET: G/z,c}/ PI) 81/ /(
BUILDING PERMIT NUMBER CROSS REFERENCE: `----
g-c-4.---\._..le /,e_...i--- 1,1.7
Signature of Appl. nt
RECEIVED BY: ow/7 /1--,_
n Clerk's Office
DATE: - cit__, (j(/
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