HomeMy WebLinkAboutGrathwohl, Richard ' ��FFOLK "'_
e4tc
JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK : p IT : P.O. Box 1179
trs *$$ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ‘‘VA, � et Fax (516) 765-1823
MARRIAGE OFFICER ./�„ _`��.�� Fax
(516) 765-1801
RECORDS MANAGEMENT OFFICER 1 11 t�
FREEDOM OF INFORMATION OFFICER =� �„i,�'I
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1183 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL SERVICE
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS
BUILDINGS, PROPERTY LINES, AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner GRATHWOHL, RICHARD
Mailing Address 1 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Property Address 1 MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 109.00 block 2 lot 8.000
Cross Street ALVAH'S LANE
Building Permit Number Cross Reference:
Issue Date: 8/12/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
- // i_ 3
• 11
. ,''#o °°may
JUDITH T. TERRY : L ; Town Hall, 53095 Main Road
TOWN CLERK : p rZT+ : P.O. Box 1179
trs Southold, New York 11971
REGISTRAR OF VITAL STATISTICS VO . ��l Fax (516) 765-1823
MARRIAGE OFFICER =_ .'/'/� �� �� Fax
(516) 765-1801
RECORDS MANAGEMENT OFFICER '_.�I 4 r�
FREEDOM OF INFORMATION OFFICER ...--•••'...,,,v10011r�
OFFICE OF THE TOWN CLERK -
TOWN OF SOUTHOLD
TO: Southold Town Building Department 5 ?9A
FROM: Linda Cooper, Southold Town Clerk's Office
g BLDG.OUTHOLD I
DATED: August 4, 1994 TOW
Transmitted herewith is a copy of application No. A1228 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Richard 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.
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - � EXCAVATION INSPECTION
DISAPPROVE - REQUI
COMMENTS: L2�.., 4, i4_ e e-ci
fLer-p7
er."-can/cee--/Z --.&e,deovi-.2._ art-et,"71.0 ,Z..;
a ,
Signa - re /
81/15 P/5 Z'
Date
.
OFFICE OF THE TOWN CLERK ,,.,,"""'''
/9-Town of Southold X01 OM/
rep
1T. Terry, Town Clerk �,, f��8'
'' 4� - CSG ',. Application No.
y
Town Hall, 53095 Main Road ; Construction
P. O. Box 1179 . = ,'cT, /
Southold, New York 11971 V) Alteration ,,,/'
,
Tele hone --....4. Q�'�` $10.00 - Residential `�
p .V
(516) 765-1801 : 1 ' ,, ' $25.00 - Non--Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ Qom/
DATE4 // ,/ ...V.
APPLICANT NAME: "Wier •S .��•f®oDi ` 4f,e/'(-
�
APPLICANT ADDRESS: 221;0 2 -' -/t4/hrC 71
�ozd(tv AK.
SEPTIC CESSPOOL ,4
DESCRIPTION OF PROPOSED CONSTRU TION OR ALTERATION
0-71.-ele.4)
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY: /f ,g. Q 06W-14,J old
OWNER MAILING ADDRESS: J2
I
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: P‘r �TAX MAP NO. : Section /0 Block 2 Lot 7
CROSS STREET: '—.
BUILDING PERMIT NUMBER CROSS REFERENCE:
gnature of Applicant
RECEIVED BY: (Y( __
ow Clerk's Office
DATE: J •
41141
2a
04„ �s
Cii-V44.)
i,40