HomeMy WebLinkAboutGrathwohl, Ruth „,,o��FFoi�r�D -
JUDITH T. TERRY �� � Town Hall, 53095 Main Road
TOWN CLERK = i P.O. Box 1179
REGISTRAR OF VITAL STATISTICS G ►T Southold, New York 11971
MARRIAGE OFFICER • ,� Fax (516) 765-1823
004 Telephone (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. 727 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
ADDITION OF ONE OVERFLOW CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. HOLD 10'0” SEPARATION BETWEEN POOLS.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner GRATHWOHL, RUTH
Mailing Address 1 25325 W MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Property Address 1 25325 W MAIN ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 109.00 block 1 lot 36.000
Cross Street MOOR ES LANE
Building Permit Number Cross Reference:
Issue Date: 6/26/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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�, �,� . .. '�, Town Hall, 53095 Main Road
;?� ' t'�•. P.O. Box 1179
't t' , ' Southold, New York 11971
.JUDITH T. TERRY �'""� ii0 TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD I
I11,
June 13, 1991 1 I, _
JIJV a 21991
To: Southold Town Code Enforcement Officer r<Y....u,--
TOS
- From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A746 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Ruth 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 - JC
DISAPPROVE -
COMMENTS: q,,‘„, A,,,.dwC a d1- 0.,n carot CPtk,rQ.... WZre-te-DN, , iti.. 4...
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Date
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OFFICE OF THE TOWN CLERK ,,,,,",,,,, ��
Town of Southold , = Application No. 74:).
Judith T. Terry, Town Clerk ;t �� Gy ;
Town Hall, 53095 Main Road Constr c►��
P. O. Box 1179 e=m1 =3 •
•
Southold, New York 11971 Vs W$ ter. '•
Telephone 0'
$10.00 - Residential C...
(516) 765-1801 = l
'� $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 > 3 /q/'
APPLICANT NAME: //l�rr
APPLICANT ADDRESS: /C.D ,' 9 '�---
SEPTIC CESSPOOL
DESCRIPTION PROPOSED CONSTRUCTION OR ALTERATION
,‘„gege 0-Loue-/./6-4.) Casag7(1911.--
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTS ATION:
OWNER OF PROPERTY: /1(,,4
OWNER MAILING ADDRESS: 5341$ Id A-L14 4-14
OWNER PROPERTY ADDRESS: t
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section /4P Block / Lot 3
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applican
749
REM
RECEWED $Y: p
`C�A�k's Office
DATE: Tan CNN
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