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Caprise, Mike
f• I/N % ,- _ Town Hall, 53095 Main Road � q, •his. P.O. Box 728 _....., ,,�� Southold, New York 11971 JUDITH T.TERRY TELEPHONE TOWN CLFRK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD September 30, 1986 E Z Homes Inc. Box 297 Cutchogue, New York 11935 Re: Mike Caprise Bridge Lane Cutchogue, New York Enclosed herewith is the Construction, Alteration or Modification Permit for a Septic Tank or Cesspool System for which you applied. Please be advised that each owner of real property operating an on-site sewage disposal system, such as a septic tank or cesspool must, prior to such operation, possess in the name of the owner an Operation Permit for the system. The Operation Permit is issued by the Town Clerk's Office. The fee for an Operation Permit is ten dollars ($10.00) for residential use and twenty-five dollars ($25.00) for non-residential. Please have the owner complete the enclosed Application for an Operation Permit and return it to this office along with the proper fee. For your general information I have enclosed an Informational Bulletin regarding the Scavenger Waste Laws adopted by the Southold Town Board. Should you have any questions pertaining to either permits or the Scavenger Waste Laws, please do not hesitate to contact this office. We will be glad to assist you in any way possible. Very truly yours, erred e•; Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc I 1n OFFICE OF THE TOWN CLERK SU�EUL4 Town of Southold dG - Judith T. Terry, Town Clerk #•••. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 /#4:, . '�, O .� Telephone l * � , (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 44 Residential XX Non-Residential Fee $ 10.00 Septic Cesspool XX PERMIT ISSUED TO: NAME: E Z Homes Inc. ADDRESS: Box 297 Cutchogue, New York 1935 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New residence LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Mike Caprise OWNER MAILING ADDRESS: P.O. Box 1269 Southold, New York 11971 OWNER PROPERTY ADDRESS : Bridge Lane Cutchogue, New York TAX MAP NO. : Section 84 Block 1 Lot 6.9 CROSS STREET: County Road 48 BUILDING PERMIT NUMBER CROSS REFERENCE: Pending Judith T. Ter Southold Town Clerk DATE: September 30, 1986 • ; (TOWN SEAL) OFFICE OF THE TOWN CLERK f �._ Town of Southold Application No.'- 3 Judith T. Terry, Town Clerk Town Hall, 53095 Main Road Construction P. O. Box 1179 Southold, New York 11971 ' . Alteration 41" ►j / Residential Telephone �, (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ /6 DATE APPLICANT NAME: .rl e �r✓c APPLICANT ADDRESS: � vZ�f J a 45 « Q SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION/' OR ALTERATION /Xr='u /815 .) ,'dd4Pr/c' LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: C— '•L'42 OWNER MAILING ADDRESS: KJ© - /a� 9 4 /1 _A// // 92/ OWNER PROPERTY ADDRESS: fgr/(2(5 e •�,�„�N 45,4 *0 TELEPHONE NUMBER OF CONTACT PERSON: 73yS'�l TAX MAP NO. : Section e - Block / Lot CROSS STREET: e,e- >'ig BUILDING PERMIT NUMBER CROSS REFERENCE: 7D.e, Signature of Applicant RECEIVED B Town erk's 0 ice DATE: Acde, 1/430 , 71 �_ Y I .'-~\ , 0 .{< 1t `YT ... IrC aV 'ri t }fir '. { !6 4 + M$L .V M y4 t ! S.C. OF►9 HE4ETN} 'z - f < - \ r' SY STEN vac ` 4 0 COINIM ; ,; �3 � X13 i x, st } --- �o •CALF-SO' SLt ' X �,`•� �N - - 1•MON'.. MEN i ,. '43 • DALE:,' p4. — W w JESTra _ 0 N Kitt E -r �1� [ __ 14 DI kar-scrk.tzPea,-o Q SYi,.ORET n v- to ',".-1/1,,,P ;fir t.._ i 4. .: T, t m 1 _.-_ - N