HomeMy WebLinkAboutChierchie, Steven r, c, tUj '
. Era ' ; Town Hall, 53095 Main Road
�, ,� P.O. Box 1179
1.,*/),' , ~ti �` Southold, New York 11971
JUDITH T. TERRY "turn .1"'~y TELEPHONE.
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 29, 1987
Steven J. N. Chierchie
P.O. Box 400
Southold, New York 11971
Re: ROW.off Main Road
Orient, 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,
4001411114,11:"..
Judith T. Terry
Southold Town Clerk
Enclosures (3)
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• � .1 MAY 13198( j % .r t. .;
BLL C ' Q M.(;'-"i '' `� Town Hall, 53095 Main Road
TOWN CIF sou H :1) _,_ .,. `����-•••
au P.O. Box 728
—1�� �;,• •� Southold, New York 11971
JUDITH T.TERRY TELEPHONE
Toww CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 13, 1987
To: Victor Lessard, Southold Town Building Department
. From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 169 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Steven J. N. Chierchie
Please review the application and location map and advise if the
project has received Suffolk County Health Department approval
and if we may issue the permit.
Please complete the form below and return it to my office.
Thank you.
er°411114V111114.1.186".° -
Judith T. Terry
Southold Town Clerk
* * * * * * * * *
I have reviewed the application and location map of the project
cited above and make the following recommendation:
APPROVE - X
DISAPPROVE -
COMMENTS: q; 2�. 1 k
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RECEIVED
MAY 281987
\(),ctTown Clerk Southold ,,. �,�
Signature
-.C.74.1.VY?
Date
" OFFICE OF THE TOWN CLERK
Town of Southold
Judith T. Terry, Town Clerk Application No. r,g
Town Hall, 53095 Main Road Construction >,/f
P. O. Box 1179
Southold, New York 11971 Alteration
Telephone Residential IV
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$ J C , Dp
DATE S/i3j87
APPLICANT NAME:
APPLICANT ADDRESS: P'o. c460
&)- 1t R (
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: e_vu
OWNER MAILING ADDRESS: p Q
Scw(114-6 14-6 IGQ ✓u Yr H-7(
OWNER PROPERTY ADDRESS: QC(_) Rt.
TELEPHONE NUMBER OF CONTACT PERSON: (- (6' _S-- ) S-
TAX
) STAX MAP NO. : Section Oil Block a- Lot "• Sr
CROSS STREET: rnw+ ) • —(- o�n.Se ,
BUILDING PERMIT NUMBER CROSS REFERENCE:
gnature of Applicant
RECEIVED 4604119'
.w' �1 -rk's Office
DATE: •
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C41 CERTIFIED TO : TOWN OF SOUTHOLD
FIRST AMERICAN TITLE SUFFOLK COUNTY, N.Y. ,
Z1 INSURANCE COMPANY .1000- 017 — 02 01. 5
�. OF NEW YORK. tt t
TITLE NO. 121 S 5532 SCALE : I = 30
HAMPTONS MORTGAGE CORP. Prepared in accordance with the minimum
� , N, STEVEN CHI E RCH IE rJ U N E 24, 1986 standards for title surveys as established by
--I ± `° AUG . 4 , 9 8 6 the L.I.A.L. an;;! -roved and adopted
§ a:.< Izty Q i.r DEC . 29 , 1 9 = for such a=,,.. . . 'e'} <;w York State Land _
Pi: ig CO 11101 Title Assoc;c: z-,:,if 4i16 .
1 - ELEVATIONS 8 CONTOUR / r/ 41'A
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TO N. G.V. DA TUM . {
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