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HomeMy WebLinkAboutChristie, James CC i. (1 •��� Town Hall, 53095 Main Road �• ®1 Alt 0 P.O. Box 728 Southold, New York 11971 JUDITH T.TERRY TELEPHONE TowN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD August 26, 1986 • James Christie P.O. Box 79 675 North Oakwood Road Laurel, New York 11948 Dear Mr. Christie: 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, errede.;e9 Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc • OFFICE OF THE TOWN CLERK cOFUL . Town of Southold Olj Judith T. Terry, Town Clerk 1 Town Hall, 53095 Main Road z, P. O. Box 1179 Southold, New York 11971 4�t �� �� Telephone �l i (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 16 Residential XX Fee $ 10.00 Non-Residential Septic Cesspool XX PERMIT ISSUED TO: NAME: JAMES CHRISTIE ADDRESS: 675 NORTH OAKWOOD ROAD LAUREL, NEW YORK 11948 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION NECESSARY SEPTIC SYSTEM FOR A NEW HOME LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: JAMES CHRISTIE OWNER MAILING ADDRESS: p.o. BOX 79, 675 NORTH OAKWOOD ROAD LAUREL, NEW YORK OWNER PROPERTY ADDRESS : 625 NORTH OAKWOOD ROAD LAUREL, NEW YORK TAX MAP NO. : Section 127 Block 07 Lot 15.1 CROSS STREET: PECONIC BAY BLVD. BUILDING PERMIT NUMBER CROSS REFERENCE: 151921 u t `''I/' r Southold Town Cler DATE : AUGUST 26, 1986 (TOWN SEAL) .. ♦ 1 OFFICE OF THE TOWN CLERK Town of Southold Judith T. Terry, Town Clerk Application No. Town Hall, 53095 Main Road Construction P. O. Box 1179 Southold, New York 11971 Alteration Telephone Residential )( (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 0 Fee $ /0 DATE l) V c u Sr g.S^ /9 g (* APPLICANT NAME: A-r» ; C. AC, s1, '► APPLICANT ADDRESS: to "7. A,)a t77; Q Aircooe R cl )--p v rtc I SEPT I Cd4 CESSPOOL 7( DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION NQo.¢,ggp„iLy e Pr/c. Z`4/ S7i►',1f o K AV CEO 14 o rr7 Lam' LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: Zi i4.rrr ag 4/37/4. Po. ocx 7� OWNER MAILING ADDRESS: lip 4? -"" i0o4.7 0804 (4.1Q•b E. 4-14UACC 4.. OWNER PROPERTY ADDRESS: IS/4.1,7C As A Rost TELEPHONE NUMBER OF CONTACT PERSON: 1L-:- TAX MAP NO. : Section / Q 7 Block © -7 Lot 7o / . CROSS STREET: PG"Co?JS L.. hJ A y RLUd BUILDING PERMIT NUMBER CROSS REFERENCE: / .541 ?Z r 'e7/111 44 Signature of Applicant RECEIVED BY: ierk's (: i-r- Town Office DATE: � 0;26, , ) SUFFOLK CO HEALTH DEPT APPROVAL . - . 21.4 H S NO I 1 . / .. li 33 . . . i'l we4N 1 „ .... .• ...., _ • , „...., c) 4.-- .__ ____ - - ..0 -07 STATEMENT OF INTENT . -!-K \,' - ,-. -e, . TI THE WATER SUPPLY AND SEWAGE DISPOSAL -.. .! • S' ._ SYSTEMS FOR THIS RESIDENCE WILL i - 0••••••11MIMMI, C I . CONFORM TO THE STANDARDS OF THE - - • ! • ..._ S 1 S SUFFOLK CO= ? LTH SERVICES. ; 7 - t A.* _ - 00 / 1 -N ' 1 ' VI ; APPLICAN00 lia a a • i", • ' -. -. - ! — (KU 9;4 D-80 c, A P1 -r, , . ' i SUFFOLK COUNTY DEPT OF HEALTH 41 tivp - s -, 7-.. , s ctelit. r•ear. , SERVICES - FOR APPROVAL OF ( • Is- > .. _ - . /........ 1' - CONSTRUCTION ONLY .. • DATE 4-1 -8-6 _..... _ ,,, ,. ,. .,.. . . . ! ! C ......ff r •.. -) ..', . HS REF NO e, - -1) # 0 - , A APPROVED -1 - -i PAN --N4.1.- pelt • ,- , I 4 I I 4f A 7 , ...- UNIII_E FAMALY DWOLLINI. 0 LX __ . ..____, • , ., -I • \. SUFFOLK CO TAX MAP DESIG • - TION . , DIST SECT BLOCK PCL ' -• -- 1 ' • OWNERS ADDRESS. - - •-.., . . - , , , . • %/4ieltcf• / • „ , • . . , I / _ _!...3 ---. .------...2;-..,_-_, . - _ "... . : DEED- L4 ?-:::' P..4 l3 1 C3'-''''''.". ii"." ._•,_ 1.--• TEST HOLE L STAMP . .• . 1 1 . • -, . thuwiharinett anemia°or addition 1 i . , ,--- r- r - - ,`.., • - • - - - -'--I to this survey is•violation of Sion 720E of the New Yet$ i II I-c Education Law. ., w I Copied of this survey mop not bowing t i -1,\>- , . . . _ ... _. ,...._ ___. ...... •-.. • .-- - . .. ... , .. \ •, 1....... the land surveyor's Inked sent er i- embossed seal ahall not be considered 1 i: '' , to be a valid true coy. 1 , • Guarantees Indicated hereon tilted run . .: • . , onty to tho parson for whom the survey I 1 I is Prepared.and on hill behalf to der '' 1 . , „ . ,, , 1 I 7 tido newnnanv rowiernmaints1 Mk•LAMM•in,nol I- ' , ,