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HomeMy WebLinkAboutCreato, David (C.31 FOUrf, 4,0 Town•Hall, 53095 Main Road 1. . ., I P.O. Box 1 179 ��o10 • Southold, New York 11971 JUDITH T. TERRY '"""..e..;••'00 TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD October 20, 1987 David C. Creato P.O. Box 1149 Mattituck, New York 11952 Re: 305 Second Avenue Peconic, 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 your s , - Judith T. Terry Southold Town Clerk • Enclosures (3) JTT/Ijc =mire OFFICE OF THE TOWN CLERK OFU(/r`," Town of Southold (f Judith T. Terry, Town Clerk Town Hall, 53095 Main Road P. 0. Box 1179 Southold, New York 11971 O O�•'�• Telephone �l Ili ��► (516) 765-1801 ' TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 235 Residential X Fee $ 10.00 Non-Residential Septic Cesspool X PERMIT ISSUED TO: NAME: David C. Creato ADDRESS: P.O. Box 11499 Mattituck, New York 11952 I DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling with Cesspool System APPROVED as per Suffolk County Health Department Approval LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: David C. Creato OWNER MAILING ADDRESS: P.O. Box 1149 Mattituck, New York 11952 OWNER PROPERTY ADDRESS : 305 Second Avenue Peconic, New York TAX MAP NO. : Section 67 Block 2 Lot 22 CROSS STREET: Mill Road BUILDING PERMIT NUMBER CROSS REFERENCE: *u i t hl"T. T y Southold Town Clerk DATE: October 20, 1987 (TOWN SEAL) DCOFetire . Arila Of OCT131987rr; � a � • BLDG. DEPT. ` 0 r,n ��, Town Hall, 53095 Main Road TOWN OFP.O. Box 728 -- i It `11';,r'' �� r' 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 • October 13, 1987 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk- Transmitted herewith is a copy of application No. 239 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by David C. Creato 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. ergeed4ivaio...00. 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 - D� DISAPPROVE - n �1 nen • COMMENTS: Q,� yo,j24., n: +� ' 1 AA.St Tif • eNC:CIA-4-4.7"3-0 Signature Jcol/4-1217 Date OFFICE OF THE TOWN CLERK yifr - Town of Southold Application No. Judith T. Terry, Town Clerk „z-, Town Hall, 53095 Main Road 4 I Construction P. 0. Box 1179 Southold, New York 11971 Alteration 41t41114 Residential Telephone - (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 4 DATE /a 7 APPLICANT NAME: fivieid 277? APPLICANT ADDRESS: /94" Rit=07,4- /)/Air;r-ve-fz_ At.)-y /79r 2_ • SEPTIC CESSPOOL --- DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 40-4-11 LOCATION MAP: Must be attached hereto before permit may be issued. • LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: 1/Ad- /1#--bi42- OWNER MAILING ADDRESS: //477 • 7"-‘/ r-)>7 //7,S" 2— OWNER PROPERTY ADDRESS: SOX"- 4e-/ Zti,c- so/ TELEPHONE NUMBER OF CONTACT PERSON: 2-9g -2/"- TAX MAP NO. : Section ,7 Block 2- Lot 2- 2. CROSSSTREET: /e/// tee/ BUILDING PERMIT NUMBER CROSS REFERENCE: 0:"4-4`21-e•C? Signature of Applicant RECEIVED BY: "P. - °F own erk 0 ce DATE: wr $Mr Too ChM WM {•_r: t , c a,. Asomor, : .*` °e` • SUFFOLK COUNTY DEPAR• 1� "r k 0. f. % ,k • FOR APP t OF 0, 4 � a ‘S) .104►f N''''' * s C� A „V • A' " �,V ��t \ • DATE i d , • .W C'i(`*a. " t•,�. (-1 �, APPROVED —6 Al A .0AY fii�t: t. .� a '.:Vie# w.Q' �. �. � j �� � .., �., , 7 3 t • EXPIRES IWO i epi fo,b `+� +i, Jr* lj 'Gt7� to s b • ,.', ! J 0(4 ,ur/�� Xi ,. . , 4 1.1•414...,:4 414Pv' 6 �� • �r� y� P0 t 0 S:74%.......,),":- firs. ' `� ? 7 sr 4. r T til co *Z. q.d o« y >�, i•s , `-� 0w 44, s e • 4414* © 97-5'04J1 eye •. 0'e,"Z.1' to ` • \ tMA7 i. t f 4. -,;1:...r. e tc, • . -t:: . ,...• (1. -NC45,60 4. . W • • O ON LOTS 17 O" `- j' j+P110111s 4 -'SURVEY OF ao �.. ey �. L QT 30 °°.. 4 MAP NO.• 2 OF PECONIC SHORES " •% �,°''' Q�O �,oN d '' mss.:. . � a } •' • �z ',, ei " ,FII€O 'SEPT 16,1930 FILE NO.654 , S• =Eo F•, • T}p G IA . Al' PEC ONIC y�i \'041.‘ +.� ��' , }," l'...;,.. 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V ?!" `'1P,eop t ,o APE/A 2 ' . 1: ORS S ENGINEERS, P.C. �Mf3' t IPS •020• G'OwC• ,eETAIN/N6 044‘4.s ; , P.Q. 00 9 Fa€- arpri a 5Ys.Tsais. ,.• M4111 no/LO 9' ,i: SOU $DLO , N.Y. 1197.1 ;. stoat. SYS. 01/0/87 87 -289 - ` -