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HomeMy WebLinkAboutArmagon, Levon �• . :t crl ��� Town Hall, 53095 Main Road ��- , P.O. Box 1179 47�,� `t� .• Southold, New York 11971 JUDITH T.TERRY ���'I' iioll TELEPHONE TOWN CLERI: (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD 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, Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc OFFICE OF THE TOWN CLERK S1FOCK�," Town of Southold Judith T. Terry, Town Clerk Town Hall, 53095 Main Road P. O. Box 1179 t` Southold, New York 11971 #��: Telephone - j t • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 66 Residential x Non-Residential Fee $ 10.00 Septic Cesspool x PERMIT ISSUED TO: NAME: Eugene Burger ADDRESS: 25i5 Pine Tree Road Cutchogue, New York 11935 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Levon and Sevon Armagon OWNER MAILING ADDRESS: OWNER PROPERTY ADDRESS : Old Farm Road Orient, New YOrk TAX MAP NO. : Section 26 Block 4 Lot 4 CROSS STREET: King Street BUILDING PERMIT NUMBER CROSS REFERENCE: Pending Judith T. Terry Southold Town Clerk DATE : November 7, 1986 (TOWN SEAL) OFFICE OF THE TOWN CLERK Town of Southold ` Application No. �� Judith T. Terry, Town Clerk PP Town Hail, 53095 Main Road Construction L- " P. O. Box 1179 Alteration Southold, New York 11971 Telephone Residential (516) 765-1801 Non-Residential TOWN OF SOUTHOLD REfEIyFp SOUTHOLD WASTEWATER DISPOSAL DISTRICT NOV 0 7 IS APPLICATION Town Clerk Sout sid for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 60 Fee $ DATE__-L)tr-r t..�,.,n (�,� � 7 f / 2(0 APPLICANT NAME:____" L G E'AJg APPLICANT ADDRESS: �c/S� 1���E j e,Vri-GN oo) U ,� SEPTIC CESSPOOL 1( DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ) ii LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: 1.-E1/010 S C Uo n) g-)11 o OWNER MAILING ADDRESS: OWNER PROPERTY ADDRESS: ©)d 404n-yy? r_c) p TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section ,- ( Block LI L WLot CROSS STREET: `. BUILDING PERMIT NUMBER CROSS REFERENCE:__ Signature of Applic� RECEIVED BY: Town Jerk s ffice DATE: '? - ) . 7, /2/ "" _ -__ OLD FARM ROAD ;�, }4 if a,r,IM PAN' J • . -1-1--0. ---r" ,i - - 170.00 P1ff rt.:. --------;;—sSrTK N.8525 001-i"--- ' ? Ao 44 (Al ch 1441:4 o6W t Co O `. RI sti.i / , y% ,,„„ tiG sT 4)(c. , ,. ..., .,).. f /2 (-J‘rG!>nrf ARtN1Et1T OF 4i`ALTH SEM ES N WO COUNTY DtP `o `,AE OF O S ��110t� CF O TOR APPROVAL ��c��, Cn1Y w S� gte tamii� R (�� 9 /. DATE - -- 1s P.PPROVED__.. _ , 180. ARS FROM PAR. Of RPP►vi�' EXPIRES Two NE �o Y 3,0 1 N G 51�SE1 S EE � Tr Z O, �DFNE�' IRNA x 'ao cod ,W Dvn. --1 I _ ,, LOT /3 cg "'` MAP OF <,° "06 • '43 BA Y V/E W FARMCERT/ /ED TO ti,c, 2 LAND ' FOREMOST ABSTRACT AT 9408-275064 OR/EN T SE VAN ARMAGAN LEVON ARMAGAN TOWN OF SOU THOL DM 1, SUFFOLK COUNTY, N. Y ro rri .= "7 Onack associates F/LED JAN. /9, /962 # 7045 :4 40 west main street riverhead , new york 11901 -.:; '1)0f r ` cl (UuU ( 516) 369-1717 ,_ Aug. 20 , 1984 Job No. 84-621 (1-5' .D , w 1000-026-04.04 Scao = 50' " < < .VU3