HomeMy WebLinkAboutBall, Thomas \�: I I.,v, ems_`c
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Town Hall, 53095 Main Road
`� ,,�. `, P.O. Box 1 179
��< ` ` > Southold, New York 11971
JUDITH T. TERRY ^"���o TELE.PHONF:
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 18, 1987
Thomas J. Ball
RR 1 , Woodchuck Path
Wading River, New York 11792
Re: Arshamomaque Avenue .
Beixedon Estates
Southold, New York 11971
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 ,'ours,
egagageari...04.0.....o
%owl, 0.0.44547.......
Judith T. Terry
Southold Town Clerk
Enclosures (3)
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OFFICE OF THE TOWN CLERKO(K •
Town of Southold ; C�Gy
Judith T. Terry, Town Clerk •
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Telephone1; g0
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 163 Residential X
Fee $ 10.00 Non-Residential
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Mr. Thomas J. Ball
ADDRESS: RR 1 , Woodchuck Path
Wading River, New York 11792
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Residence with septic system.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Thomas and Barbara Ball
OWNER MAILING ADDRESS: P.O. Box 1708
Southold, New York 11971
OWNER PROPERTY ADDRESS : Lot 4, Arshamomaque Avenue
Beixedon Estates, Southold, New York
TAX MAP NO. : Section 66 Block 2 Lot 46
CROSS STREET: Hippodrome Drive
BUILDING PERMIT NUMBER CROSS REFERENCE:
ereedava070•‹....
Judith T. Terry
Southold Town Clerk
DATE: May 18, 1987
(TOWN SEAL)
OFFICE OF THE TOWN CLERK _
Town of Southold '`'
Judith T. Terry, Town Clerk
Application .No.l / -
Town Hall, 53095 Main Road Construction
P. O. Box 1179
Southold, New York 11971 Alteration
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. /6 -3 •
Fee .$ /O
______—DAT-E---- a / /( /'u/7
APPLICANT NAME: . ' /4i:.✓' J d.//
APPLICANT ADDR S: /l( G./(nd �Gt as ;
(;,ea,(h f ,PIv_c„- i Y /779-
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: 774 f ,t-&,--40ros 6a((
OWNER MAILING ADDRESS: PO 6'e-,( / ?ad- _
J'oJila(di iv7 /797y
OWNER PROPERTY ADDRESS: _4,-7' _fe ,` X Pc^ ' f ! S'
192 S,1/g T O /12q 1u6 £LJ J aD c-C D c_D
TELEPHONE NUMBER OF CONTACT PERSON: 7 Cf /L'(2
TAX MAP NO. : Section Block �z Lot *'6
CROSS STREET: Ar y4a.Avi a,M C. 7 A,r-e,
BUILDING PERMIT NUMBER CROSS REFERENCE:
4,4,
Signature of Applicant
RECEIVED BY";,1 I , id,
Town u lerk's 0 / ice
DATE: •
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