HomeMy WebLinkAboutBarker, Ellen ••,
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Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
JUDITH T.TERRY ' TELEPHONE
(516) 765-1801
TOWN CLERK
REGISTRAR 01 VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 10, 1988
Ellen Barker
P.O. Box 91
Mattitutk, New York 11952
Re: Cedar Drive
Mattituck, New York 11952
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,
00044227e0.67.
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/Ijc
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OFFICE OF THE TOWN CLERKS�FFO(K
Town of Southold DO CD�
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
P. O. Box 1179 .Lc'
Southold, New York 11971 "A. .-
Telephone - Oj [ ��
(516) 765-1801 '
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 336 Residential X
Fee $ 10.00 Non-Residential
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Ellen Barker
ADDRESS: Cedar Drive
Mattituck, NY 11952
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: Ellen Barker
OWNER MAILING ADDRESS: P.O. Box 91
Mattituck, New York 11952
OWNER PROPERTY ADDRESS: Cedar Drive
Mattituck, New York 11952
TAX MAP NO. : Section 106 Block 11 Lot 6.3
CROSS STREET: Bayview Avenue
BUILDING PERMIT NUMBER CROSS REFERENCE:
• dre4;4fe",....
Judith T�
Southold Town Clerk
DATE : May 10, 1988
(TOWN SEAL)
1 $ 111Uni
lid - 91998 12,1
� ,_ Y
a s ,,_ Town Hall, 53095 Maul Road
BLDG.DEPT. �� r
�� P.O. Box 728
'I! , OF SOUTHOLD •
_ +" Southold, New York 11971
JUDITH T.Trim-
TELEPHONE
EIFRYTELEPHONE
TOWN CLI'RK
(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 9, 1988
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 340 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Ellen Barker
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.
•
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 -
DISAPPROVE -
' C oi �'�a. 1�
COMMENTS: (1.0 ...+_�.t.•s:�a.�.. cM a.ra GKnn�- 1
t,Ad
Signature
Cl/ V/
Date
+ 4
OFFICE OF THE TOWN CLERK oci\f FOUI-C-
Town of Southold � � Application No. ��
Judith T. Terry, Town Clerk �.
Town Hall, 53095 Main Road Construction
P. O. Box 1179 0 �,/ Alteration
Southold, New York 11971 d
Tele hone �l [ �� Residential
p
o
(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 $ /
d
DATE •t{'a(o'gq
APPLICANT NAME: E1I.er 5&ri(.' r
APPLICANT ADDRESS: C ed?ar Dr+vZ
rna f i-tuck f N.V. 105'7--
SEPTIC
I'f 'vSEPTIC CESSPOOL
•
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
5e,-I-Cc- 5 S4-enn i n.tw ce.w.c_11 Cr4 re'S ide►d-1-�'a I) .
J
LOCATION MAP: Must be attached hereto before permit may be issued. •
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: K I(Q r &r ICQ
OWNER MAILING ADDRESS: p. C7 BOX 11
mottl , N- ►/9SZ
OWNER PROPERTY ADDRESS: CecOar Dc 'v-e
fl1 H-,-4-u k, NJ. - x(93 z
aqa- .3Y149 h0
TELEPHONE NUMBER OF CONTACT PERSON: 6.ep e Cs fc.6eLls 71Q5".._ /c3'/
TAX MAP NO. : Section lb(o Block I Lot 66 . 3
CROSS STREET: a1L4.c-Q._
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
Cee a x��
Signature of Applicant
RECEIVED
-c,J
Town Jerk's ffice
DATE: MAY 0 9 1988
Town tferR Southold
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SURVEY FOR res'
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ELLEN L. BARKER
LOT 26 ,
it DEVELOPMENT CO., INC."
FOR•APPROVA-1 OF CONSTRUCTION OF AT MATTITUCK DATE: APR. 5, 1988
Single Family Residence Only
�" TOWN OF SOUTHOLD SCALE I" = 30' -
Df TE 7' j IIS Rr £10 SUFFOLK COUNTY, NEW YORK NO. 88-0297
1
APPROVED -\---e;' �✓I� *UNAUTHORIZED ALTERATION OR ADDITION TO THIS GUARANTEED)
SURVEY IS A VIOLATION OF SECTION 7209 OF THE ELLEN BARKER •.
EXPIRES TWO YEARS FRO ATJAPPROVAL NEW YORK STATE EDUCATION LAW
*COPIES OF THIS SURVEY NOT BEARING THE LAND AME Orf ` JRe CE CO.
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL (tt0 W f
NOT BE CONSIDERED TO BE A VALID TRUE COPY 41P. .THE PERSON FOR WHOM THE SURVEY IS PREPARED
1.O 1`
NGUARANTEES INDICATED HEREON SHALL RUN ONLY TO
O
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT 4
AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN-
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III MEANEST WATER MAIN MI.!
•-• •"•- .t..-t-., respOnsibility to
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,•)7.1nrtary distance
- nply and sewage
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