HomeMy WebLinkAboutBoken, Michael iii'
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`�" Town Hall, 53095 Main Road
"+0 '. ���f P.O. Box 1 179
=4410 �`a��' Southold, New York 11971
JUDITH T.TERRY /00i�� TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 14, 1988
Michael S. Boken
Mary Ann Boken
Third Street
New Suffolk, New York 11956
Re: Middle Road
Cutehogue, New York 11935
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,,
di Orlillegf 14 e,,7"..1%. .4.1 C......
Judith T. Terry
Southold Town Clerk
Enclosures (3)
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•
OFFICE OF THE TOWN CLERK c51FOCk�,
Town of Southold
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971 O •',,
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Telephone 0l i Nr
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 301 Residential x
Non-Residential
Fee $ 10.00
Septic Cesspool x
PERMIT ISSUED TO:
NAME: Michael S. and Mary Ann Boken
ADDRESS: Third Street
New Suffolk. New York 11956
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling with Cesspool System.
APPROVED as per Suffolk County Health Department survey.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Michael S. and Mary Ann Boken
OWNER MAILING ADDRESS: Third Street
New Suffolk, New York 11956
OWNER PROPERTY ADDRESS : Middle Road (County Rt. 48)
Cutchogue, New York 11935
TAX MAP NO. : Section 101 Block 1 Lot 15.2
CROSS STREET: Alvah's Lane
BUILDING PERMIT NUMBER CROSS REFERENCE:
Judith T. Te
Southold Town Clerk
DATE : March 14, 1988
(TOWN SEAL)
Dr-g@c_qovi-gr - 0
MAK
II 1988 ,�.
BLDG. DEPT. v-i ;1.7
TOWN OF SOLENOID -., '7 Town Hall, 53095 Main Road
r
P.O. Box 728
= ' 1<q; 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
March 7, 1988
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 305 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Michael S. and Mary Ann Boken •
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 -
COMMENTS: Q•,o j,„„":_e_calfiES„ p,n �p,
CLLL
Nrirfai 64. C:-. 2.°1•Ps,
Signature
Date
"•0.
OFFICE OF THE TOWN CLERK c.0FU( 1-
Town of Southold �.` CSG , °-5
Z e Application No.
Judith T. Terry, Town Clerk .t
Town Hall, 53095 Main Road cY, Ee Construction x
P. O. Box 1179 Alteration
Southold, New York 11971 � e,
Telephone _�l 44 $� Residential a'
•
(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 $
DATE r.C/3 7, /9e8.
APPLICANT NAME: /1"f/ell/le-L.L Add lJclleen
APPLICANT ADDRESS: j' !7 'eel 0/1/64/
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 0 'ojif$'7
. ,✓9`F ,f,g,27 led
A-1047
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION,// OR ALTERATION: /� A'l /
OWNER OF PROPERTY:/ 4'9 S' �9ey4i✓N /� eN
OWNER MAILING ADDRESS: ,Pei) ffeeer /t' / S?iF&I' 1.2" /✓�
OWNER PROPERTY ADDRESS: t A00 ,e6/0.4 CC: 4/A)
Cu•rCH�GU�
TELEPHONE NUMBER OF CONTACT PERSON: 57 7.?41' 7.TT
Daa7= /o0o p�L
TAX MAP NO. : Section /to/ 11Block / Lot /S Z.
CROSS STREET: AL v,i 1S AA/b--
BUILDING PERMIT NUMBER CROSS REFERENCE: —
02?4:citaizA5?/)8.4&121
Signature of Applicant
RECEIVED BY : w- 6.0o•Town 1erk's •ffice
DATE: g/17 / �`
-- SUFFOLK CO. HEALTH DEPT. APPROVAL I
H. S. NO.
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STATEMENT OF INTENT.
or, ,
THE WATER SUPPLY'AND SEWAGE DISPOSAL
I.,- _ SYSTEMS FOR THIS RESIDENCE WILL
I-- b..ai fd ir1at ertvelo a -.. f ` CONFORM TO THE STANDARDS OF THE
•` Qt. Q' IP q? iky Ad�P .or P2or E,Q;R- Y SUFFOLK�C . . DEPT. F HEA TH SERVICES.
r ,, SUR VEYEi2 Fo�c' (SI 11 1
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, ft ,x S 4 - -�= cis V 'L. A9rvv f R. , ANN £OIV'' js`��-y�U o J. 11,42.71.1
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L — t± �(� ��n Aft-::.: SUFFOLK COUNTY DEPT.. OF HEALTH
k,Cit =w; ''t 4 LpCa`r p , } re,N� T SERVICES - FOR APPROVAL OF
r• q ` . CONSTRUCTION ONLY
pc�fn r= ' '� fwC. 7-- ._ . Cei r f/(3# UE- N :' DATE: JAN DA 41988 ,
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tt j- APPROVED: Ll� ...� A"
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GREENPORT • NEW YORK ,
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