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HomeMy WebLinkAboutBownes, John 00,0000 Iats •1 C! j { U 1 v' ` ` Town Hall, 53095 Main Road „. • �'' �� P.O. Box 1179 I r os Southold, New York 11971 JUDITH T.TERRY ��yii����� TELEPHONE TOWN CLI Rk (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD March 23, 1987 John Bownes Kathleen Bownes 2696 Cheshire Drive Baldwin, New York' 11510 Re: ROW off Main Road (Route 25) Southold, 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 yours, Aefee.07:0000,000.0.00' Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc iii • OFFICE OF THE TOWN CLERK c31FOLA-c" Town of Southold �/ Judith T. Terry, Town Clerk : tff L' Town Hall, 53095 Main Road - P. O. Box 1179 Southold, New York 11971 0.0 ' .. •' Telephone _ �! (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 127 Residential X Non-Residential Fee $ 10.00: Septic Cesspool x PERMIT ISSUED TO: NAME: John Bownes and Kathleen Bownes ADDRESS: 2696 Cheshire Drive Baldwin, New York 11510 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling ._._. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: John and Kathleen Bownes OWNER MAILING ADDRESS: 2696 Cheshire Drive Baldwin,,', New York 11510 OWNER PROPERTY ADDRESS: ROW off Main Road (Route 26) Southold. New York TAX MAP NO. : Section 63 Block 3 Lot 17.'3 CROSS STREET: Town Harbor Road BUILDING PERMIT NUMBER CROSS REFERENCE: Pending Judir T. .terry Southold Town Cle DATE: March 23, 1987 (TOWN SEAL) OFFICE OF THE TOWN CLERK Town of Southold Application No. /22 Judith T. Terry, Town Clerk Town Hall, 53095 Main Road Construction P. O. Box 1179 Southold, New York 11971 Alteration Telephone Residential ✓ _ (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. / I Fee $ /O DATE Matcch 20, 1987 APPLICANT NAME: John Bowne4 8 Kath.2een BowneA APPLICANT ADDRESS: 2696 Chuh../Le Dtt}ve Baedw-,n, New Yonfz, 11510 SEPTIC I CESSPOOL 1 (pnecazt) DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION I nista) . a ,1,ng2e poot z eptt.c z yitem n aeeondance with Sui 6otfz County Health Department 4pee,1.6icatLon6. LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: John Bowners 8 Kathleen Bowness OWNER MAILING ADDRESS: 2696 Cheesh 'te Dtt,Lve Bal dw-i n, New Yo'da 11510 OWNER PROPERTY ADDRESS: 430 CO T) TELEPHONE NUMBER OF CONTACT PERSON: (516) 223-1034 TAX MAP NO. : Section 063 Block 03.00 Lot °17'03 CROSS STREET: Ma-.n Road WCc&.1 BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Applicant RECEIVED BY • n Vferk's 0 rice DATE: "`HR 2 3 1987 • Town (irk Southold ,u..-,.._,..--_ •,.— :44:y':1'114404,1�.. ail,�i''��'`�'�� I,� .•^ [NUIIMIMIM *wT,:... • __ ._- _ -- 4 i 1t 'ta lis d a � .c 4xr¢t1 I.°••,, '' : . �,.bC '$; 1 - .i � ^t s, � , js tri 6�'�I . '+ ���� i•1•Not ` ,. f. pl n'41' _ SUFFOL � O. HEALTH DEPT. APPROVAL "� z H Si. NO. • , ! E`', ' "� C,� ` `'�` ,,,_ sit $Ily I t >� < r1' p ��.`AA'( �! 'pDVVELLIQ N LY : ' 5 ,)I,: 'J `'� �L) , ,P s, , ,,-, , ,,,,,bra :, ^,,, , 4 "'�'y"'�+rr„•J�10M 1 AJ r QF.4P R w� ‘, • i iR' 1.,,,,,: ' I ,. aN ,—.--. .. L /.,�. ,, „,.. , 7 :41.:' ' '' , ,. 4''' ,, , , , [.„,. ,,,..- N. j . ,,, ) vvi i.,,.....k.._, , .4r �:, ......—_-,-_,---__,L.—.-444.`?— ` STATEMENT OF INTENT ' .1 . WATER SUPPLY SEWAGE DISPOS 1j` ttzli., SYSTEMS THE FOR THISAND RESIDENCE WIALI„. ii,,;:r1� --- ,. 3 e • , _ I P,�� CONFORM TO THE STANDARDS OF THE TOWt c w' -1, ��. i,,"G`` (j' ,c;1` `��'�(� SUFFOLK CO. DEPT. OF HEALTH SERVICES." /I\ �• �� o ISI 0l��ji 'a�g7'.ILt�Eifi p�v'�vt=s , ', .0, <-) ' APPLICANT Uj • �� '` e.r SUFFOI.,�C COUNTY DEPT. OF HEALTH, • I• .� �,.. y' / (}' SERVICES -- FOR APPROVAL OF, F ti • f i� f • ' CONSTRUCTION ONL 1 " , �! " DATE:• _ .� 2 198 / H: S. REF NO. • J/ d V ` • 4s�,ft3 ir / .... fit/ r/, OP , • , rf� • APPROVED: 4 -4:. ( <-'� , . . ,, 1 • � ,•; , . , ' / ' • , I�3 9 SUF, LK CO. TAX MAP DESI ATION: ry /Ltk.:, SCOCZ 7/ DIST, SECT BLOCK PCL. 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