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Home My WebLink AboutVillage of Southold Shopping Ctr 4WFaL11� Ln } --' Town-Hall, 53095 Main Road P.O. Box 1179 Southold, New York 1 1971 JUDITH T. TERRY TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD November 16, 1987 Village of Southold Shopping Center Inc. North Road 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 Purs, Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc i OFFICE OF THE TOWN CLERK Town of Southold 0�0 OGy Judith T. Terry, Town Clerk Town Hall, 53095 Main Road P. 0. Box 1179 Southold, New York 11971 O Telephone �lt (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. NR5 Residential Fee $ 25.00 Non-Residential X _ ' Septic Cesspool PERMIT ISSUED TO: NAME: Village of Southold Shopping Center Inc. ADDRESS: North Road Southold New York 11971 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Cesspool System for Shopping Center APPROVED "as approved by Suffolk County Health Department LOCATION OF PROPOSED CONSTRUCTION "or ALTERATION: OWNER OF PROPERTY: Village of Southold Shopping Center Inc. OWNER MAILING ADDRESS: North Road Southold New York 11971 OWNER PROPERTY ADDRESS: North Road Southold New York TAX MAP NO. : . Section 55 Block 2 Lot 20 and. 21 CROSS STREET: Youngs Avenue and Boisseau Avenue BUILDING PERMIT NUMBER CROSS REFERENCEr------------ Ju iith-T. Teor Southold Town Clerk DATE : November 16, 1987 ti (TOWN SEAL) I _ a y A ) a NXIZ1 t� p ® B n Ha 95 Main Road TOWN pF SO .O. ox 728 w York 11971 JUDITH T.TERRY TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD November 12, 1987 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. NR 6 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by Village of Southold Shopping Center Inc. 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 - �C DISAPPROVE - COMMENTS: Qo► Signature Date t r OFFICE OF THE TOWN CLERK cj�FFOG�' Town of Southold CDS Application No Judith T. Terry, Town Clerk ;.e- Town GTown Hall, 53095 Main Road 'mac Construction P. 0. Box 1179 n • Alteration Southold, New York 11971 0� 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. Fee DATE L4P APPLICANT NAME: OY 'S'aulhaev �l�.j�,��,� �'� 14.01e ` APPLICANT ADDRESS: 4d,-Tk ea SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /N'G t a S m LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: vrl/i �. 0 �v✓7 , � .� Cy /mac OWNER MAILING ADDRESS: Sw�6—y ity� I OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: -7��' yL77 1 / TAX MAP NO. : Section�� —Block_',t,- Lot 74 CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENC Signat a of Applicant RECEIVED c�1 own C rk's Of ice DATE: NOV 12 ] imp Clerk SeudW ' 9 r ' 'I AIYO ul 0 KI ,oma .Qr __ _.._.�, Jet`- '�..s�;•� � �n1 .. tf`' �ac60 s�od , ��F�-err Co r�r�s79o�at�—est-�Z-�o f' - --.L�r,—L- 7N� s 'VA.!7v cl 13 �-�.3��;.Oo , .. �.,... ._ •, _.-. •. S. hf'y.Er.5�;•v'�,••�.f.,�-S,� T-i ��.<i,�q•o.1��C!6 rl-t/Jr _Li« !__.�,,!1 .�..r.r_-' __�J/.',y .1fJ��.��`a`�U�•91/CNF 1 %..,�'_i-,�--'-1-f_...l.c.�- �.1 .�'.�rs+� --.9'y�ah o,l� X•y � /3S� G.F. ' (q) /oar/.Z'La-.x.y�.m «!e r✓,�ws•',t 3 /7NT7LCY��}� YS� ZLc-y✓iyNOOf✓�X/ SUFFOLK COUNTY'DEPARTMENT OF HEALTH SERVIC For Construction Only H.D. Ref, No.Cl..�t;.�. 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