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Home My WebLink AboutDaly, Tim p •Ln Town Hall, 53095 Main Road P.O. Box 728 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 August 28, 1986 Jon Swanson Rt. 2, Box 232 5 Fairway Avenue Montauk, New York 11954 Re: Tim Daly Permit Enclosed herewith is the Construction, Alteration or Modification Permit fora 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, Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc Ilk b f =_J FU c > � 4 O ' Town Hall, 53095 Main Road I��MOl P.O. Box 728 0J-D 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 August 19 , 1986 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 20 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septicsystem submitted by Jon Swanson for Tim Daly Please advise if the project has received Suffolk County Health Department approval and if we may issue the permit . Judith T. Terry Southold Town Clerk Attachments OFFICE OF THE TOWN CLERK c�vFFO(/(��► Town of Southold Judith T. Terry, Town Clerk L Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 O � 0 Telephone (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 20 Residential XX Fee $ 10.00 Non-Residential Septic Cesspool %X PERMIT ISSUED TO: NAME: Jon Swanson ADDRESS: Rt. 2, Box 232, 5 Fairway Avenue Montauk, New York 11954 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Residential home with septic system LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Tim Daly OWNER MAILING ADDRESS: 120 Main Street Huntington, New York 11743 OWNER PROPERTY ADDRESS: Lighthouse Road Southold, New York TAX MAP NO. : Section S4 Block 3 Lot 26 CROSS STREET: North Road (Rt. 48) BUILDING PERMIT NUMBER CROSS REFERENCE: 15159Z Judit T. Terry Southold Town Cler DATE : August 28, 1986 (TOWN SEAL) OFFICE OF THE TOWN CLERK I Town of Southold €( �� Application No.CW Judith T. Terry, Town Clerk Town Hall, 53095 Main Roadi 1 6 s I Construction P. 0. Box 1179 AUG 1 9 198 Southold, New York 11971 Alteration_ Telephone BLDG. DEPT. Residential (516) 765-1801 TOWN OF SOUTHOLD Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ b DATE 81 APPLICANT NAME:— A, d L tZT Z fox Z3 L APPLICANT ADDRESS: S 'fry �� V��c„ i4 V 4 fA0fj _Av�c SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION14, ID rct 01i<— f LOCATION MAP: Must be attached hereto before permit may be issued. 0 LOCATION OF PROPOSED CONSTRUCTION OR ALTERAT ION s ; OWNER OF PROPERTY: `�N OWNER MAILING ADDRESS: M t k ST, Nu NT's x)6,To�J OWNER PROPERTY ADDRESS: '� �/CrFFTHI�c/SC�� TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section S� Block Lot CROSS STREET: 91 V � ;.\ BUILDING PERMIT NUMBER CROSS REFERENCE: 157IS'q pL '.; 1 5}r Signature of Applicant RECEIVED BY: Town C rk's Office DATE: jy, /C.X SUFFOLK CO. HEALTH, DEPT APPROVAL _ . H S NO \ I J f ss- i STATEMENT OF INTENT �- CJ THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL ; CONFORM TO THE STANDARDS OF THE � '-3 �� I SUFFOLK CO. DEPT HEALTH SERVICES. { ..< 7- s /pp►�_ f NG ONLY ROVAU i SERVICES — FOR APPROVAL OF CONSTRUCTION ONLY DATE: 4 H. S. REF. NO. r C) — ! l i � APPROVED: �. N� A o �a / SUFFOLK CO 7i+X !v7AP DESIGNAT':ON: DIST. SECT BLOCK PCL. OWNERS IADDRESS E DEED: L P TES1 HOLE I STAMP i i Eli:-:c.7t /, I e'fY m fL74 b9<'il'!� 1� ,` •` - nO:be OC�itle60CT>d� i `c:,�-entca�i:rSicRtsC ttas'axt edtaA nate ry;:k-to the-%rson'Or YI.°lOR1 L!W WSMr