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Home My WebLink AboutDiVello, John '` `/ v� Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 JUDITII T.TERRY TELEPHONE, TOWN CLF R K (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD October 22, 1986 John and Cathy DiVello RD 1 , 1155 Marys Road Mattituck, New York 11952 Re: Westphalia Road Mattituck, 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 �rours, Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc t r OFFICE OF THE TOWN CLERKFO Town of Southold � �C�G Judith T. Terry, Town Clerk Z Town Hall, 53095 Main Road P. 0. Box 1179 Ln Southold, New York 11971 O • �� Telephone alt �O (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 61 Residential X Fee $ 10.00 Non-Residential Septic Cesspool X PERMIT ISSUED TO: NAME: John and Cathy DiVello ADDRESS: RD 1 , 1155 Marys Road Mattituck New York 11952 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Fran 6 John DiVello (In process of transfer to John & Cathy DiVello) OWNER MAILING ADDRESS: RD 1 , 1155 Marys Road Mattituck, New York 11952 OWNER PROPERTY ADDRESS: Westphalia Road Mattituck, New York TAX MAP NO. : Section 113 Block 9 Lot 15.1 CROSS STREET: Route 48 BUILDING PERMIT NUMBER CROSS REFERENCE: Pending Judith T. Terry eir Southold Town Clerk DATE : October 22, 1986 I i (TOWN SEAL),/ OFFICE OF THE TOWN CLERK Town of Southold S Application No. Judith. T. Terry, Town Clerk Town Hall, 53095 Main Road Construction P. O. Box 1179 Alteration Southold, New York 11971 Telephone Residential (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT 00T 2 1986 APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. CW Fee DATE APPLICANT NAME: APPLICANT ADDRESS: SEPTIC CESSPOOL DESCRIPJ ION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION-AOR ALTERATION: OWNER OF PROPERTY: e (�o v,� 1')lz6Ce ' o-� 4,10,11Cc ;j OWNER MAILING ADDRESS: 97OWNER PROPERTY ADDRESS: e 0Nt 1 9 TELEPHONE NUMBER OF CONTACT PERSON:_ ,2 43-'.5)o TAX MAP NO. : Section_ Block � Lot CROSS STREET: ✓ tg BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Applicant RECEIVED BY: i�,�¢ � Town ;Clerk's Office DATE: SUFFOLK COUNTY DEPARTMENT Of HEALTH SERVICES i jf VOR APPROVAt. Of RCO sTR'j GrlN OF Single Fam Y 5 1OVED jWp YEAR S FROM DATE OF EYn:�cc t ao p� /e �� -c•�o3e�l�ad P L a., pee.75 A� V 9 applicant's resQonSl ,Itty to to It is the app ' maintain adeq,.iate s� - =-� between all water suE.;;;y • d sW9 `'> ! dtsposai•ta�iliues..—____._�- - -_-_- The wat"e supply-- and- sewage -disposal � gys em or this residence will con- form to the standard of the Suffolk County Department of Health Service- c: / ,� d " '�vr`/ ./off ��. '._ ,r lv��, /V• Y,' '_. _ �"!, � 9