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HomeMy WebLinkAboutDoroski, Walter o��FFo��o Town Hall, 53095 Main Road P.O. Box 1179 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 February 16, 1988 Long Creek Homes Inc. Willow Point Road Southold, New York 11971 Re: Walter and Ann Doroski Beebe Drive Cutchogue, New York 11935 Dear Sir: 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, IT OF Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc OFFICE OF THE TOWN CLERK S�FFOC�C' Town of 'Southold Judith T. Terry, Town Clerk Town Hall, 53 95 Main Road o P. 0. o x 1179 ` Southold, New York 11971 ZIP' �- Telephone (516) 7 65-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit Not 289 Residential X Fee $ 0.00 Non-Residential Septic Cesspool X PERMIT ISSUED TO: NAME: Long Creek Homes Inc. ADDRESS: Willow Point Road Southold New York 11971 DESCRIPI ION OF PROPOSED CONSTRUCTION or ALTERATION New Singe Family Dwelling with Cesspool System. APPROVED las approved by Suffolk County Health Department. LOCATIOOF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Walter and Ann Doroski OWNER MAILING ADDRESS: 192 Wood Road Centereach New York"11720 OWNER PROPERTY ADDRESS : Beebe Drive Cutchogue New York TAX li MAP NO. : Section 97 —Block 7 Lot 13 CROSS STREET: Antler Lane BUI4DING PERMIT NUMBER CROSS REFERENCE: ----------- u i� th y Southold Town Clerk ' ifit DATE: February 16, 1988 (TOWN SEAL) I ...•....»�,� ,� .i c. � .rte rV V FEB � I�pp ,� ,' � Town Hall, 53095 Main Road P.O. Box 728 a� g�pG,DE?T. Southold, New York 1 1971 JUDI i T. OF SOUfHOLD ` �. TQ L}{kh TELEPHONE -- REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK (516)765-1501 TOWN OF SOUTHOLD February 10, 1988 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 293 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by Long Creek Homes, Inc. for Walter & Ann Doroski. 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 - x DISAPPROVE - COMMENTS: k.J c.r tom. -P�Ya Wit,.D� Signature z\ I�� Date rr OFFICE OF THE TOWN CLERK SUFFQG�' Town of Southold Judith T. Terry, Town Clerk Application No.,2� Town Hall, 53095 Main Road Construction ✓ P. 0. Box 1179 Southold, New York 11971 Alteration Telephone �l [ 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 liT APPLICANT NAME: 7 APPLICANT ADDRESS: SEPTIC /CESS OOL 'v DESCRIP4410V OF P OP l ED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRLj4tTION OR AL -CATION: OWNER OF PROPERTY: ����CJ �_l��dy�r, o OWNER MAILING ADDRESS: T �. Z& OWNER PROPERTY ADDRESS: l TELEPHONE NUMBER OF CONTACT PERSO TAX MAP NO. : Section �� Block 7 Lot I CROSS STREET: 7Lf� I&—A- BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Applic&Kt RECEIVED BY: f Ty wn Jerk's Office DATE: / SUFFOLK CO.HEALTH DEPT.APPROVAL 'Ala r, {�t "pili 7 F}1f�+#IL v 1^lFH.S. No. Moe.sc 4 .. ° ��'lr. ( r r7 ; he ,. .. . f d{'� '` a�, 4R$ FFtUiW G� Vit' ONLY o �!/N j C:ier s_. •/s fel /1, �sr;' err C` ' AF�J�+�oVgt. � .s ..a:r o tvr di._ , 'l -���, .�. ,• iii arld felt,r fe) p-nee,*,? Vic'%t Ic`;:r1!. V 1T /. �t STATEMENT OF INTENT �VRGQh f! TME WATER SUPPLY AND SEWAGt DISPOSAL o- �; �Ce. ►. SYSTEMS FOR THIS RESIDENCE WILL �� wJ� `� '��,��l. CONFORM TO THE STANDARD¢ OF THE SUFFOLK PT. HEALT ,SERVICES. \ G APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES— FOR CONSTRUCTION ONLY APPROVAL OF CO N S F.NO.: - _ o J APPROVED:' J U i, ,� {,' SUFFOLK CO.TAX MAP D GNAT N: 164j 'tl DIST. SECT, SL PCL. .t..f /00097 7 /_3 C1 = IrY10 irG{iY I G v OWNERS ADDRESS: J too ' i 9z wod R,:>,xd a►t� .c. ,s a . �<+a,. fcc t� pAy. Gcnfcre,2c6i, /m, //-,7zn 763-300 �t Pi�aQ�I 11) DEED:L. 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