HomeMy WebLinkAboutDowd, Ted {
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Town Hall, 53095 Main Road
P.O. Box 728
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
September 25, 1986
Ted Dowd
P.O. Box 282
East Marion, New York 11939
Re: Rabbit Lane
East Marion, 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,
10,
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/Ijc
OFFICE OF THE TOWN CLERK
Town of Southold
Judith T. Terry, Town Clerk j
Town Hall, 53095 Main Road 'mac
P. 0. Box 1179
Southold, New York 11971
Telephone
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 42 Residential XX
Fee $ 10.00 Non-Residential
Septic Cesspool XX
PERMIT ISSUED TO:
NAME: Ted Dowd
ADDRESS: P.O. Box 282
East Marion, New York 11939
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Construction -Single Family Dwelling
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Worth Ent Inc.
OWNER MAILING ADDRESS: P.O. Box 282
East Marion, New York 11939
OWNER PROPERTY ADDRESS: Rabbit Lane _
East Marion. New York_ _ _ _
TAX MAP NO. : Section 31 Block 17 Lot gn
CROSS STREET: Bay Avenue
BUILDING PERMIT NUMBER CROSS REFERENCE: Pending
Southold Town CleiW
DATE: September 2 5 1986
(TOWN, SEAL)
OFFICE OF THE TOWN CLERK
Town of Southold �-�
Application No.
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Construction
P. O. Box 1179
Southold, New York 11971 Alteration
Residential
Telephone
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 6
Fee
DATE
APPLICANT NAME:
APPLICANT ADDRESS: Box DB2
raiz , o� Al %Ta,2
SEPTIC Y CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
e .,
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:� v �
OWNER MAILING ADDRESS: 4f 1 ,
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section p 3 Block Lot -20
CROSS STREET: / z ,r 8u r
BUILDING PERMIT NUMBER CROSS REFERENCE:_
Signature of p t
RECEIVED BY d _ _
Town Jerk's Office
DATE:"L",&.e.�� �� /�
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STATEMENT Of INTENT
r THE WATER SUPPLY AND SEWAGE DISPOSAL
SYSTEMS FOR THIS RESIDENCE WILL
hou�� CONFORM TO T#iE ANDAR OF THE
' r r SUFFOLK, D P EALT S VICES.
do
in -=ml ISI
,..� _ ANT
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�" r -' £'-- r• � '--� F--�- 1 `t' DEPT. OF HEALTH
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SUFFOLK COUNTY
� roa- 4 S r � �\ SERVICES - FOR APPROVAL OF
ho. I Y ' CONSTR CTIfjON
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Eleva+ions refer 4o meam sea level, LICENSED LAND SURVEYORS
GREENPORT NEW YORK