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HomeMy WebLinkAboutDurhan, Gisela 'r - f / (,- �c 11� Town Hall, 53095 Main Road - , .,�' P.O. Box 728 A. 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 September 12, 1986 Winds Way Building Corp. 1020 Glen Road Southold, New York 11971 Re: Gisela S. Durhan North Bayview Road Southold, 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, • efro.044 ...... . a....4.40443....... Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc OFFICE OF THE TOWN CLERK c5VFFO(ke,' Town of Southold ; � �ljy Judith T. Terry, Town Clerk Z �: Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 6 �•��, Telephone Ol Jt �,; (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 17 Residential xx Non-Residential Fee $ 10.00 Septic Cesspool xx PERMIT ISSUED TO: NAME: Winds Way Building Corp_ ADDRESS: 1020 Glen Road Southold, New York 11971 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Residence LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Gisela S. Durhan OWNER MAILING ADDRESS: 27 Andover Road • Port Washington, New York 11050 OWNER PROPERTY ADDRESS : North Bayview Road Southold, New York TAX MAP NO. : Section 79 Block 2 Lot 3.4 CROSS STREET: Dayton Road BUILDING PERMIT NUMBER CROSS REFERENCE: Pending • Judith T. Terry Southold Town Clerk DATE : September 12, 1986 (TOWN SEAL) f . ' OFFICE OF THE TOWN CLERK Town of Southold /77 Judith T. Terry, Town Clerk Application No. 0 Town Hall, 53095 Main Road Construction '- P. 0. Box 1179 Southold, New York 11971 Alteration Telephone Residential ,-- -- (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1 • Fee $ �i 6 DATE 9/47/'a� APPLICANT NAME: /4/11. ---\1-44g/fie 6 APPLICANT ADDRESS: / f )4 .,44y mi 9c,,..„4:i eti SEPTIC CESSPOOL V DESCRIPTION OF PROPOSEDC STRUCTION OR ALTERATION -i, -' %;oaa�� jI®. 6 ASI , `1 / :mow LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTR CTION OR AL ERATION: OWNER OF PROPERTY: (.6 .t W42h , i L--,2 7 Cl/xrP- -U ,C / OWNER MAILING ADDRESS: ,---1 '` 717 , 7'wz,- ?Y�i1' .0.67‘..-), 2), c //O.S-U ti OWNER PROPERTY ADDRESS: 7 �j,, (e_. . )ew. TELEPHONE NUMBER OF CONTACT PERSON: 1_76._c-/3 g— TAX MAP NO. : Section G 7, Block b 2 Lot C§ Y V CROSS STREET: -✓` Al, di, f /LC ce„.e_ � Cu - ei BUILDING PERMIT NUMBER CROSS REFERENCE: -� .&U ,� a'/ W Signature of Applicant RECEIVED BY Xd' �'`� C .�' -- Town Jerk s Office DATE: ��.; 12. / O 1;0 �ivU ',` The water supply and suwa6e disposal ---, G " y system for this residence will con- " �� L`w11}. ca • form to the standard of the Suffolk '. C v County D partment of Health Service. k'' li' ' < It .:a..1, ,i , e. D OpNLW YD '0 . ®, or;ev 'y /may . � dow aarea 'i 1 EASE NOTE ,e►rzer, It Is t 4 :40,Iicant's responsibility to X maintain a• -quate sanitary distance between ail ater supply and sewage i pOSal taC lilies. r k i.. Eiliiii---------- 11 4sti 1,4 II11 .144, p,) . 0 . In SUFFOLK COUNTY DEPARTMENT OFPFALT ERVIC,S Cy OK ' Nf v 1 L'`'- �b FOR APPROVAL OF CONSTP iCTSON ' 4 •�\1q\ ;Sing!!Family fiL,iu. I;p Criiy 'R / DATE M k NS fief. 19 C6 - 4—WeCQ' . "`%a"''1Rr'PROVED_zee, / =Y ! ,4 ., 4. r vYEARS '�. ' OF `SPE ,71 Leer c,.Pl r.o FROM n. la c ,5-0 ouy ,x/01% .Ji ' )$14-1.9•14,—,541440/4 ,* 487 A4 y% Go9 ew',fevarA C. k c ft#' t*11ZW7? 44 ) 4L4.944940FeirP Xeo, Agor _,X41,/~#4014e.04 11.5, Li x-Tr '7•s"X.r�,9hC eS, y).' I d' -' wr .4�1,.3a' Mews 0.4,79-old _! • D ,y' 1 + Lam --�z4e iAl,,,/y86' • , ' ' / e� / ,may-04/40,.. yy�� /�