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HomeMy WebLinkAboutDaly tet. ,,,iiii JUDITH T.TERRY t�� 'yTown Hall, 53095 Main Road _ :� N Box 1179 TOWN CLERK ; P.O._ P ,i Southold,New York 11971 REGISTRAR OF VITAL STATISTICS `®y Fax Fax(516) 765-1823 MARRIAGE OFFICER �#4, ��®��� Telephone (516) 765 1800 RECORDS MANAGEMENT OFFICER - �1 FREEDOM OF INFORMATION OFFICER � OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT • OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3485-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner DALY, KAREN Mailing Address 1 JABLONSKI, MARY Mailing Address 2 34-27 79TH STREET #31 City St Zip JACKSON HEIGHTS NY 11372-0000 Property Address 1 19895 SOUNDVIEW AVENUE Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 718-429-2423 Tax Map No. section 51 .00 block 4 lot 2.000 Cross Street MT. BEULAH Issue Date: 7/16/96 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK �TFDIL Town of Southold ' �� CD Application No.3(ler- Judith T. Terry, Town Clerk ` Town Hall, 53095 Main Road • I $10.00 - Residential � r P. 0. Box 1179 L' ;° hi �' $25.00 - Non-Residential • Southold, New York 11971 070 •1'' 0�61`, - Telephone : ,( 11 (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ DATE Junte 30, 199,6 . _ OWNER NAME: 1(AREW pihty 1 MAey 3/1gLo13 . y � / OWNER MAILING ADDRESS: 31 . 2 7 - q' Sr * 31 'SA Limo la IA. ►(airs isy 1131 Z. -OWNER PROPERTY ADDRESS: 11145615- - J491.414py«W AVE --- uTKoup R1y ) c11 , OWNER TELEPHONE NUMBER: II% .42c1 29 �3 lace k. vao 516 -IG • y1 $ TAX .MAP NO. : Section 05100 Block 01 Lot oo Z, / CROSS. STREET: Ili% 6e.ulaVI TYPE OF SYSTEM: ' Septic Tank New Existing Cesspool ✓ New Existing ✓ Residential Non-Residential LOCATION MAP: Must be attached hereto before permit may be issued. (Locate building and system; give north arrow and feet of distance, approximately, to building and closest road.) 111111 Li igna ure of A.-. cant RECEIVED BY: Town Clerk's Office DATE: , r • • - •••• • :. - 4 ,--.----....4;:--„ •,--,0..,...--...,.....-,,,,,...,-- ,,• ..,;(-..,,, •-....,-,-....,_ ,ia...,....-..., .,-.7,3i.w. ,.k...,*•.:•'2..., -..,• i ..r .... ,,,,-.7'...•g.P--..:..•..• e..„4..,,,,,X. '.... .-,,i•fl• $,:...1 ..,,....•,L.,, ^ -...7.,..,,,.„.-':,' ...-,..,, 0..1;'.-.-7 ,.."...,•frivr.,i.ti„lil""....w.?_,:',-.t.'...../..•',F1••.' 7,:.e:•AZ ,,r,e . •,.. 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';'Weff ' -...-:'' '''''"'?'-*" :"Wir-'4A-"tt17-...1" - `4".rq-4-;43",:.:,--""%i?...:,,,,,, -in.. ;-.1.(...,,ts..• 7....ox"..s„r 1-. ...1-' ,.:7;rgle,-' :-.- -674 ',.-.4;,.., 4.-(f.s...,--1- ,. k.._,,,,,.,.„-.2,,,,,,,,,,,.z... ...:,. ...„....0.,&-„,...A. ,. ..„. . . , if of FO(,r co JUDITH T.TERRY r j • Town Hall, 53095 Main Road TOWN CLERK E - ; P.O. Box 1179 ,y. Pr7 V Southold,New York 11971 REGISTRAR OF VITAL STATISTICS at,' ��� Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER[ MARRIAGE OFFICER -ol 'ro��t° Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD May 3, 1996 Karen Daly Mary Jablonski 19895 Soundview Avenue Southold, New York 11971 Re: 51-4-2 4/20/96 Dear Ms. Daly and Ms. Jablonski: Our records indicate that you recently had your cesspool/septic tank system pumped out. According to the Southold Town Scavenger Wastes Ordinance, any owner of an operating, on-site sewage disposal system, such as a septic tank or cesspool, must obtain an Operation Permit for that system. The Operation Permit is issued by the Southold Town Clerk's Office. The fee is ten dollars ($10.00) for a residential system, twenty-five dollars ($25.00)" for a non-residential system. You will not be asked to obtain an Operation Permit each time you have work done on the system. The permit is only issued once for each system. Enclosed is an application for an Operation Permit. Please complete the application and return it to this office along with the location map and proper fee. (NOTE: The location map may be a copy of your survey with the location of the cesspool(s) indicated or a sketch of your property showing the location of the buildings, cesspool system, and approximate distance in feet to buildings and closest road.) Also included is an Informational Bulletin regarding the Southold Town Scavenger Waste Treatment Facility. I hope this will aid you in understanding the Scavenger Wastes Ordinance. Please do not ignore this request. Should you have any questions or need any assistance with the application, please do not hesitate to contact this office. • We will be happy to assist you in any way we possibly can. Very truly yours, • s' Judith T. Terry Southold Town Clerk Enclosures (2) ljc