HomeMy WebLinkAboutDean froStflafre
``r Town Hall, 53095 Main Road
P.O. Box 1179
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11'�®/�ti ® � Southold, New York 11971��4�/®� � TELEPHONE
JUDITH T.TERRY ,`�T - (TEL516) 765-1801ONE
row CLERK
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3602-R Residential X Non-Residential
Fee $ 10.00' New Existing X
Name Of Owner DEAN, RAYMOND
Mailing Address 1 8555 MAIN ROAD
Mailing Address 2
City St Zip EAST MARION NY 11939-0000
Property Address 1 8555 MAIN ROAD
Property Address 2
City St Zip EAST MARION NY 11939-0000
Owner Telephone No. 516-477-0335
Tax Map No. section 31 .00 block 3 lot 13.000
Cross Street
Issue Date: 4/08/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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OFFICE OF THE TOWN CLERK � WFO
Town of Southold , 4 % �°O ,, Application No. 3 `I
Judith T. Terry, Town Clerk erk . r;, �►
Town Hall, 53095 Main Road - $10.00 - Residential l/
p. O. Box 1179 v' _' ''� ;' $25.00 - Non-Residential
Southold, New York 11971
Telephone _ O.( 10-•
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(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT •
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee �4•
DATE 77;j9C7
OWNER NAME: 4-27Cie ��f1 -1
OWNER MAILING ADDRESS: g.55,-
,&45 7 4-711 47,1 ill y //q(57
OWNER PROPERTY ADDRESS : "
5f1 e /tS h®av--e
OWNER TELEPHONE NUMBER: /777 - D3,3�2"-
TAX MAP NO. : Section 3 / Block 8 Lot
CROSS STREET:
TYPE OF 'SYSTEMF: Septic Tank - - - New Existing
Cesspool X New Existing Y
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.)
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01P
Signature of App icant
-'IkECEIVED• BY: : =' RECEIVED" - " - . ....
Town Clerk's Office
DATE. _.APR ' 8 1991- " - " -
Southold Town Clerk
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JUDITH T.TERRY � � . Town Hall, 53095 Main Road
TOWN CLERK c -4 P.O. Box 1179
ys- �� Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax
�� Fax(516) 765-1823
MARRIAGE OFFICER = if� "„1.11
RECORDS MANAGEMENT OFFICER ; j * iTelephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER ---- �
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
April 2, 1997
Raymond Dean
7775 Main Road
East Marion, New York 11939
Re: 31-3-13 3/19/97
•
Dear Mr. Dean:
i
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,
• •
Judith T. Terry
Southold Town Clerk
Enclosures (2)
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