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HomeMy WebLinkAboutHarrington (2) ,`�,,oc��FFOLI�coG JUDITH T. TERRY % Town Hall, 53095 Main Road TOWN CLERK P.O.• P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 •� MARRIAGE OFFICER • Fax (516) 765-1823 � O ®� • 411 $1D $ Fax (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3078-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner HARRINGTON, NANCY Mailing Address 1 550 CARRINGTON ROAD. Mailing Address 2 City St Zip CUTCHOGUE NY 11935-0000 Property Address 1 550 CARRINGTON ROAD Property Address 2 City St Zip CUTCHOGUE NY 11935-0000 Owner Telephone No. 516-734-5872 Tax Map No. section 111 .00 block 7 lot 10.000 Cross Street HAYWATERS ROAD Date Of Last Pump Out 0/00/00 Issue Date: 8/02/93 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK c0FflUr��- Town of Southold Application No.3Q7 S G Judith T. Terry, Town Clerk �' y Town Hall, 53095 Main Road -� $10.00 - Residential k P. O. Box 1179 a _ :J �` $25.00 - Non-Residential Southold, New York 11971 O ��� Telephone *ati *6' ' • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRIVED El AUG 02 1993 APPLICATION Southold Town Clerk for OPERATION PERMIT SEPTIC TANK or CESSPOOL , Operation Permit No. Fee $ /O.OD DATE 4C/4 2, /9 KY OWNER NAME: Al I/CJ l /(, A I2 ti I I J C T'0 4f OWNER MAILING ADDRESS: „5",_‹p C,4 wi. / c „JD 4 (j /J y I1�'3S' OWNER PROPERTY, ADDRESS: S-S'O CA R R. l Ala<<reit) fah C are go 4 ve /sj 1193r OWNER TELEPHONE NUMBER: (S'/G) 7351. STT TAX MAP NO. : Section 11 1 Block 7 Lot /0 CROSS STREET: bJ�q/ vm -re Rs 2D TYPE OF -SYSTEM-: Septic Tank - - New ' Existing Cesspool )( New Existing ite- Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: Airy R o& t 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.) Jignature of Applicant RECEIVED BY: \ - - - Town CI rk'sOffice e DATE: ^ 1 ofrrfl Ees5Po0L. O t h kilhi -1 \ilVt wA CAR/r/ ✓(rod 4 , itilYAff air Cr. Cep 1r � ktV Town Hall, 53095 Main Road JUDITH T. TERRY y TOWN CLERK ® Pia P.O. BOX 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER V b® Fax (516) 765-1823 Telephone (516) 765-1801 • OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD July 8, 1993 Nancy Harrington 550 Carrington Road Cutchogue, New York 11935 Re: 111-7-10 6-93 Dear Ms. Harrington: 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) `�, I j c