HomeMy WebLinkAboutHiggins OFFICE OF THE TOWN CLERK c.0FOUt- ,"
Town of Southold
Judith T. Terry, Town. Terr4141
Town Hall, 53095 �Main Road t xM :` � ,
-
P. O. Box 1179
Southold, New York 11971
Telephone - 1 a ,0,
(516) 765--1801 -
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 205 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool y
PERMIT ISSUED TO:
NAME: J. Donald Hi.gins, Jr. - Terrance Higgins - Timothy Higgins
ADDRESS: 125 Plandome Road
Manhasset, New York 11030
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New single family dwelling with sanitary system
APPROVED as approved by Suffolk County Health Dept.
LOCATION OF PROPOSED CONSTRUCTION 'or ALTERATION:
OWNER OF PROPERTY: J. Donald Higgins, Jr. - Terrnace Higgins -= Timothy Higgins
OWNER MAILING ADDRESS: 125 Plandome Road
Manhasset, New York 11030
OWNER PROPERTY ADDRESS: 4170 Camp Mineola Avenue
Mattituck, New York
TAX MAP NO. : Section 123 Block 5 Lot 21 .2
CROSS STREET: Reeves Avenue
BUILDING PERMIT NUMBER CROSS REFERENCE:
Judith T. Terr
Southold Town Clerk
DATE: July 29, 1987
(TOWN SEAL)
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_ w * ! 1,1 Town Hall, 53095 Main Road
, prff'e4 P.O. Box 1179
Vie,/ P Southold, New York 11971
'JUDITH T. TERRY 411•00,y it°1 TELEPHONE
TOWN CLERK (516)765-18(11
REGISTRAR OF VITAL Si ATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
July 29, 1987
J. Donald Higgins, Jr.
Terrance Higgins
Timothy Higgins
125 Plandome Road
Manhasset, New York 11030
Re: 4170 Camp Mineola Avenue
Mattituck, New York 11952
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,
;// -ate ,,•— `` woorbm,.,ad®"'w�"''
Judith T. Terry
Southold Town Clerk -
Enclosures (3)
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P.O. Box 728
-���� i�{ 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
July 27, 1987
To: Victor Lessard, Southold Town Building Department -
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 208 for a
CONSTRUCTION or ALTERATION Permit fora cesspool or septic system
-submitted by J. Donald Higgins, Jr - Terrance Higgins - Timothy- Higgins
Please review the application and location map' and advise if the
project has received Suffolk County Health Department approval
and if we may issue the permit.
Please complete the form below and return it to my office.
Thank you.
egoere;tied.,7„.:000, .00.....
Judith T. Terry
Southold Town Clerk
* * * * * * *
•
I have reviewed the application and location map of the project
cited above and make the following recommendation:
APPROVE - DC - _
DISAPPROVE -
COMMENTS: 0 4 ,/,I • Si (I) . .a.,Q ,e20
\(73' �+"—,--
Signature
1.Q.174/
Date
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OFFICE'OF THE TOWN CLERK S\FFDLA-c-
Judith
TTw n Terry�uTown Clerk thold
Ail/ Application No ,
Town Hall, 53095 Main Road • •�` � W Construction 7
P. 0. Box 1179 ,` $ Alteration
Southold, New York 11971 _-. �- ,
01 •
'� •' Residential I.7
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.
Fee $ / Z7, 0?-5
DATE
APPLICANT NAME: J , do
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APPLICANT ADDRESS: I15 9\ .() t&' 2A_
40-•6SS \ (_�/
SEPTIC CESSPOOL A
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
PERTY:
OWNER MAILING ADDRESS: '91? 0 dethy mr,t,eo 7n.
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OWNER PROPERTY ADDRESS: SA - 4S iii-I9„
TELEPHONE NUMBER OF CONTACT PERSON: acs-----“m/
TAX MAP NO. : Section ` z) Block CYr Lot (2( 2
CROSS STREET: ecL'CS
BUILDING PERMIT NUMBER CROSS REFERENCE:
n•ture of Applicant
RECEIVED BY: �� , ice._.. _/7
Town Clerk's Office -
DATE: 7
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