HomeMy WebLinkAboutHughes (2) OFFICE OF THE TOWN CLERK
Town of Southold
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road c
P. 0. Box 1179 - t1.41,1% .
4,4t4r1r "IC.
Southold, New York 11971 0 + �- ••• _
Telephone - O! •
(516) 765-1801 '
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 117 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Edward F. Hughes
ADDRESS: P.O. Box 98
Cutchogue, New York 11935
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single family dwelling.
•
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Edward F. Hughes
OWNER MAILING ADDRESS: P.O. Box 98 -
Cutchogue, New York 11935
OWNER PROPERTY ADDRESS : Oregon Road
Cutchogue, New YOrk
TAX MAP NO. : Section 83 Block 3 Lot 7.2
CROSS STREET: Cox Lane
BUILDING PERMIT NUMBER CROSS REFERENCE: Pending
Judith T. Terry
Southold Town Clerk
DATE : March 10, 1987
(TOWN SEAL)
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Ln : ;, . 1 ' Town Hall, 53095 Main Road
.% P.O. Box 1179
� ,+p Southold, New York 11971
RUNT!!T TERRY "�•+ 1111 � TELEPHONE
TOWN CLU•Rk (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 10, 1987
Edward F. Hughes
P.O. Box 98
Cutchogue, New YOrk 11935
Re: Oregon Road
Cutchogue, 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 ($25. 00) for non-residential.
Please have the owner complete the enclosed Application for an Operation
Permit and return it to this office along with the proper fee.
For your general information I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by the Southold
Town Board. Should you have any questions pertaining to either permits
or the Scavenger Waste Laws, please do not hesitate to contact this
office. We will be glad to assist you in any way possible.
Very truly Yours,
• ,
Judith T. Terry
Southold Town Clerk
Enclosures (3)
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OFFICE OF THE TOWN CLERK �o�jvFFOC/�'`D
Town of Southold Application No. /43
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road ` _ j Construction
P. 0. Box 1179 ��
Southold, New York 11971 *' *-$Alteration
Alteration
[ �O� Residential
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. /77
Fee $ /D °S'
DATE 3"-/-o D
APPLICANT NAME: Ailye/ /7' e°
APPLICANT ADDRESS: Ax ?-
�v c�
G0-0--- ()fr //93
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Az-)/��
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: .K--40?_:t/y¢�e.L /4/e/c/6&•
OWNER MAILING ADDRESS: )Op,Z" 9 r
�c L� UGrf / 47 //23-)
OWNER PROPERTY ADDRESS: Qie-e5�o"j < y- ----
TELEPHONE NUMBER OF CQNN�TACT PERSON: -y
TAX MAP NO. : Section /ti 7
Block 3 Lot 2
CROSS STREET: G p,J Co ,r L m-k-
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of plicant
RECEIVED BY : �w
Town aerk's e ffice
RECEIVED
DATE:
Pldx►R 1 0 1987
Town Cferk Southold
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LICENSED LAND SURVEYORS
eGREENPORT NEW YORK
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