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OFFICE OF THE TOWN CLERK FD
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Town of Southoldy-
Judith T. Terry, Town Clerk Y =+=`*tir � 'Gi<
Town Hall, 53095 Main Road L ,
P. O. Box 1179 .v' 3 �� =Yg �:
Southold, New York 11971 O ` " `' ' �- �
Telephone - l 0:1
(516) 765-1801 '"
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 181 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool x
PERMIT ISSUED TO:
NAME: Jeffrey J. Hunter
ADDRESS: P.O. Box 54
New Suffolk, New York 11956
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: Jeffrey J. Hunter
OWNER MAILING ADDRESS: P.O. Box 54
New Suffolk, New York 11956
OWNER PROPERTY ADDRESS : Corner of Silver Colt and Old Saddle Lane
Cutchogue, New York
TAX MAP NO. : Section 95 Block 4 Lot 18.34
CROSS STREET: Corner of Silver Colt and Old Saddle Lane
BUILDING PERMIT NUMBER CROSS REFERENCE:
Judith T. Teri
_ Southold Town Clerk
DATE : June 8, 1987
yt (TOWN SEAL)
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'JUDITH T. TERRY i01 TELEPHONE.
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF,THE TOWN CLERK
TOWN OF SOUTHOLD
June 8, 1987
Jeffrey J. Hunter
P.O. Box 54
New Suffolk, New York 11956
Re: Corner of Silver Colt and Old Saddle Lane
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 ?fours,
160.04
Judith T. Terry
Southold Town Clerk
Enclosures (3)
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S 'JUN 3 198 Or Fl.
BLIE Er'T f � �' `�°
t` Town Hall, 53095 Main
in Road
TOWN OF SOUTHOLD ;04- �� •%>� P.O. Box 728`, � 01_ 0
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
June 3, 1987
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 184 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Jeffrey J. Hunter
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.
eirre•es,~0,000
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 -
DISAPPROVE -
COMMENTS: Q \ 1 , . Co,
\\(7,L10,4,
Signature
( ICI27
Date
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OFFICE OF THE TOWN CLERK O�j��FOCIr ,O
Town
Terry, Town Clerk � G • /*/
y. � Application No. /
Town Hall, 53095 Main Road Construction
P. O. Box 1179 wpity;, J
Southold, New York 11971
p ® 4 • �. Alteration
Telephone 0_1 1\ • �� Residential
(516) 765-1801 6 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ f Q
DATE 6/3/ 7
APPLICANT NAME: 0---k-F %E;-/
APPLICANT ADDRESS: /o ( 5--e/ 9 / /t14� 1::--"Fo4e1
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SEPTIC CESSPOOL✓
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:
OWNER OF PROPERTY: (3-- -F/=1Q4-sy'
OWNER MAILING ADDRESS: 47 eD,( 517' ,t./ Svfii=OL '
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OWNER PROPERTY ADDRESS: � f =.�
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TELEPHONE NUMBER OF CONTACT PERSON: 73z7c. 5 9( 7 7' 71.
TAX MAP NO. : Section Block Lot 3 7 _
CROSS STREET:671 S Lg t% 4'
BUILDING PERMIT NUMBER CROSS REFERENCE:
7/ iq lure of Applicant
RECEIVED BYE -;e�
Town erk's Of ice
DATE:
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SURVEY FOR •�-
JEFFREY J. HUNTER _& ANNA T. HUNTER
)UFFOL COUNTY DEPARTMENT OF HEALTH SERVICE..
LOT NQ 34 ��OREGON VIEW ESTATESIl
VAL OF CONSTRUCTION ONLY AT CUTCHOGUE DATE APRIL 9, 1987
1
F'�ri 0V v t�,� •
TOWN OF SOUTHOLD SCALE 1 " = 50'
l2. %--Hs-REF. No' SUFFOLK COUNTY, NEW YORK NO. 87-488
jZ/�j--�j (;J II UNAUTHORIZED ALTERATION OR ADDITION TO THIS
��'�• SURVEY IS A VIOLATION OF SECTION 7209 OF THE �E OF NE
OPPRGVED NEU/ YORK STATE EDUCATION LAW ' O' 4'A-
614
*COPIES OF THIS SURVEY NOT BEARING THE LAND
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL .&PRD W O'+,�
l ` NOT BE CONSIDERED TO BE A VALID TRUE COPY O O
l N GUARANTEES INDICATED HEREON SHALL RUN ONLY TO j ytM- C.
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED , 4.... 0_00.?
r - Z
AND ON HIS BEHALF TO THE TITLE COMPANY,GOVEiYN- Q
* NEAREST WATER WAIN MI.`_ *SOURCE OF WATER• PRIVATE_PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED tiE
N SUFF CO. TAX MAP 01ST 1000 SECTION_9.5.._DLOCK�_LOT 18.34 HEREON,AND TO THE ASSIGNEES OF THE LENDING
*THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE .""'';
OTHER THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT /:
OWNERS � .'
THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE *DISTANCES SHOWN HEREON FROM PROPERTY LINES ci. 4513 7,---
eNWILL CONFORM TO THE STANDARDS OF THE SU` • K COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC - �b�E�
OF HEALTHSa' CES. / PURPOSE AND ARE NOT TO BE USED TO ESTABLISH LAND ?.' '
APPLICANT' .C.----. PROPERTY LINES OR FOR THE ERECTION OF FENCES
ADDRESS ,p nn c� ,a i,
���� " 'Ma YOUNG = DUNG 400 R R oA NEW YORK
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TEL y 9//_ } 4
' NOTE: 8 = STAKE �([Jx r.
i.' .% i ALDEN W.YOUNG,PROFESSIONAL ENGINEER
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF AND LAND SURVEYOR N.Y.S.LICENSE N0.12845
SUFFOLK COUNTY ON APR.4,1975 AS FILE No. 6241 ��^,
• HOWARD W.YOUNG, LAND SURVEYOR
*TIE LOCATION OF WELL(W),SEPTIC TANK(ST)B CESSPOOLS(CP)SHOWN HSREON I` •' r N.Y.S.LICENSE NO.45893
ME FROM FIELD O0SERw1TIONS AND OR DATA OBTAINED FROM OTHERS