HomeMy WebLinkAboutKenney OFFICE OF THE TOWN CLERK c��FUL1
Town of Southold
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road • c frOl •
P. O. Box 1179 .cn _ w
Southold, New York 119710 �- �•,,
Telephone Ol i
(516) 765-1801 '
TOWN OF SOUTHOLD,
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 50 Residential xx
Non-Residential
Fee $ 10.00
Septic Cesspool xx
PERMIT ISSUED TO:
NAME: Robert Kenney
ADDRESS: P.O. Box 392
East Marion, New York 11939
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
•
New One Family House
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Robert Kenney
OWNER MAILING ADDRESS: Union Avenue
Aquebogue, New York 11931
OWNER PROPERTY ADDRESS : 2090 Rocky Point Road
East Marion, New York
TAX MAP NO. : Section 31 Block 2 Lot 7
CROSS STREET: Main Road (Route 25)
BUILDING PERMIT NUMBER CROSS REFERENCE: Pending
•
Judith T. Terry
Southold Town Clerk
DATE : October 3, 1986
(TOWN SEAL)
POPAN
' CO `'
FE
It
=-2,- ', .F,
,.:'5:. . Town Hall 53095 Main Road
—,....4L'.-,. '- ''� �v. * P.O. Box 728
. l ail Southold, New York 11971
JUDITH T TERRY _"�'"�y sf TELEPHONE
TowN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October 3, 1986
Robert Kenney
P.O. Box 392
East Marion, New York 11939
Re: 2090 Rocky Point Road -
East Marion, 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 ($25.00) for non-residential.
Please have the owner complete the enclosed Application for an Operation .
Permit and return it to this office along with the proper fee.
•
For your general information I have enclosed an Informational
Bulletin- regarding the Scavenger Waste Laws adopted by the Southold
Town Board. Should you have any questions pertaining to either permits
or the Scavenger Waste Laws, please do not hesitate to contact this
office. Ws will be glad to assist you in any way possible.
Very truly yours,
.
r - �.4
Judith T. Terry
Southold Town Clerk `
Enclosures (3)
JTT/Ijc -
OFFICE OF THE TOWN CLERK G',�
Town of Southold Application No. v `1
Judith, T. Terry, Town Clerk
Town Hall, 53095 Main Road Construction
P. O. Box 1179
Southold, New York 11971 Alteration
Telephone •
Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
RECEIVED
SEP 2 9 1986 SOUTHOLD WASTEWATER DISPOSAL DISTRICT
Town C4Ark Southold APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. •
Fee "$ /d
DATE G
/,
APPLICANT NAME: A4:4(1‘77.t�
APPLICANT ADDRESS: P 0,
S 2 //A.R.a,v A 1/
SEPTIC CESSPOOL \/
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: ,Eiil/1/4 y
OWNER MAILING ADDRESS: (,/fpa/ AVE
qa /? o iV/ 119S/
OWNER PROPERTY ADDRESS: ,ota�0 ZT,Vey /Q//,('T /?e/t
E ,c r— //AR ,' aA/ /41 .I/2cF
TELEPHONE NUMBER OF CONTACT PERSON: 7 — ///2 ,
TAX MAP NO. : Section 03 r Block Lot 7
CROSS STREET: n ///�//� s )
BUILDING PERMIT NUMBER CROSS `REFERENCE:^ Al0 �/ =
ViaL
Signature of App %ant
RECEIVED BY /r• i i' 4
Town ppC`rk's/�Of ce
DATE: >S2 L�. _ o)9/, /Y1
+
• SUFFOLK CO. HEALTH DEPT. APPROVAL
i H.S. NO.
•
I
/ M
p / J pe+
AMILY DWELLING ONLY
- � - - •
7EXPIRES 1SINGLE
A FROM DATE OF APPROVAL
•
LSTATEMENT OF INTENT ,I
f tJ N _. \\y/ THE WATER SUPPLY AND SEWAGE DISPOSAL 1+,
.. ( SYSTEMS 'FOR TRIS RESIDENCE WILL •`'
/ . _._ \ f,.-)..o1‘.11-05, . I,' t`�JCONFORM TO HE __STTANDA DS OF THE
,, SUI= OLK CO DEPJ�. LTH SERVICES. t"
144)71 !I
1O
° a ! \ i52. ' ' ! SUFFOLK COUNTY DEPT. OF HEALTHN?IC)y30 E AY _' , ! f'1•,47)(:)t„,) i'1-_✓ „b-r i 1w, \i', SERVICES — FOR ! APPROVAL O o- 1,
® 1 CONSTRUCTION ONLY p
• < (...,'*i t-- , -
' DATE: '22 •Cer` ,,F
0 _
� ® I l -
J I . / APPROVED: rl
i 1 �' ` (1-i �- I / / o1 S �(0'7 �' i{1 `a
; /t ,\ ) / SUFFOLK CO. TAX MAP DESIGNATION.
L.
�e/-€----I . ° PR�Pos D r /1„• i-� d-' 1 / I DIST. SECT. BLOCK PCL
C) 1 OWNERS ADDRESS: •
' �? y, - P ,
ek hics
4> --- m ! , ,,�� UC`�.UQ •1 E.
L' �► v_ ✓. /
t�rE:�_i_ .�3_ 1 �� 1 'I� �� / �C�uo=60 Uc: P�1+ '. f193_1 i
---- -- •'3r, ± - -- - -- I -t y �� ____ –__ —i52.�8 i r '�' -72 - Qi 12
.
if f 7") _j / j �'/' DEED: L.�Sr3 P.481 �QF=)
/ 9 I I
TEST HOLE STAM
I L _ w e 11 GP
r `� • /
V-
I
I„ Cf' ,r -/ /'\f<�F.-4A .161525 C.,i"r - .'G;i':moi:ll't{H�IUf�C:£ri�!t'n'1
o t I +f l J' 6(J�r 1 �' I •I`t �a J :o t t>Sun:ey is a violation of t
X PA.No6s._:,--0POLILOS. 3 i i'
�, e PJ { Srt:etcn 17A:,i tti^ !cam; C d t i)
-.2.(: f 1 )4.31'4 t1--•'11-.)t-
.._.. _ COG;r Ci tni'CUM 1 Mi.-2 ft^.•i taerIij
h f '-- ----- - • ---- — 1-.-ie cune;o'oirlKm_Vit"
+y '� / 40 i:P4
,,;, 1 SANDY anticc_s,c:son/3.et^l:not b9 ooneldnriss
��� ? P;;� to b_ .°valid trop Co .py
J ' 1711 LOA M
1 I / • '• t(s8 `0i' •
r in,EMS r Indic:to?hoccn tail rti::
If (V I I -, °1 t00 4i.,,,. �— 3' emit
i Toa so;�+rson for Yahom tho turf•;'; ',
ir t-Q i 7• ere. romp nynd an NI tal3aS'rga tf3
o governmental a orc cr.:
1 ' landing ms;ltutlon naiad he+soon and
!J / / C+� �J
lv ! I`
u3 ,yam, ,' to thr:c.rigncns cf tha landing Mal-
;
J turon Guarantees aro not trans"+oraoio
; 1 / d'" r•. r .c 5 e cc'r..'aons3l institutions or subssqucnt
. ivI, :,-• A1•41.-l`aL. :v AUG. 14, I95E) i 1�oM'v Cti•. "41-
i' AP+ '_ _ - - GRAVE.1. SEAL
F,
I
t,`-'TEE ' OF Nfyl,'
t %i� �, i C_( ( I�: f Ll M[ ;• • . E �. ._ _.'L %, � yeo��,�cK v.4_ % .
N A �a:,JN?VE°`��FU JI-../I �-+1��{' — II # Crp i e
FOOL I�C/K VAN TIJY�.. .C. 3 a .
t • I
g •F
LICENSED LAND SURVEYORS ys �ko s 20`'J
GREENPORT NEW YORK
irLEDYNE POST _ _NA1239 _- _-_ _ _ _- _____------------__
,• I