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OFFICE OF THE TOWN CLERKFOUt-c"
Town of Southold �lj
Judith T. Terry, Town Clerk
-Town Hall, 53095 Main Road
P. O. Box 1179 .
Southold, New York 11971 O °' '.-` •��
• Telephone
(516) .765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 234 Residential X
Fee $ 10.00 • Non-Residential
Septic . Cesspool X
PERMIT ISSUED TO:
NAME: Edward M. and Jacqueline C. Reece
ADDRESS: 2780 Delmar Drive
Laurel, New York 11948
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
' New Single Family Dwelling with Cesspool System
APPROVED as per Suffolk County Health Department approval.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Edward M. and Jacqueline C. Reese
OWNER MAILING ADDRESS: Box 15
Laurel, New York 11948
OWNER PROPERTY ADDRESS: Greton Court
Mattituck, New York - -
TAX MAP NO. : Section 107 Block 2 Lot 3.9
CROSS STREET: - Grand Avenue- -
BUILDING PERMIT NUMBER CROSS REFERENCE:
eoreheorio,
•
Judith -T. Te y .
, Southold Town Clerk
•
DATE: October 16, 1987 • - 7 • -
(TOWN SEA )
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JUDITH T. TERRY '•'-"so° TELEPHONE
TOWN CLERK ' (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October 16, 1987
Edward M. Reece
Jacqueline C. Reece
Box 15
Laurel, New York 11948
Re: Greton Court _ -
Mattituck, 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,
', %sem'
Judith T. Terry
Southold Town Clerk
Enclosures (3)
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OFFICE OF THE TOWN CLERK SVFFUG�
Town of Southold
Judith T. Terry, Towns Clerk 3 l a Application No.o'Z 6
Town Hall, 53095 Main Road _ Construction V
P. O. Box 1179 4`` t
Southold, New York 11971 �. ! Alteration
Telephone o.( �.a� �� Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION,
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 02,3
Fee $ /0, 13-0
DATE '
APPLICANT NAME:' L�,, s-�d M 0)— T 1.-ee_ e c�
APPLICANT ADDRESS: d G2 ` /)&47-i iz. nc+i1/C.
_ SEPTIC 4 CESSPOOL
DESCRIPTION OF
PROPOS D CONSTRUCTION OR ALTERATION
or n e 6. 0, 7 ,e, 57,,,
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 414,,,,a,-.) M
OWNER MAILING ADDRESS: ,8'X /r
•
OWNER PROPERTY ADDRESS: , ; �,�,-� �`�� G/e6 Tdti ~
- AY - -
TELEPHONE NUMBER OF CONTACT PERSON: D7,5,$ 7 7 "' G a
TAX MAP NO. : Section /07 Block Lot 3,
CROSS STREET: Gl''`G ,iP6,
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: '
l► p- //
awn - 's Office
DATE:
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