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HomeMy WebLinkAboutRysko (3) OFFICE OF THE TOWN CLERK c�FFOCire, Town of Southold Judith T. Terry, Town Clerk .T"� Town Hall, 53095 Main Road ` =•';3,374.. r ` P. 0. Box 1179 .v' '""'"' rM4 � �: Southold, New York 11971 O� 0�-���� Telephone �/ 1 (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL /1/3(0 Permit No. A (Amended) Residential X Non-Residential Fee $ Pd. Septic Cesspool X PERMIT ISSUED TO: NAME: Stanley Rysko ADDRESS: Box 76 Cutchoque, New York 11935 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION Replacement of collapsing cesspool #2 on plan. APPROVED as based on information supplied by Mr. Rysko. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Stanley Rysko OWNER MAILING ADDRESS: Box 76 Cutchoque, New York 11935 OWNER PROPERTY ADDRESS : Main Road Cutchoque, New YOrk TAX MAP NO. : Section 97 Block 1 Lot 13 CROSS STREET: Bridge Lane BUILDING PERMIT NUMBER CROSS REFERENCE: aOrfoef-4;er,i; Judith T. Terry Southold Town Clerk DATE : April 21 , 1987 (TOWN SEAL) ;` Town Hall, 53095 Main Road -" `�_' a`_;'' P.O. Box 1179 - • �‘`,` • Southold, New York 11971 JUDITH T. TERRY 1% TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 21 , 1987 . . Stanley Rysko Box 76 Cutchogue, New YOrk 11935 - Re: Permit No. A139 (Amended) Alteration Permit 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, , ,-. _,-,....,--r.....4, th.,,,44;4„.ege.... Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc r cs9 . E' Town Hall, 53095 Main Road �a ti P.O. Box 1179 k -� ��� Southold, New York 11971 JUDITH T. TERRY '4."... 0040TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 15, 1987 To: Victor Lessard, Southold Town Building Department From: Linda J. Cooper, Southold Town Clerk's Office (Amended) Transmitted herewith is a copy of application No. A136 for an ALTERATION Permit for a cesspool or septic system submitted by Stanley Rysko • Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to this office. Thank you. "4.4 -de-..- C-0-0 Linda J. Cooper Clerk * * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendation: APPROVE - �C DISAPPROVE - COMMENTS: ls.cx,Q,A a. f �M.. uJt.►vt .eve `\)„.• Q1- ,o Signature `//e5/ 7 Date a r .. OFFICE OF THE TOWN CLERK �jvFOUreD Town of Southold /37 Town Clerk Application NoA Judith T. Terry, Town Hall, 53095 Main Road ' u7 ;`x , , ; j • Construction P. O. Box 1179 0 ® w" 3 Alteration Southold, ,New York 11971 0\ -v; k,( �� Residential Telephone (516) 765-1801 'o Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ /6— DATE APPLICANT NAME: jej.4 APPLICANT ADDRESS: ;� .11 cta t?• 6 ievv cs J / 93s SEPTIC CESSPOOL L- 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: 7/74‘1,,,a, OWNER MAILING ADDRESS: 7/9%3 S� OWNER PROPERTY ADDRESS: __4_,,a, • TELEPHONE NUMBER OF CONTACT PERSON: 7-”/"-- o' G s � TAX MAP NO. : Section 9 7 Block / Lot / 3 • CROSS STREET: A j , ' 2 BUILDING PERMIT NUMBER CROSS REFERENCE: Signa - re of Applicant RECEIVED Town Cl'erk's Office DATE: f; • '"i noid .r ' _ - __ •.' - .- - / _ ^�` -�'� Al • ��~� ��� _ v/ � � � � / ^ °. " -- • . - . ~ . . ! : ', ' N /\ � �- /`/' ��' ' u -[ L � / � � / � / _ ! � ' � '' '--T--- -' ------ - -- ! ' , _ . ^ . - . --_ --_--__' - . ` . . •- . � �-. � ~- c ..^ _ ^- . �l: . / / ' � ,_ ..• - � � - .... .. ' ~ . � . - H N. � . - t � ' 7 1 _-1- | ---' - -- ' ' ' _ --� �� . / ' ' ' ` --- : - � ._-~-_^ - - ' - ' [� J ' | * $ ~ ^ r,/ ' ' . . ---'__---_ • , _-�°�/0 '/ . . ,,Y "/ . ��� ���� N0�N� |. 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