HomeMy WebLinkAboutSamios •
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OFFICE OF THE TOWN CLERK c0FOUre," •
Town of Southold OG
Judith T. Terry, Town Clerk .` , •, ,f
Town Hall, 53095 Main Road_ . � 0 ,��., �,` �
P. O. Box 1179 , v' '= = s? `
Southold, New York 11971 •
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Telephone O
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(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSALDISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. A169 Residential X
Fee $ 10.00
Non-Residential
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Richard Magill., Peconic Cesspool '
ADDRESS: P.O. Box 972
Mattituck, New York 11952
DESCRIPTION OF PROPOSED CONSTRUCTION; or ALTERATION
Add to 'existing system - one overflow pool
APPROVED - not to exceed 17' from existing pool
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: '
OWNER OF PROPERTY: Nicholad Samios
OWNER MAILING ADDRESS: Duneri Road
Manhasset, New York 11030
OWNER PROPERTY ADDRESS : Fleetwood Road
Cutchogue, New YOrk
TAX MAP NO. : Section 137 Block 5 Lot 13
CROSS STREET: East Road
BUILDING PERMIT NUMBER CROSS REFERENCE: NA
Judith T. Terry
Southold Town Clerk
DATE : May 29, 1987 t ` _
'(TOWN SEAL)
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r-no r' k�'r� 12 -� - Town Hall, 53095 Main Road
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`�', �� P.O. Box 1179
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JUDITH T. TERRY TELEPHONE
TOWN CLERK - (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 29, 1987
Richard Magill
Peconic Cesspool
P.O. Box 972
Mattituck, New YOrk 11952
RE: Nicholad Samios
Fleetwood 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 ($25.00), for non-residential.
Please have-the owner complete the enclosed Application for an Operation
Permit and return it to this office along with the proper fee.
For your general information I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by the Southold
Town Board. Should you have any questions pertaining to either permits
or the Scavenger Waste Laws, please do not hesitate to contact this
office. We will be glad to assist you in any way possible.
Very truly ?fours,
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/Ijc
��$ t,�Y4 ; -�
MAY 1 21987
: , z 1-77 ° Town Hal
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( g { i 95 Main Road
Lt` .�P,� t`,Vz*' 13LDTOWN 0WErT. . Bo 1179
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� t3 iv , Al York 11971
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JUDITH T. TERRY ii,, TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 12, 1987
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A168 for an
ALTERATION Permit for a cesspool or septic system submitted by
Richard Magill for Nicholad Samios
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.
Linda J. Cooper
Clerk
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I have reviewed the application and location map of the project cited
above and make the following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: A) .V 1 -71-4 '
RECEIVED
MAY 2 81987 Signature
Town Cork Southold 47 a' G/2
Date
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OFFICE OF THE TOWN CLERK c$FO(,'
Town of Southold 0�� t'0
Application No
Judith T. Terry, Town Clerk ��. 1
Town Hall, 53095 Main Road '* Construction
P. O. Box 1179 •
Southold, New York 11971 �` Alteration
Telephone _OI ‘t‘ , Residential
(516) 765-1801 01 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT '
SEPTIC TANK or CESSPOOL
Permit No. •
Fee $`5f
DATE 77 /0
APPLICANT NAME: , \ ✓ 'LAn / /17/4- •'?6.
APPLICANT ADDRESS: ,A7Di
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
,C14,/, 7 ,,/.1k-
,;S Ti-', ,cyst f 04/6,' ' 'u Ov&- re
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 41/ ,41 /Ai s/yr/ e,
OWNER MAILING ADDRESS: (14/4 4/ /2 /
/94/, /9-fS-' /t'•, /70 3 o
OWNER PROPERTY ADDRESS: At--/6- 4=r-7`fii/O O d/ ,f/
tc_. y ,i" , /v. f .// 9 35
TELEPHONE NUMBER OF CONTACT PERSON: ft; Sk
TAX MAP NO. : Section /3 7 Block Lot /3
CROSS STREET: 4P-/LS' dC
BUILDING PERMIT NUMBER CROSS REFERENCE:
‘*44-16‹.--14-etadef
Signature of Applic
RECEIVED BY: du 9.
kEzi,,,,,ED Town/Clerk's ffice
DATE: , .. •
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