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HomeMy WebLinkAboutMacLeod (2) S OFFICE OF THE TOWN CLERK c���FU1J(t0 Town of Southold Judith T. Terry, Town Clerk ti Y Town Hall, 53095 Main Road • ri� P. O. Box 1179 �' {-� 14 • Southold, New York 11971 0�•••� Telephone 1 •, (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 281 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: NAME: Thomas Macleod ADDRESS: 2105 Camp Mineola Road Mattituck, New York 11952 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling with Cesspool System. • APPROVED as per Suffolk County Health Department survey and approval. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Thomas and Barbara MacLeod OWNER MAILING ADDRESS: 2105 Camp Mineola Road Mattituck, New York 11952 OWNER PROPERTY ADDRESS : Bridge Lane Cutchoque, New York TAX MAP NO. : Section 84 Block 5 Lot 10 CROSS STREET: County Road 48 BUILDING PERMIT NUMBER CROSS DEFERENCE: Judith T. Terry Southold Town Clerk DATE : January 26, 1988 (TOWN SEAL) - ' • c �t i' .-C -if' '4- %.1_'‘- ' ‘j B :;:i,:c.1 trt!N - .'.--.- c ;;.i �� Town Hall, 53095 Main Road ,ill,cre,..`;-�' P.O. Box 1 179 `& e` `E'� Southold, New York 11971 JUDITH T. TERRY y TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 26, 1988 Thomas MacLeod 2105 Camp Mineola Road , Mattituck, New York 11952 Re: Bridge Lane Cutchogue, New York Dear Mr. MacLeod: 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, . OnF✓ f • Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc • �i ,„_;,7':;- -‘-:,f{�f) ry ,:_ )- :ytj1 I lyre 'C' f;�;;`i . ."'gym+• ,, '�. ,,N , ,k. v fa.-1 �� }J-, J 1. .,1 '•,� a`y � 1YI �:.. ..'G �'� ', ,,-..-,,i. `=Y ";' ;t - Town Hall, 53095 Main Road f;, ";:_, i P.O. Box 728 _....",,,v1" JUDITH New York 11971 JUDITH T.TERRY - . TELEPHONE TOWN CLERK • (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 15, 1988 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 284 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by Thomas MacLeod 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. e e/r4W41 ,„0o4 4.040441470... 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 - X DISAPPROVE - ,^,(n� COMMENTS: 0,0 CAA %.� 03/. Com, Iu• . ,,,m,AAAJAAA 4 eifix,A)-c,r4 l..) ...c-31 thA.... ef3CL egot-49- Signature V 22.J? Date ___ ---- --- 1 ` SUFFOLK CO. HEALTH DEPT- APPRO.,VA °I ~'i` - • • ' '�t I si i t •� , , , :� _- __ `• STATEMENT OF INTENT ;� - f'C--lc_,�'r f,4—.° . - r' f�T;f"; i �'�.' s �. r-- ..�• THE WATER PLY AND AGE DISPOSAL ii.. 3v,: 'a" +-ti �_.' .. 1� ��_ �r^Y-1 SYSTEMSSUP EW FOR THIS RESIDENCE WILL i ', ='( '� - CONFORM TO THE STANDARDS OF THE SUFFOLp- DERI/LEOF H ALTH SERVICES. 00 I �r (S)447/2011i ia_ , q �: :; APPLICANT • `fy;' SUFFOLK COUNTY DEPT OF HEALTH 1 1) - \ ` '� SERVICES — FOR APPROVAL • OF ts: i `� {� CONSTRUCTION ONLY ' '- DATE. / /� � le �\ .— _ 0 • t �) t -� !%�' - f: C'1-'-''Z'.2 t4v°- ;,. ,�_ I H. S. REF. NO. — 5,�; - • APPROVED i jj `� _ _,.-Ti...:,, /1 .'f. ! 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