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OFFICE OF THE TOWN CLERK c0FVLA(`,
Town of• Southold p fi Olj
Judith T. Terry, Town Clerk . XV ., x �
Town Hall, 53095 Main Road t 4 -
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P. O. Box 1179 .v' Pad% is
Southold, New York 11971 OSA
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Telephone ®1 ,o
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
- CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. A300 Residential X
Fee $ 10.00 Non-Residential -
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Christopher Rehm
ADDRESS: P.O. Box 36
Cutchogue, New York 11935
DESCRIPTION OF PROPOSED CONSTRUCTION. or ALTERATION
Movement and replacement of a 900 gallon septic tank and five 2' x 8' cesspools.
APPROVED with the condition that the 900 gallon-replacement tank to be a
maximum of 15' from the existing tank and toward road. -
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Charles and Winifred Malloy
OWNER MAILING ADDRESS: 55 Burlington Blvd.
Smithtown, New York 11787 -
'OWNER PROPERTY ADDRESS : 425 North Sea Drive
Southold, New York 11971
TAX MAP NO. : Section 54 Block 4 Lot 6
CROSS STREET: Kenney's Road
BUILDING PERMIT NUMBER CROSS REFERENCE:
Judith T. Terry
Southold Town Clerk ,
DATE : March 14, 1988
(TOWN SEAL)
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s y' sIl°r -,,,- ,," Town Hall, 53095 Main Road
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JUDITH T.TERRY _ t_. , / TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 14, 1988
Christopher Rehm
P.O. Box 36
Cutchogue, New York 11935
Re: Charles and Winifred Malloy
425 North Sea Drive
Southold, New York 11971
Dear Mr. Rehm:
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 ?tours,
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/Ijc
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1�44o4C) �,z l• -.
u' ,'=t5, ' , Town Hall, 53095 Main Road-
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BLDG, Dcryr Qtli;o2- 71
TOVVN OF S011!r9OLp• �a+'� • • , .fr P.O. Box 1 179
���i� Southold, New York 11971
JUDITH T. TERRY 4.do�i "PS TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 4, 1988
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office -
Transmitted herewith is a copy of application No. A304 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Christopher Rehm for Charles Malloy •
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
* * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - �C
' DISAPPROVE -
COMMENTS: j?., a.cao n j.J 1 * Coo G q L �St o►..
1s .. �,r•�,.. � ,c. q j�J •t *1'4-4.4
•Caa.c. 12.0.a0V ars,
Signature
Date
OFFICE OF THE TOWN CLERK c.OF11LA-
Town of Southold COIi _
�� �`��' Application No. 36 y
Judith T. Terry, Town Clerk 0R: -�
¢.
Town Hall, 53095 Main Road t� _ � .. Construction
P. 0. Box 1179 w N� �� Alteration
Southold, New York 11971 �-
01 0,1.°
,1 Residential
Telephone
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
APPLICANT NAME: C(4Ae_LES MALLO'N( Cha54-z) p -
APPLICANT ADDRESS: 42.5 NOR, (-t P RATE no m Boy 56
GoU coot_b Y 1191 (.4)/-cJw. W,
SEPTIC CESSPOOL /19-3(5
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION / .cre�c.a -
BOG 7 -C-e/44 c 4 ,' . '
C eSfAc ;2 X 9
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Ci-tpkiazs UJM«i EI) 'ALLO'
OWNER MAILING ADDRESS: 55 BoRL.I Yot) D
smt-r&TOU ►J y In Si
OWNER PROPERTY ADDRESS: 415 tO(ZTL SeaR.IUE
ScuTkicuz N 19
TELEPHONE NUMBER OF CONTACT PERSON: 2(; S
TAX MAP NO. : Section 54 Block Lot
CROSS STREET : ON t\t0faR, .1 �1 t��� 3 1s' % k.�ky Ro.A0
BUILDING PERMIT NUMBER CROSS REFERENCE:4_ 1k:)?3(02
Signature of\Applicant
RECEIVED BY : At-iboe. at
Town CI rk's Off ce
DATE: 3 /144 i/
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