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OFFICE OF THE TOWN CLERKS�FFEJ(jrC,
Town of Southold �� Ol,
Judith T. Terry, Town Clerk -�,�'
Town Hall, 53095 Main Road c .{,� '; t. •
P. O. Box 1179
.`FALL ;4
Southold, New York 11971 ® �/ O1
Telephone �d 41 ,0"
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. A272 Residential x
Non-Residential
Fee $ 10.00
Septic Cesspool x
PERMIT ISSUED TO:
NAME: Chris Rehm
ADDRESS: P.O. Box 36
Cutchogue, New York 11935
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION '
Add new cesspool system.
APPROVED ass,ubimitted
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: John May
OWNER MAILING ADDRESS: 41 Hitchcock Lane
Old Westbury, New York 11568
OWNER PROPERTY ADDRESS : SE corner Town Harbor Lane and Terry Lane
Southold. New York
TAX MAP NO. : Section 65 Block 1 Lot 16
CROSS STREET: Corner lot
BUILDING PERMIT NUMBER CROSS REFERENCE: 16440Z
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Judith T.---T-Vey-
. Te y
Southold Town Clerk
DATE : December 21, 1987
(TOWN, SEAL)-,
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$4--:_-,...fr.,.,,,,,, -;',..*.-al.
��� .;-. n;, -_,/ 4 % Town.Hall, 53095 Main Road
, � r`:. ,c..��•� P.O. Box 1179
Z`d.' >., siv„. di - Southold, New York 11971
JUDITH T. TERRY 4.4.", TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
• TOWN OF SOUTHOLD
December 21 , 1987
Chris Rehm
P.O. Box 36
Cutchogue, New YOrk 11935
Re: John May
Corner lot - Town Harbor Lane and Terry Lane •
Southold, New York -
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 ($25. 00) for non-residential.
Please have the owner complete the enclosed Application for an Operation
Permit and return it to this office along with the proper fee.
For your general information I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by the Southold
Town Board. Should you have any questions pertaining to either permits
or the Scavenger Waste Laws, please do not hesitate to contact this
office. We will be glad to assist you in any way possible.
Very truly ?fours, •
Judith T. Terry
Southold Town Clerk
Enclosures (3)
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DEC i hal' 1k_.—-..___,_*,-;,--cTrwa� .
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= .
THOLD '
1 tr3 „m4, ,-.410.,,,:,
. own Hall, 53095 Main Road
, :-.,:.. •$ P.O. Box 1179 _ _
=�'1,/ G )\ 40 Southold, New York 11971
or
JUDITH T. TERRY '.40,00 01° _ TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
December 17, 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. A276 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Chris Rehm for JOhn May .
I, 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 - X
DISAPPROVE -
COMMENTS: Ca_ca, „AAA_e'
e , - 0. j e01.4 4 _
0 I c_i c.LA, C9L cl..4_i
Signature
z/ z.//27
Date
a:
OFFICE OF THE TOWN CLERK S�FFO(/r y,
Town of Southold OHO ' ''+ ' .C�j
Judith T. Ten Town Clerk 'OO_ Application i„ /' .27;.-
Terry, a t•.
LO
Olt,
Hall, 53095 Main Road c - _ �-4-,pi Conslructiu,,
P. 0. Box 1179 O.€ .=; -. g Alteration —'"
Southold, New York 11971 4 .;M_'��O-
Telephone
°j Residential r
(516) 765-1801 Non-Resident,„; �� ,
TOWN OF SOUTHOLD
• SOUTHOLD WASTEWATER DISPOSAL DISTRICT5.
u
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. ,=.7.72---d •
Fee $
DATE l 2- — ( 7 7
) .
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ti-Pas R�' i
APPLICANT NAME: ilil )7 J�G�-z z.� �0%I 36 C.C.1iGl.n z
APPLICANT ADDRESS: /4 /l i ^ Are; `•. fit -h ,f •
L./// 1,-1./—e"5 -y )----t, /. G/ 1/ f /g
SEPTIC 2-ESSPOOL ;----- •
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION �ry ,
/ 7/z: ��4 / C ,,71+U r, , �.- .- ,x s
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: :
OWNER OF PROPERTY: JOE kvi--\
OWNER MAILING ADDRESS: C4 ( HI L:H oCV. L. ft
OWNER PROPERTY ADDRESS: S_L . CO I'QM.. "TOGQ0 6A-RSM. ( A - c?
1 Rz� LA. t So t'-4�z--D ��J (1c(7z-
TELEPHONE NUMBER OF CONTACT PERSON: c3,7 f- 545-345
f
TAX MAP NO. : Section 6 b Block 1 Lot 16 -
CROSS STREET: ,
BUILDING PERMIT NUMBER CROSS REFERENCE: 16 (I`'("O —
a
, -.7.4„..iih'e ,i, .
Sign- ure of Applican'
RECEIVED B Y: Yi-')t-6C C•-
-�5•,k :;I Town Clerks Offic
DATE: �L� .1.s iw ��
To,un tnArk South0l@ 4
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