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OFFICE OF THE TOWN CLERK C FU(Kt,
Town of Southold �.- �G
Judith T. Terry, Town Clerk ,• „I?, .04�
Town Hall, 53095 Main Road
P. 0. Box 1179 :,tix r-ri,�`
Southold, New York 11971 °h 0%-��!,
Telephone �l *
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 91 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool X
PERMIT ISSUED TO:
NAME: John J. and Margaret J. Moylan
ADDRESS: 29 McKay Road
Huntington Station, New YO`rk 11746
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION •
New single family dwelling.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: John J. and Margaret J. Moylan
OWNER MAILING ADDRESS: 29 McKay Road
Huntington Station, New York 11746
OWNER PROPERTY ADDRESS : Arrowhead Lane
Peconic, New York
. TAX MAP NO. : Section 98 Block 2 - Lot •5-66 6 , 1
CROSS STREET: Indian Neck Road
BUILDING PERMIT NUMBER CROSS REFERENCE: Pending
Judith T. Terry
Southold Town Clerk
DATE: January 5, 1987
(TOWN SEAL)
4•i1 cy\,F F Q(fi'C r.-
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tin ir " + Town Hall, 53095 Main Road
,, P.O. Box 1179
-11 Vit � Southold, New York 11971
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JUDITH T TERRY —'wi%41,- TELEPHONE
TOWN CLI Rk (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
January 5, 1987
John J. and Margaret M. Moylan
29 McKay Road
Huntington. Station, New York 117146
Re: Arrowhead Lane
Peconic, New York 11958
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 ($25. 00) for non-residential.
Please have the owner complete the enclosed Application for an Operation
Permit and return it to this office along with the proper fee.
For your general information I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by the Southold
Town Board. Should you have any questions pertaining to either permits
or the Scavenger Waste Laws, please do not hesitate to contact this
office. We will be glad to assist you in any way possible.
Very truly %ours,
4#01144e,...e.
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/Ijc
OFFICE OF THE TOWN CLERK
Town of Southoldr-7
Judith T. Terry, Town Cleric
Application No. /
Town Hall, 53095 Main Road Construction
P. O. Box 1179
Southold, New York 11971 Alteration
Telephone Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 9/
Fee '$ �7 aD
DATE /RA%
APPLICANT NAME: ✓O//A/ J. 5 /i ,.;1iA27% ✓• AoDYCAA/
APPLICANT ADDRESS: 2.9 Aeei{rd.4Y 'RD
,thvc/i '4'e,TOW 0372:7• MY- //704
SEPTIC CESSPOOL )(
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Gloat) fie 8 -- Rcarni 4 m!
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: . D4''/ ✓, N/ 64,e67"' ✓. AI' 'i'
OWNER MAILING ADDRESS: 29 /4e114Y Vb .
/-/v /77//4TaA/ .17-4. it/. }% //7¢4
OWNER PROPERTY ADDRESS: S4/7•47 .44ear
PAY — 57$-2/13
TELEPHONE NUMBER OF CONTACT PERSON: eVailtrg. 271'320.9
TAX MAP NO. : Section O98 Block 02 Lot 5Y
CROSS STREET: /A/a/44 NKK QD-
BUILDING PERMIT NUMBER CROSS REFERENCE:
4nature Applicant
RECEIVED BY: 4_,4,..,44,0 . /2/
• n erk - Office
DATE: c77&.
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