HomeMy WebLinkAboutMurphy (9) •
OFFICE OF THE TOWN CLERK �FFNiro'
- Town of Southold •
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road *'
P. O. Box 1179 .cn , (4 ' :4*%4
Southold, New York 119710Q).„_- �O ��•'
Telephone �1 •
.n
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 227 Residential • X
Non-Residential
Fee $ 10.00
Septic Cesspool X
PERMIT ISSUED TO:
NAME: John R. Murphy
ADDRESS: P.O. Box 248
Peconic, New York 11958
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling with Cesspool System
APPROVED as per Suffolk County Health Dept. approval .
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: John R. Murphy
OWNER MAILING ADDRESS: P.O. Box 248
Peconic, New York 11958
OWNER PROPERTY ADDRESS : Depot Lane
Cutchogue, New York
TAX MAP NO. : Section 102 Block 2 Lot 3
CROSS STREET: Main Road
BUILDING PERMIT NUMBER CROSS REFERENCE:
"reedoe4;;e0.2p7.,•.0,,,J=.0.04414"....
Judith T. Terry
Southold Town Clerk
- DATE: September 14, 1987 - - -
/(TOWN SEAL) "
•
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° sv,`Y �� Town•Hall, 53095 Main Road
4' P.O. Box 1 179
z iii Southold, New York 11971
•JUDITH T. TERRY "Woo"tit- TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
• TOWN OF SOUTHOLD
September 14, 1987
John R. Murphy
P.O. Box 248
Peconic, New York 11958
Re: Depot Lane
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
Permitand 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 Yours,
tio
ate`'
Judith T. Terry
Southold Town Clerk
•
Enclosures (3)
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OFFICE OF THE TOWN CLERK S�FFUcc�
Town of Southold 0t® - D�
Judith T. Terry, Town Clerk k,• ,SApplication No. 023/
Town Hall, 53095 Main Road .; Construction
P. O. Box 1179 � � J Alteration
Southold, New York 11971 %r
t
Telephone 01 ' �
[ 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. 0,901(
Fee $JO
DATE y-lam^ 9.7
APPLICANT NAME: v®1,,/
APPLICANT ADDRESS: /rU o2l/r
/LSC it/r`< 'S' '
SEPTIC r/CESSPOOL i
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
"'"/Z-4/ Coi s-7
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: CuJc�oC'r��
TELEPHONE NUMBER OF CONTACT PERSON: 7 /6";P
TAX MAP NO. : Section /z), Block „2 Lot 3
CROSS STREET: /'�j%i`/ZJ 12b
BUILDING PERMIT NUMBER CROSS REFERENCE: /7rvcS.f`vi
9 .,?!
/lC
Signature of A nt
RECEIVED BY:i4 ..
Townerk's 0 fice
DATE: 40,54 1V i?t7
r.
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�, i ,_ ,—;', ,,, y ,piF,iEs :JWP YEARS FROM DATEAPPROVAL' I
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