HomeMy WebLinkAboutNagy OFFICE OF THE TOWN CLERK c1FWire,
Town of Southold �� � �
Judith T. Terry, Town ClerkfM,
s Town Hall, 53095 Main Road
cf' IcC
P. O. Box 1179 . � •
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Southold, New York 11971
Telephone
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 131 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Terry C. Nagy
ADDRESS: 59405 Main Road
Southold, New York 11971
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New single family dwelling
COMMENTS - Approval is subject to getting necessary ok's to put
well in ROW. Septic system as approved by the County
Health Dept.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Terry C. Nagy
OWNER MAILING ADDRESS: 59405 Main Road
Southold, New York 11971
OWNER PROPERTY ADDRESS: Private Road off Goose Creek Lane
Southold, New York
TAX MAP NO. : Section 77 Block 3 Lot 14
CROSS STREET: Goose Creek Lane
BUILDING PERMIT NUMBER CROSS REFERENCE: Unknown
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Judith T. TeiQ
Southold Town Clerk
DATE : March 31 , 1987 r
(TOWN SEAL)
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h ;�,5-4 Town Hall, 53095 Main Road
P.O. Box 1179
+�• , ,` Southold, New York 11971
JUDITH T TERRY �' ,,//4 TELEPHONE
TOWN CLI'Rk (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 31 , 1987
Terry C. Nagy •
59405 Main Road
Southold, New York 11971
Re: Private Road off Goose Creek Lane
Southold, 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
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,
%osier Ur,
Judith T. Terry
Southold Town Clerk
Enclosures (3)
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' �1. PAR 2 619,81 ,�)'
' b .,,:k '®�'��1% •
,�® N-U? Waikta11 5 ,095 Main Road
--P.O. Box 728
®1 ';t, � 0 Southold, New York 11971
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JUDITI I T.TERRY TELEPHONE
I TOWN CLERi:
(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 25, 1987
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 134 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Terry C. Nagy .
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.
004416e#600.,0, 40.......0 ,
Judith T. Terry
Southold Town Clerk
* * * * * * * * *
, I have reviewed the application and location map of the project
cited above and make the following recommendation:
1 11
APPROVE - X ,; )
DISAPPROVE -
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Signature
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q Date
'I OFFICE OF.,THE TOWN CLERK i ;
Town of Southold , , , {
Judith T. Terry, Town Clerk ,, Application No'. 'i' 'i
Town Hall, 53095 Main Road Constructiont�!�l
P. 0. Box 1179 Iil ;, ; I,I,;',
Southold; New York 11971 Alteration i
Telephone Residential
(516) 765-1801 Non-Residential • ' ' '
TOWN OF SOUTHOLD J !; I1
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' . _ SOUTHOLD WASTEWATER DISPOSAL DISTRICT 1 H, i, ' ,I;I,I•
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APPLICATION
for I ;p; i
' T CONSTRUCTION or ALTERATION PERMIT .
SEPTIC TANK. or CESSPOOL .,1 ' i 4
Permit `No. �I;
Fee .$ /O
• DATE7 ' ! I
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APPLICANT NAME: 7?- t '1 ',.0 C . /f.:\/4y '
APPLICANT ADDRESS: \C- ` !(% ✓V 4
fSo LA-.)-to u �! i (-Q 7/ '
SEPTIC CESSPOOL ''"7 ,
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 'l/G�-/' '
/ / ,Ok1JC�A..(j ,
LOCATION MAP: Must be attached hereto before permit may be issued.
' LOCATION OF PROPOSED CONSTRUCTION 'OR ALTERATION: .;
OWNER OF PROPERTY: 7Z---- )4.7 C2 - �//:,
OWNER MAILING ADDRESS: ,--(-)T- ' '
S-O L,717tL0 r'-/- 7/. c i r 7j ,
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OWNER' PROPERTY ADDRESS: ' P,A,�,, is. _ %„ •- � �,„ ' en,
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TELEPHONE NUMBER OF CONTACT. PERSON: 7 6,S— �O ' '
TAX MAP NO. : Section 07? Block 3 Lot l 4 ' ,.,11
CROSS STREET: 600 C NC ”'
BUILDING PERMIT NUMBER CROSS REFERENCE: -
' , . , ,,, . . . 0 , ', I!, , , 1
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Signature of . pplicant 11 ! 1
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RECEWERialiv .c� 9 ��,---;
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1 '� '}!1 1 ' Town Crk's ,O ce ,I,
DATE: MAR 2 51987
i ; Town Clerk Southold ' , 1
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