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HomeMy WebLinkAboutOrlowski (2) / OFFICE OF THE TOWN CLERK c• 0FULk.e. Town of Southold Judith T. Terry, Town Clerk Town Hall, 53095 Main Road P. 0. Box 1179 . f = . . Southold, New York 11971 O„ T4}tie �'.' Telephone - 1 t (516) 765-1801 " TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT . SEPTIC TANK or CESSPOOL Permit No. A112 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: NAME: Richard Magill "(- P'econic Cesspool ) ADDRESS: P.O. Box 972 ' • Mattituck, New York 11952 DESCRIPTION OF PROPOSED ,CONSTRUCTION 'or ALTERATION Replacement of existing cesspool.RESTRICTIONS: Placement of new cesspool to be as close as possible to the pool 'to be replaced. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: • • OWNER OF PROPERTY: Bennett S. Orlowski OWNER MAILING ADDRESS: New Suffolk Road New Suffolk, New YOrk 11956 " • OWNER PROPERTY ADDRESS : New Suffolk Road New Suffolk, New York TAX MAP NO. :, Section 110 Block 8 Lot 13 CROSS STREET: Oak Street BUILDING PERMIT NUMBER CROSS REFERENCE: --- Judith T. Terry Southold Town Clerk • DATE : March 9, 1987 / t 1 - (TOWN N EAL) ' f - =I ,-;-,74,,I4;-,M g; s e� 'r'4 r• Town Hall, 53095 Main Road ,:, ,. ' ���� P.O. Box 1179 VI , "k,"6,"),i Southold, New York 11971 JUDITH T.TERRY �A�.i#i i�o TELEPHONE TOWN CLI RK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD March 9, 1987 Richard Magill Peconic Cesspool . P.O. Box 972 Mattituck, New York 11952 Re: Bennett S. Orlowski • New Suffolk Road New Suffolk, New York 11956 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 yours, , y�0 . ,..0-6 . .#t a fid' 4 ,,4 „,.. Judith T. Terry Southold Town Clerk , Enclosures (3) JTT/Ijc I VFOur poo • ► '' 61987 :'/ !/ v' � r ` Ciri�� �, °, ;Town Hll, 53095 Main Road >, .. �� , = 1'.O, Box 1 179 _ �l irgit � y/���• Southold, New York 11971 JUDITH T. TERRY �-..•,„ii���� TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD March 4, 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. A116 for an ALTERATION Permit for a cesspool or septic system submitted by Richard Magill (Peconic Cesspool) for Bennett S. Orlowski . 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. Clerk * * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendation: APPROVE - X DISAPPROVE - COMMENTS: J;,Qw. Sr G2 70 Am, (',�.e ,p �-�-Q_ tu2,_ \\6141.4_, 02-o Signature 3-/1_0/ g 7 Date - OFFICE OF THE` TOWN CLERK cjvFFULA Town of Southold 0� 14_ Judith T. Terry, Town Clerk Application No.,9 /1 �o Town Hall, 53095 Main Road _ Construction rl P. O. Box 1179 y �' • ° . rJ� Alteration Ql 3/ Southold, New York 11971 '�l , .0-I'' ! 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. d Fee $ /D 4`z` ,. DATE _ /f J 7 APPLICANT NAME: �✓C.W/j49 .4/ 0����6e GC �OraAvt G �.y[ 33- D/.)L-(�i Pke / APPLICANT ADDRESS: r:(J, /' ,/y i- ,T1 -frt-pG . T SEPTIC CESSPOOL / • DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION a'" t/ T Oia1 ¢s7', ea5o1 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTR CTION OR ALTERATION: OWNER OF PROPERTY: O45-44414277° 4c>, 46/54l` OWNER MAILING ADDRESS: /Pa-74/ JU,/C/c9// / OWNER PROPERTY ADDRESS: ' TELEPHONE NUMBER OF CONTACT PERSON: 2.59--- 61‘1447 TAX MAP NO. : Section,/ Block P Lot /3 CROSS STREET: © .5 � BUILDING PERMIT NUMBER CROSS REFERENCE: rie>itT- le'/11" /1/# Signature of Applic t RECEIVED BY: - d r_c : vEcTown Clerk's Of ice DATE: LI ; t5- PP') 1) !,—;0 in " ,f".01 Snn±hnid ` ` 4= = 1 • J.6 6 /2 , 6-4, T • • • ,mak 877 35 S . • • • • • • •