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Home My WebLink AboutPerino OFFICE OF THE TOWN CLERK c)1FU(/-`,D Town of Southold Judith T. Terry, Town Clerk Town Hall, 53095 Main Road 1 a x P. O. Box 1179 teily 7 �: Southold, New York 11971 ® Q0_ 0�- r Telephone 0/ ) e *�/ (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 183 Residential X Fee $ 10.00 Non-Residential Septic Cesspool X PERMIT ISSUED TO: - NAME: Eugene and Barbara Perino ADDRESS: 132 Bayview Avenue East Islip, New York 11730 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION Construct Single Family Dwelling with Well and Sanitary System APPROVED as indicated by Suffolk County Health Dept. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Eugene and Barbara Perino OWNER MAILING ADDRESS: 132 Bayview Avenue East Islip, New York 11730 OWNER PROPERTY ADDRESS : Truman's Path East Marion, New York TAX MAP NO. : Section 31 Block 12 Lot 16 CROSS STREET: Main Road BUILDING PERMIT NUMBER CROSS REFERENCE: Judith T. Ter Southold Town Clerk DATE : June 11, 1987 4\, (TOWN SEAL)' 4' ,kx 1 w Town Hall, 53095 Main Road P.O. Box 1 179 z E A )\''° Southold, New York 11971 JUDITH T. TERRY 40!#,,_Of"- TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD June 11, 1987 Eugene and Barbara Perino 132 Bayview Avenue East Islip, New York 11730 Re: Truman's Path East Marion, 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 /ours, Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc COFOUr 1. , • fie k kyi U 3• ,r , ..•t.: rjr 1 fit z . �� Town Hall, 53095 Main Road �� P.O. Box 728 � ,," °� Southold, New York 11971 -..../1 JUDITH T.TERRY - TELEPHONE TOWN CLERI; (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK -- TOWN OF SOUTHOLD _ June 9, 1987 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 185 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by Eugene and Barbara Perino — 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. 4010Cea;efa.s Judith T. Terry Southold Town Clerk * * * * * I have reviewed the application and location map of the project cited above and make the following recommendation: APPROVE - DISAPPROVE - COMMENTS: .Lti.�.l G o e�-+ \ •- Signature GI 11111 Date • .-r , OFFICE OF THE TOWN CLERK - Town of Southold Application No. /K-- • - Judith T. Terry, Town Clerk Town Hall, 53095 Main Road Construction P. 0. Box 1179 Alteration Southold, New York 11971 ..----- 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. • Fee •$ /0 al/ DATE 6/63/,7 APPLICANT NAME: 6.06iNE 44/t4444 PE /61VO APPLICANT ADDRESS: J3 aZ‘ik-e._.-- ' * ' Ail 1/7 3o • SEPTIC ✓ CESSPOOL - • DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ernA.bu.e,e,t �'Lp ' • .4_,....a.. . eezd � : LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: (I/6-4)6 '''' 44W4 ,e,e oO OWNER MAILING' ADDRESS: /,3 g IA11YU/Ea) 4-y t,4.Sr is tie rvy i/7 OWNER PROPERTY ADDRESS: GU/S 7i -1191Us' Aitrn (FieoJT/ G-, 1�f�4�ion) c.Af"E� CAST M1QR,olo, la j,i3o (OM LII-co /% 9) TELEPHONE NUMBER OF CONTACT PERSON:CP& 5-8'1 -R,c1 / pioy,,,e) G) 4-31. -'lbSFSr.Fernno TAX MAP' NO. : Section 3 / Block ia. Lot /4 - Bus. CROSS STREET:W- Sou H of PA(/0 Roetti), E• HA'eitho, ky BUILDING PERMIT NUMBER CROSS REFERENCE: 44-tiet,e.tL— , - Signature of Applicant RECEIVED BY: ! Rum mown erk's ice DATE: , - .J U;'i a , 1o«,n ril;k Southold - --- -1,,q,,,, .. _ ti0 MAf ^ SUFFOLKCO HEALTH DEPT. APPROVAL, ' te J -- �4 I , V XE / - (NGL FAMIL'r Dti�rDATE OF APPRO 6 F'L1-1NG ONLVr STATEMENT OF INTENT I•I , ., THE WATER SUPPLY AND SEWAGE DISPOSA. l`-. i I - ��i SYSTEMS FOR THIS RESIDENCE WILL *',.:21``l CONFORM TO THE STANDARDS OF 1-1-1'' I ' l SUFFOL CO. DEPT. OF HEALTH SERVICE! "` AP (CANT I - ` /� (rl Q ,QiL2l� ti- �ti} i"--,/,_/ /.., 1 SUFFOLK COUNTY DEPT. OF HEALTF `1 COp � ��- 1��14 t !a SERVICES — FOR APPROVAL , 01 � ' _ CONSTRUCTION ONLY / -ai l f2sD N PIPE' MAY 2 9 � __. DATE: - r�if:.f=r' =' 0-f.136 �^, H. S. REF. NO,. SU i� ' �; �, vir- APPROVED• IS '�iKO .�, — r�` cis di 5�f /�(O 111 <i. <%l VI SUFFOLK CO. TAX MAP DESIGNATION: _-__�� e, - , DIST. SECT. BLOCK PCL. m (`-) , ! L .iJ I I" 1 6 a (3 , t� i OWNERS ADDRESS: . fl-j� \\4c..n �. .l DEED: L.1O P.`�Q(1.'L' F.) ?Ht. (.% I `�O TEST HOLE STAMP _' - 25 r ~ -F4ttn:ttthrrt--.1 Ett.vpti7t,m'Rv5.1+'T I to this 8"J^• t•"Ili n v.rg-"tLrCli I S,••••-t on:a:%'",,c'th'tdtlety Yet F.' D . 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