HomeMy WebLinkAboutShipman (2) •
OFFICE OF THE- TOWN CLERK cOFVL
Town of Southold
Judith T. Terry,
Town Clerk ; E - "
Town Hall, 53095 Main Road . ~ = r
P.
0. Box"1-179 - %%c.r2 N
Southold, New York 11971 = Pew crt, '`'`h" 0.- •��
Telephone - !
(516) 765-1801
--TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER' DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. A294 Residential x
Non-Residential
Fee $ 10.00 -
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Joseph P.Shipman
ADDRESS: 985 Elijah's Lane
Mattituck, New York 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
Replace existing system with' (1) 900 gallon septic tank and (1) 8' x 12' cesspool.
APPROVED as indicated on submitted sketch. -
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Joseph P. Shipman
OWNER MAILING ADDRESS: - 985 Elijahs Lane
Mattituck, New York 11952
OWNER PROPERTY ADDRESS : Main Road -
Mattituck, New York
TAX MAP NO. : Section 125 Block 1 Lot 19,7
CROSS STREET: Bray Avenue
BUILDING PERMIT NUMBER CROSS REFERENCE:
Judith T. T ry
•
Southold Town Clerk
DATE: FEbruary 29, 1988
(TOWN SEAL)
•
r c Town Hall, 53095 Main Road
P.O. Box 1179
. *-` Southold New York 11971
`•e� = "
JUDITH T.TERRY TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
February 29, 1988
Joseph P. Shipman
985 Elijahs Lane
Mattituck, New York 11952
RE: Main Road
Mattituck, New York
Dear Mr. Shipman:
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,
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/Ijc
i
4: '1.
do ft.,
OFFICE OF THE TOWN CLERK �j��FUU( y� 1.Town of Southold per, C�G Application No./.9C,
.0
Judith T. Terry, Town Clerk �'� 4VA-1*
Town Hall 53095 Main Road o t � Construction
P. O. Box 1179 �y : 'k -NA J
"spa::• Alteration
Southold, New York 11971
4et
Ol �� •' 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.
Fee $ lL
DATE \kY
APPLICANT NAME: fro Sip H , 1-1 10 (,L•
APPLICANT ADDRESS: 7195- A ►-1 1-4 L',...)
014-1- 7- , , .
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
91-)( e,erfAe>/
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Jos . pig P. s li/P 117 I
OWNER MAILING ADDRESS: Cf 93- £Li 5'4 ,j '-. L
(141- 77- i r . i /9 s— 1
OWNER PROPERTY ADDRESS: l✓1V9 rJ (Z D .
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section /A S— Block ( Lot /9 • 7
CROSS STREET: 87 R/4,-( (U (%
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
Signa re of Applicant
RECEIVED BY: ,„r„ (2 LSC J
Town (Clerk's Office
DATE: ///1d'
• -'',
. .
V tie
,
t k i 5 1-1-, . i
. 9-5
\ 0 __.----------'--.
/ /
, . /
.. .
I r ,• 1 51' C)(2.I
. .
/
; I
/
i i,r 6
- .
, .
. !
...
. ,
V
. , [
. .
; / \
4 .
. • ; ,
. .
, .
. . ,
i I
. 6. sr.pric /
, .
/
!I
.
• .
. ,
. . ,
•
i y 1
i
a • , 1
7 \ ,.
I .
1 ........ _,.. _
' 1
! 1 1
. ,
0
--(1<':6 s 1
. .
c) ,
• .
i
,
3HAy.,-,:aoc...14.
I, )
I
. ..0
. .
\ 0
I .