HomeMy WebLinkAboutSmith (10) •
OFFICE OF THE TOWN CLERK K cOFOU
Town of Southold
Judith T. Terry, Town Clerk •
Town Hall, 53095 Mainall, •
P. O. Box 1179 v' y`
Southold, New York 11971 0o�-�,•
Telephone
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 221 Residential X
Non-Residential
Fee $ 10.00-
Septic Cesspool X
PERMIT ISSUED TO:
NAME: - Diane Alec Smith
ADDRESS: RFD 193F, Main Road
Cutchoque, New York 11935
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: Randy and Diane Alec Smith
OWNER MAILING ADDRESS: RFD 193F, Main Road
Cutchoque, New York 11935
OWNER PROPERTY ADDRESS : Bridge Lane
Cutchoque, New York
TAX MAP NO. : Section 84 Block 1 Lot 6.11
CROSS STREET: Route 48
BUILDING PERMIT NUMBER CROSS REFERENCE:
Judith T. Terry/
Southold Town Clerk
DATE : September 2, 1987
(TOWN SEAL)
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C� e `�01► Southold, New York 11971
'•JUDITH T. TERRY +''"' "i - TELEPHONE
TOWN CLERIC i! - - (516)765-1801
REGISTRAR OF VITAL.STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 2,- 1987
• Randy and Diane Alec Smith
— RFD 193F, Main Road -
Cutchogue, New York 11935
Re: Bridge 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
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)
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Town Hall, 53095 Mom Road
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P.O. Box 728
�ii�� � Southold, New York 11971
Il ll)li I I 1 1I REV TELEPHONE
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REGIS I FAR OF VII Al,tiIArl5ucs - OFFICE OF THE TOWN CLERK _ •
- TOWN OF SOUTHOLD
August 31, 1987
To: - Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 224 for a
• CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by- Diane Alec Smith and Randy Smith •
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. -
�.
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: e Stie.)}gCQ . ' 14 Qh 1
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Signature
S1 SIO)31
Date
i •r
OFFICE OF THE TOWN CLERK ci\VF
Town of Southold
'�''" ,rte ' Application No.Q 9
Judith T. Terry, Town Clerk +� t -4
Town Hall, 53095 Main Road • ..< a Construction •v
P. O. Box 1179 cr3 "•' k '
M� 4
Fi
Southold, New York 11971 0 - �- Alteration
Telephone _®1 t �O � 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 .$ JO —
- DATE %i,c7 •
APPLICANT NAME: ya A/ c Oni11-4
APPLICANT ADDRESS: J /T�/Q3/ ftt/V RD
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SEPTIC , CESSPOOL x
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 76N-11-)17\./ ► )4k-e
OWNER MAILING ADDRESS: 7' 77 )93 lUr-tyv
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OWNER PROPERTY ADDRESS: jn dse I y.
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TELEPHONE NUMBER OF CONTACT PERSON : 771_(0LfC(J
TAX MAP NO. : Section &4 Block / Lot 6. 11
CROSS STREET: 4. za
BUILDING PERMIT NUMBER CROSS REFERENCE: ptond,us
iJ Signature of Applicant
RECEIVED BY: G am- &
Town Ierk's fice
DATE: cP-,?/—L )
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SUF FOLK CO. HEALTH .0 E 1:I. APPROV,
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LICENSED LAND SURc7EYORS • 4.%I.ANO .
GREENPORT NEW YORK
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