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HomeMy WebLinkAboutStarkie (2) • OFFI-CE OF THE TOWN CLERK c��FFUL,f Town of Southold • Y ' Judith T. Terry, Town Clerk Town Hall, 53095 Main Road • a TM P. O.. Box 1179 .En Vim' .nt� • Southold, New York 11971 0 �1 �0�-�•� - Telephone- U1411; 0- (516) 765-1801 - TOWN OF_SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 293 Residential X • Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: NAME: George Starkie ADDRESS: 21 Walnut Street Smithtown, New York 11787 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling with Cesspool System. APPROVED as indicated on Suffolk County Health Department survey approval. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: George Starkie OWNER MAILING ADDRESS: 21 Walnut Street Smithtown, New York 11787 • OWNER PROPERTY ADDRESS : Tarpon Drive Southold, New York 11971 TAX MAP NO. : Section 57 Block 1 Lot 7 CROSS STREET: Main Road BUILDING PERMIT NUMBER CROSS REFERENCE: • Judith T. Ty Southold Town Clerk DATE: February 29, 1988 (TOWN SEAL) - - =:= <<;,;r a A a Town Hall, 53095 Main Road • : ,._ �- �:� P.O. Box 1179 Southold, New York 11971 JUDITH T.TERRY •�,pFr � ` TELEPHONE • TOWN CLERK - (516) 765-1801 REGISTRAR OF VITAL S rnTIsTlcs OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD •• February, 29, 1988 George Starkie 21 Walnut Street Smithtown, New York 11787 Re: Tarpon Drive - - Southold, New York - Dear Mr. Starkie: 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/ljc - �y� �,�J "UL4> -A 3 '`;sem"`. "«r� � '` i ( .. �-Ac ; i r $ Town Hall, 53095 Main Road leo ; '®6?" P.O. Box 728 Southold, New York 11971 JUDITH T TERRY TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD FEbruary 18, 1988 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk Transmitted herewith is a copy of application No. 297 for a CONSTRUCTION or ALTERATION Permit for a cesspool or septic system submitted by George Starkie • 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: Signature Date OFFICE OF THE TOWN CLERK %c51FO(A'CD Town of Southold ®� �• Application Nom Judith T. Terry, Town Clerk �,*' a`' ._`�G Town Hall, 53095 Main Road • _ 'I '' % Construction P. O. Box 1179 to A. ' x' Southold, New York 11971 ,y� *� • , Alteration Telephone -?70,� `+ 0,-,y p 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 $ /o `2-- DATE \-- __L5- ,'- k (ck APPLICANT NAME: (-%C-e)%--%P, kms, V, 0F APPLICANT ADDRESS: 2A \ c -SV ej• I , y �` �ocek� SEPTIC K CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION tlaeL53 Co t.TrucT(?Arl - .Y1 )-e- FC4ArNA pg-CL . LOCATION MAP: Must be attached hereto before permit may be issued. • LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: (, o - - q_ Ic-.-- OWNER MAILING ADDRESS: 29( (L9 Q,Au j 7 Sfv ccs__ LU..k ii7t7_ OWNER PROPERTY ADDRESS: rC -Frf\ &_> ocJ TELEPHONE NUMBER OF CONTACT PERSON: ,57(0- " (rr® •- (:),57 TAX MAP NO. : Section 5-7 Block / Lot ) CROSS STREET: 1` `CN\ \ BUILDING PERMIT NUMBER CROSS REFERENCE: aturdrApplicant RECEIVED BY: i a 0.f t,,) Town/ 92`lerk's Office DATE: �J � 01- y