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OFFI-CE OF THE TOWN CLERK c��FFUL,f
Town of Southold •
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Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road • a TM
P. O.. Box 1179 .En Vim' .nt�
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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
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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)
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=:= <<;,;r a A a Town Hall, 53095 Main Road
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: ,._ �- �:� 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) _
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�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
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