HomeMy WebLinkAboutSwotkewicz (2) • •
OFFICE OF THE TOWN CLERK c0FOLA- ,'
Town of Southold Olj
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road _-
P. O. Box 1179 cr3
Southold, New York 11971 O@� �. •*'
Telephone 0l [ �'
so,
(516) 765-1801 '
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 55 Residential XX
Non-Residential
Fee $ 10.00
Septic Cesspool XX
PERMIT ISSUED TO:
NAME: Frank J. Swotkewicz
ADDRESS: Box 607
Mattituck, New York 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New single family dwelling
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LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Frank J. Swotkewicz
OWNER MAILING ADDRESS: Box 607
Mattituck, New York 11952
OWNER PROPERTY ADDRESS : Sebastian's Cove Road
Mattituck, New York
TAX MAP NO. : Section 107 Block 1 Lot 25
CROSS STREET: Mill Road
BUILDING PERMIT NUMBER CROSS REFERENCE: Pending
Judith T. Terry
Southold Town Clerk
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DATE : October 7, 1986 , r
(TOWN SEAL)
:. , �,� Town Hall, 53095 Main Road
' _4ir: ��' P.O. Box 728
�` .1 ���+ 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
October 7, 1986
Frank J. Swotkewicz
Box 607
Mattituck, New York 11952
Re: Sebastian's Cove Road
Mattituck, 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,
dreate4o
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/Ijc
OFFICE OF THE TOWN CLERK
Town of Southold
Judith, T. Terry, Town Clerk Application No. ,5-S
Town Hall, 53095 Main Road Construction v
P. O. Box 1179
Southold, New York 11971 Alteration
Telephone Residential v
(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 $ /6'525'
DATE OGfO&r l/ 19�-C
APPLICANT NAME: Fie/i-A/X ✓, - ivo7qewiC.L
APPLICANT ADDRESS:ecic 607
not-11)7 -c-ky /44/ /l
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Nekv .SiVe
dwe//hyo
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY : f-kAme_ j; R/074- u/ice_
OWNER MAILING ADDRESS: Ajax 6O7
141OHi /?Jck.,A1 X /iq-
OWNER PROPERTY ADDRESS: .5c_has /-ian 14 (or �Pd.
NJ� i fuck Gl% Y
TELEPHONE NUMBER OF CONTACT PERSON: �ZY�-s197
TAX MAP NO. : Section I/O '? Block / Lot (OMLM. Lb f `f
CROSS STREET: Ni// _r_
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applicant
RECEIVED BY: i,,,,`e ,I -office
Town /lerk's •ffice
DATE: 40 '�_ (NO /PdPC.,
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SUFFOLK COUNTY DEPT OF HEALTi-
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I' S"ction 79.Qe.of the N w York Stela
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SA lti-., Guarentesft lnfcrta.^l hereon els011 ruts
on+d to the person for irphetn the survey
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• LICENSED LAND SURYO S •
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GREENPORT NEW YORK
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