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HomeMy WebLinkAbouttuthill (12) OFFICE OF THE TOWN CLERK �FFOC,(`, Town of Southold &% Judith T. Terry, Town Clerk .` Z � Town Hall, 53095 Main Road ' P. 0. Box 1179 ,.-le: , n Southold, New York 11971 Oil �4o�•'' Telephoner (516) 765-1801 ' is TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Residential XX Non-Residential Fee $ 10.00 Septic Cesspool XX PERMIT ISSUED TO: NAME: Beatrice Tuthill ADDRESS: 2120 Gilette Drive East Marion, New York 11939 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION Mew two story dwelling in residential area LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Beatrice E. Tuthill OWNER MAILING ADDRESS: 2120 Gilette Drive East Marion, New York 11939 OWNER PROPERTY ADDRESS : 735 Stars Road East Marion, New York TAX MAP NO. : Section 31 Block 3 Lot 6 CROSS STREET: Cedar Drive, East Marion BUILDING PERMIT NUMBER CROSS REFERENCE: Pending Judith T. Terry Southold Town Clerk DATE: September 24, 1986 \ ((TOWN'SEAL) it CP 4.C_‘,./,.re 4,4' �,Txi ^ `�:• - If Town Hall, 53095 Main Road ;_iAs '-g'1 ��6.4 P.O. Box 728 '=�`, �`„,, �� Southold New York 11971 JUDITH T.TERRYTELEPHONE TowN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD September 24, 1986 Beatrice Tuthill 2120 Gilette Drive East Marion, New York 11939 Re: 735 Stars Road East Marion, 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, ��• v! Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc i ' oFOUr '= OFFICE OF THE TOWN CLERK Town of Southold Application No. 17 Judith. T. Terry, Town Clerk Town Hall, 53095 Main Road Construction P. O. Box 1179 Southold, New York 11971 Alteration • Residential ' Telephone (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT fe jninn �wl ,>01;r'•Q APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ /G c� DATE APPLICANT NAME: \ ,2A-U2-- APPLICANT ADDRESS: (- taa at U.) OnCIA‘oskA V\/ SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ♦ , 1. 1 411. 1 M1 LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: °' �k-i-vC.;5t- q, � 5� OWNER MAILING ADDRESS: 0 Cv L JTf u '— �.< <(Y10JU.-05'\ OWNER PROPERTY ADDRESS: 7 3 5 5 t-a5 R cQ E. 1( )°kJ-e ° N TELEPHONE NUMBER OF CONTACT PERSON: "-(-7 7_ 27 6 TAX MAP NO. : Section 2 Block 3 Lot CROSS STREET: hos Q 1-1.124,1011)1111,41.2 BUILDING PERMIT NUMBER CROSS REFERENCE: agaTL.tcL criutiAAA1 Signature of Applicant RECEIVED BY: s rte _ A_ Town C+rk's Offi e DATE: A_ a — 2 F � f The Water supply ana sewa„v ais rr - ""', system for this r P►1 , V/ - t" •` , /' P _ �1" ., , , , / residence will co] - - - -- - --- - - ror- to the standard of the Suffo: y . County Department of Health Servir 5�r ^ ✓',�-"'V;1- ,L.' (7,1,- .� �; ti pr r ;..�._ r f�r ; f /) 'L:.---:. f (r 0-AvFI�J TA- / ..r)l[ ek :r�✓ ��. •^ . ;J 1 1 L._e l_, C ,, i i cTTE >r: , 1viae,refJ�v NJJ — / �7 1I Al: Y.. 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