HomeMy WebLinkAboutVerity •
OFFICE OF THE TOWN CLERK c. FU(/'1,
Town of Southold
Judith T. Terry, Town Clerk
• Town Hall, 53095 Main Road
P. O. Box 1179 .v' { . �.`
Southold, New York 11971 O 0 ��•',
Telephone �l ' OP/
I
(516) 765-1801 •
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 134 Residential x
Non-Residential
Fee $ 10.00
Septic Cesspool x
PERMIT ISSUED TO:
NAME: David J. Verity
ADDRESS: 2085B Shipyard Lane
East Marion, New York 11939
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: David J. Verity
OWNER MAILING ADDRESS: 2085B Shipyard Lane
East Marion, New York 11939
OWNER PROPERTY ADDRESS : ROW off Rocky Point Road
East Marion, New York
TAX MAP NO. : Section 31 .Block 2 Lot p/o 10
CROSS STREET: Rocky Point Road
BUILDING PERMIT NUMBER CROSS REFERENCE: Unknown
ri;41-4 74". o'n°"
Judith T. Terre~
Southold Town Clerk
• I
DATE: March 31 , 1987
• . (TOWN) SEAL)
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JUDITH T TERRY '4•4.00/"i' TELEPHONE
TOWN Cu'RL (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 31 , 1987
David J. Verity
2085B Shipyard Lane
East Marion, New York 11939
Re: ROW off Rocky Point 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 ($25. 00) for non-residential.
Please have the owner complete the enclosed Application for an Operation
Permit and return it to this office along with the proper fee.
For your general information I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by the Southold
Town Board. Should you have any questions pertaining to either permits
or the Scavenger Waste Laws, please do not hesitate to contact this
office. We will be glad to assist you in any way possible.
Very truly ?fours,
Judith T. Terry
Southold Town Clerk
Enclosures (3)
JTT/Ijc
OFFICE OF THE TOWN CLERK
Town of Southold
Application No./c37
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Construction
P. O. Box 1179
Southold, New York 11971
Alteration
Telephone Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No.
Fee .$ /b
DATE ,2/30/g2
APPLICANT NAME: ''- Au� '�J J 0.P R i f t
APPLICANT ADDRESS: -o8S `3 S N,pyr`Y -cam Etas T 4-l4Q(D -)
SEPTIC CESSPOOL L
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Si,07-!E
•
•
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: .DAu\b 5 Ue2�Ty
OWNER MAILING ADDRESS: an,,.) ,i-% 1ppl,cs..-i
OWNER PROPERTY ADDRESS: Pa,
TELEPHONE NUMBER OF CONTACT PERSON: 40, ^ ( 3 3
TAX MAP NO. : Section 31 Block Lot PA) /o
CROSS STREET: it/AA) Rock,/ �a,K�`1 (P,
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signatu of Appl' ant
RECEIVED BY•0.4.4,0,
RECEIVED-own/Clerk's I'ffice
DATE: L'Aft S 0 10u7
Town Clark Southold
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