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OFFICE OF THE TOWN CLERK c31FOi'Ke,"
Town of Southold
Judith T. Terry, Town Clerk . x %<
Town Hall, 53095 -Main Road
P. 0. Box 1179 ,Cr) a ?.��% 3
V- ii' � ,
Southold, New York 11971 O �% o,!
Telephone ®1 Ng
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(516)' 765-1801 '
TOWN OF SOUTHOLD •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit. No. 238 Residential X
Fee $ 10.00 Non-Residential
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Joseph Verity
ADDRESS: Box' 126 •
• East Marion, New York 11939 '
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling with Cesspool System
APPROVED as per Suffolk County Health Department approval.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Joseph Verity '
OWNER MAILING ADDRESS: - Box 126, Main Road
East Marion, New York 11939'
OWNER PROPERTY ADDRESS: 32 Sound Road -
Greenport, New York
'TAX MAP NO. : Section 35 Block 1 ' Lot 11
CROSS STREET: Sutton Place -
BUILDING PERMIT NUMBER CROSS REFERENCE: '
r • u•i t 'T. fz,fy
Southold 'Town Clerk
•
DATE : 'October 20, 1987 ' -
(TOWN SEAL)
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�,.. ��;.. � 1 Town Hall, 53095 Main Road
V. P.O. Box 1179
i0° Southold, New York 11971
JUDITH T. TERRY 4"4"'"iii ii�' TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October 20, 1987
Joseph Verity
P.O. Box 126
East Marion, New York 11939 •
Re: 32 Sound Road
Greenport, 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 ($25. 00) for non-residential.
Please have the owner complete the enclosed Application for an Operation
Permit and return it to this office along with the proper fee.
For your general information I have enclosed an Informational
Bulletin regarding the Scavenger Waste Laws adopted by the Southold
Town Board. Should you have any questions pertaining to either permits
or the Scavenger Waste Laws, please do not hesitate to contact -this
office. We will be glad to assist you in any way possible.
Very truly ?tours,
• Judith T. Terry
Southold Town Clerk
Enclosures (3)
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C..7 .ti ' s ipru'M �e
` Town Hall, 53095 Main Road
1 0 P.O. Box 728
:A /A3 �/ �'0Southold, New York 11971
JUDITH T TERRY TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk-
Transmitted herewith is a copy of application No. 243 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Joseph Verity —
Please review the application and location map and advise if the
project has received Suffolk County Health Department approval
and if we may issue the permit.
Please complete the form below and return it to my office.
Thank you.
•
Judith T. Terry
Southold Town Clerk
* * * • *
I have reviewed the application and location map of the project
cited above and make the-following recommendation:
APPROVE - X
DISAPPROVE -
' COMMENTS: C$,0 d,;,, Q1 i4J r Z-
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GtA-112-•
Signature
/vJ / 71737
Date
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OFFICE OF THE TOWN CLERK c.0F[1(A- O
CG
Town of Southold
h Application
Judith T. Terry, Town Clerk .d
Town Hall, 53095 Main Road • a .` ;_ pT cn
Construction . - •
P. 0. Box 1179 s !`
Southold, New York 11971Q� Alteration
•
of `A Residential
Telephone _
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD fi
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No. 4( 3 O
Fee $
DATE 10 ` lo g
r
APPLICANT NAME: � (.7) - Jet L-
17
APPLICANT ADDRESS: I - , ( ?, C M,/)-rix4,1) ct "3`
SEPTIC V CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Qc-e Ji Ue 1
OWNER MAILING ADDRESS: 3ov/v(} ..?0/ Ci Qreez, •
OWNER PROPERTY ADDRESS: � — 3 0- 6,,e1
9-1 cd-
TELEPHONE NUMBER OF CONTACT PERSON: L-177 —
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TAX
-{77 —TAX MAP NO. : Section 032, Block 1 Lot �(
CROSS STREET: 'J c/ i ' 0NJL-ft CC -1-2.
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BUILDING PERMIT NUMBER CROSS REFERENCE:
4. (/,(21:7
pjn ure of Ap licant
RECEIVED BY: G* i}cce-c---0/
Town Clerk's Of ice
DATE:
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' I SUFFOLK CO HEALTH DFP1 APPROVAL
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STATEMENT or INTENT ,
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SYSTEMS FOR THIS RESIDENCE WILL
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SERVICES FOR APPROVAL OF
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