HomeMy WebLinkAboutFoster, Arthur (2) •
OFFICE OF THE TOWN CLERK c��FFUCIi'`,"
Town of Southold , �0 �
Judith T. Terry, Town Clerk . ' L:
Town Hall, 53095 Main Road 'Mc
P. O. Box 1179
Southold, New York 11971 c . �0�•��,
Telephone -"IV/
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(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
•
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 8 Residential X
Fee $ 10 . 00 Non-Residential
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Arthur P. Foster
ADDRESS: P. O . Box 1132 , Mattituck, NY 11952
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New system for new construction of single family residence . '
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:
OWNER OF PROPERTY: Arthur P . Foster
OWNER MAILING ADDRESS: P . O . Box 1132
Mattituck, NY 11952
OWNER PROPERTY ADDRESS: 2115 Cox Neck Road
Mattituck, NY
TAX MAP NO. : Section 113 Block 07 Lot 19 . 14
CROSS STREET: Westphalia Road
BUILDING PERMIT NUMBER CROSS REFERENCE: 15143Z
Judith T. Terra
Southold Town Clerk
DATE : July 30 , 1986
(TOWN SEAL)
','•,,l/ll/ ii_,,
p :•••/ Town Hall, 53095 Main Road
i
P.O. Box 728
O'� ik„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
July 30., 1986
Arthur F. Foster
p.0 . Box 1132
Mattituck, NY 11952
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,
•
1.04 4.../..4.4,41,„
Judith T. Terry
Southold Town Clerk
Enclosures (3)
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OFFICE OF THE TOWN CLERK
Town of Southold r
Judith T. Terry, Town Clerk Application No. D
Town Hall, 53095 Main Road Construction c.---
P.
/P. 0. Box 1179
Southold, New York 11971 Alteration
Telephone Residential L--
(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 $ /0 d
DATE .-7/301K &
APPLICANT NAME: (4 r+&4A( -P F05 i—
APPLICANT ADDRESS: - ` °� I )" Z. L 4L N _
SEPTIC I CESSPOOL 2, .
DESC PTION OF PROPOSED CONSTRUCTION OR ALTERATION / £t.,��
)'ie ( GG
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: S i}- ,
OWNER MAILING ADDRESS: SYWl,2_,
OWNER PROPERTY ADDRESS: �//5 7?- .-4L- ,(a
7-)1 ,, Al .
TELEPHONE NUMBER OF CONTACT PERSON: Za .g -- cJ ( 6 d
TAX MAP NO. : Section / / 3 Block 6 17 Lot As 1 9, ) J
CROSS STREET: (, ) T P 44f.,64
BUILDING PERMIT NUMBER CROSS REFERENCE: I 5 1 il 3 Z..
4 .;(-1-11,s 'cA-&4
Signature of Applicant
RECEIVED BY : ( . )'_act W_ ('�- aAt
Town Crk's Office
DATE: 7// ,'Oitr 1 t.
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)+EARTH DEPARTMENT DATA FOR APPROVAL TO CONSTRUCT q
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]F-^JEl.RF5T ryATEP MAN Mi ± �F SOURCE OF wA ER PRIVATE,- PUBLIC_ I.- '
# SUFE CO TAX MAP 01ST 1000 SEC! ON IL BLOCK Q7_ LOTP70019.6 - '
* THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY " �`"' '`
OTHER THAN THOSE SHOWN HEREON, HEA MCI-4-_____,__
t THE WATER SUPPLTAND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH S VICES. FOR APPROVAL OF CONSTRUCTION OF `
APPLTCAN
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P L i C A H_ _.__`-41.-- J Single Family Residence Gsily
ADDREs;t o 6 - 1/3 2--
_ - - — c.„ .4.4 - LSl. _/ / ^ •
It. TE �� r EF. NO. it-
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i TEL -is . 6e ) .. t �.:. . `_ „�,NOTE AREA 4.6572 ACRES ■=MONUMENT =STAKE PPfOVED
RE; LOT NO.2 "MINOR SUBDIVISON PREPARED FOR
JOHN SIMICICH JR. a CATHERINE SIMICICH" EXPIRES TWO YEARS FRO , DATE • APPROVAL.
*THE LOCATION OFWELL(W),SEPTIC TANK(ST)BCESSPOOLS(CP) SHOWN HEREON
ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS.