HomeMy WebLinkAboutWorth (2) OFFICE OF THE TOWN CLERK �� ~
Town of Southold � �Olj
Judith T. Terry, Town Clerk �� M � , ,
53095 Main Road x;3�� '
Town Hall, c:=1 �
P. O. Box 1179k =s� _ �.
Southold, New York 119710 = `a0� o•`
Telephone Ol •
(516) 765-1801 '
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 189 Residential -X
Fee $ 10.00 Non-Residential
Septic Cesspool X
PERMIT ISSUED TO:
NAME: Ted Dowd
ADDRESS: Box 508
East Marion, New York 11939
DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION
New Single Family Dwelling with Cesspool System
APPROVED as approved by Suffolk County Health Dept.
LOCATION OF PROPOSED CONSTRUCTION or ALTERATION:.,
OWNER OF PROPERTY: Worth Enterprises Inc.
OWNER MAILING ADDRESS: Box 106
Southold, New York 11971
OWNER PROPERTY ADDRESS : Rabbit Lane
East Marion, New York 11939
TAX MAP NO. : Section 31 Block 18 Lot 8
CROSS STREET: Bay Avenue
BUILDING PERMIT NUMBER CROSS REFERENCE:
e'e 06.44e/7-"'"'s
Judith T. Terry
Southold Town Clerk
DATE: June 25, 1987
(TOWN SEAL) `\
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Hw, = °'�► ♦ Town Hall, 53095 Main Road
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P.O. Box 1 179
Southold, New York 11971
JUDITH T. TERRY Aiiidro i TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
June 25, 1987
Ted Dowd
Box 508
East Marion, New York 11939
Re: Worth Enterprises, Inc.
Rabbit, Lane
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,
%midi 110.144041Viumi:
Judith T. Terry
Southold Town Clerk
Enclosures (3)
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A : • Town Hall, 53095 Main Road
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�� 1 P.O. Box 728
,� '" ,. of Southold, New York 11971
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JUDITH T TERRY TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
June 23, 1987
To: Victor Lessard, Southold Town Building Department
From: Judith T. Terry, Southold Town Clerk
Transmitted herewith is a copy of application No. 191 for a
CONSTRUCTION or ALTERATION Permit for a cesspool or septic system
submitted by Ted Dowd for Worth Enterprises Inc. .
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.
r
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: 1 C . 41009.2y ,
\CAL Ci.Q.--7..-,, Ci.c..12—
Signature
L \ al\ i 1
Date
OFFICE OF THE TOWN CLERK FO(,Q;
Town of Southold 0�0 S Cil/ / /
Judith T. Terry, Town Clerk � Application No.
Town Hall, 53095 Main Road � ;z Construction
P. 0. Box 1179
4
,„ Alteration
Southold, New York 11971 �t-
Telephone �1 41' 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 $
DATE 6 /?. 3 ./c 7
APPLICANT NAME:
APPLICANT ADDRESS: o x 5 0 S
2_5 'I, 1/4 zT a �l/ Y 1 1 �t l
SEPTIC ✓ CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
S‹ 04( c. S y 5 t C,,-. r co S '-r-✓ G a'�
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: \tIA.4,-&4 a-7 -6 s
OWNER MAILING ADDRESS: :,x I. C
5,„ I1 M )t ci 71
OWNER PROPERTY ADDRESS: 'Fast-
TELEPHONE
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2 s"t-
TELEPHONE NUMBER OF CONTACT PERSON: it 77 '211 ° 2_,
TAX MAP NO. : Section 051 Block Q Lot
CROSS STREET: V� . AU e..r
BUILDING PERMIT NUMBER CROSS REFERENCE:
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Signature of Aps
p i
RECEIVED BY :
Town Clerk's Office
DATE:
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