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Home My WebLink AboutRimor (2) ELIZABETH A. NEVILLE,MMC �� ,�� Town Hall, 53095 Main Road TOWN CLERK "r P.O.Box 1179 � Southold,New York 11971 REGISTRAR OF VITAL STATISTICS �;� U,i�` �'`�� Fax(631)765-6145 MARRIAGE OFFICER110 '�� 9" Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER .. www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER S x.601 Y g OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: October 27, 2020 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 4874-4905 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development-Units 27-46 89-94 and 111-116 Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Signature Dated std F 04, "`m. ELIZABETH A.NEVILLE Town Hall, 53095 Main Road P.O. ox 1179 TOWN CLERK Southold,New York 11971 REGISTRAR OF VITAL STATISIC MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �' Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER r southoldtown.northfork.net OFFICE OF T ' 1 TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION l'ALTERATION PERMIT CESSPOOL P SEPTIC TANK Residential or Non-Residential 5 Application No. Permit No. LLC Applicant Name,, ' _ Applicant Mailing Address.... _ ...._ _ 7 Septic Tank or Cesspool Brief Description of Proposed Construction or A I1cratio Location of Proposed Construction/Alteration: Owner of Owner Mailing Address:. Owner Property Address: _. .. - p p _ � �� Name and hone number of contact person_... Map 1.0.2. jJ 1 l b........ ...._ Lot T o: action B „r Cross Street . NOTE LOCATION MAP MUST BE S41V S " T 'ED 1H APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY '1 ALT D A TME T APP AL 2,6 - � Signature o 'Applican Dat: - Received by: 1; ° Town Hall, 53095 Main Road IZABETH A.NEVMLE ' P.O. Box 1179 TOWN CLERK Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ryv Fax(631) 765-6145 MARRIAGE OFFICER RECORDS AGEMENT OFFICER ��° Telephone .no 00 hfk.net FREEDOM OF INFORMATION OFFICER , . sotholtownnortoror OFFICE OF TIRE TOW-N CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION r ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential 10 r Non-Residential @$25 Application No. 1 Permit No. Applicant Narne... P\\rnor LLC_ Applicant Mailing Address--R, c Septic Tank_v/ or Cesspool of Description of Proposed Construction or Alteration t :_ , Location of Proposed Construction/Alteration: Owner of Owner Mailing Address: t �_..... Owner PropertyAddress. IT Name and phone number of contact personmm Tax Map No: Section lock ... .................... Lot- Cross Streeter _..... _...b � __ .. �.. .... NOTE. LOCATION AP OST IFJ S :IT F "I PI�ICATIO m N� CONSTRUCTION REQUIRES S W. " .I A �T ENT APPS V Signature f A ars � .bate / Received b � NEVHLE Town Hall, 53095 Main Road ELIZABETH T CL P.O. ox 1179 OWNSouthold,New York 11971 REGISTRAR OF VITAL STATISTICS tiv Fax(631) 765-6145 MARRIAGE OFFICER Telephone (631) 765-1800 RECORDS AGEMENT OFFICER FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL o TIC TANK Residential @ $10 or Non-Residential 25 Application o. Permit No. Applicant Name._ 12) _Q .. — - ..�..._. Applicant Mailing Address � _w _ - .......--.-..... Septic Tank—VL-or. p Cesspool__.Y...` Brief Description of Proposed Construction or Alteration L 0n,60_.... n�D_ Location of Proposed Constiuction/Alteration: Owner of Property: 0a . ................ �. .... � Owner MailingAddress:,,,,,�!(Y)t CU�1 _ . ..m Owner Property Address; .�._' _.. - ... Name and phone number of contact person � .... '+ �- Tax Map No: Section 1 Block�...._ ........... Lat �. �Cross Street �en�..� �.._ .._....��.�.a.... . ... _�.m..... NOTE: LOCATI N MAP MUST BE SUB TT I D TIIPLICATI N® � 7. CONSTRUCTION I S I I 1 I . . ENT'AP'P O AL signature o Applicant D,@ e Received by: n.,. ... { ELY Town Hall, 53095 Main Road . C P.O. Box 1179 TOWNSouthold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGE OFFICER Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE, TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATERI T CT _APPLICATION CONSTRUCTION or ALTERATION CESSPOOL or SEPTIC TANK Residential@$10 or Non-Residential 25 Application No. 40bll Permit No. Applicant Nai��e..rs._... t� t Applicant Mailing Address... ..... _. CX-AN u1 Septicor Cess ool Bnef Descrito�n of Proposed Construction or Aftera t ),j O _ . Location of Proposed Construction/Alteration: Owner of Propcty: Owner Mailing Address:. ..., Owner Property A(idwss".._D_2_ "_h iDnZ_..�. Name and phone number of contact person_'w: W.. �� _2—(42LCI Tax Map No: Section 2, Block Lot_D I Q _ Cross Street ..m �� °"�..�� ... . ... _.,..._._ .... NOTE: LOCATION T BE SUB D ITH APPLICATION. NEW CONSTRUCTION iJI ST7 '1"I" Il T P TMT APP1T '' { Signature Ap c a _ _ ....... Dat Received by: mm Town Hall, 53095 Main Road ELIZABETH P.O. Box 1179 TOWN CLERK o Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGE OFFICER Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER FREEDOM O INFORMATION OFFICER � f{ southoltown.northfork.net OFFICE OF T11E TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or STANK esietial 10 or Non-Residential 25 Application o. 1 Permit o, PP Rtes � . ...., ... � ....�...... Applicant t lane.__ _ Applicant Mailing Address • �1 .� .. .. � �- . Septic Tai7.k/or Cesspool , 1 i-ief Description of Proposed Construction or Alterat;oil ry Iw.......,_ _.... ...._- Location of Proposed Construction/Alteration: Owner of Property: �._ _.. _ .. Owner Mailing Address:. . . Owner Property mm _ _.. Name and phone number of contact person Tax Map o: Section 1 1 lock QZ . 1--0t_ ,_..1. • , Cross Street � '... �. .. - APPLICATION. NOTE: LOCATIONAP UST SU IT E1 �M' CONSTRUCTION REQUI SURVEY W II I: aALT T ENT APP , AL 1,6 Signature ` 1 pp can. E (�O Received by: TZABETH A.NEVHJE �, Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 22-� Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGE OFFICER " Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER „ ° " FREEDOM O INFORMATION OFFICER soutolton.nortfor .net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL r SEPTIC TANK Residential @10 or Non- esi a ti l Application No. Permit No. Applicant Natnefi.. ��. . _ Applicant Mailing Address—..R. Q _._. Septic p Brief Description o ess ooI Proposed Construction or AIIIle w°a 1,i0r1_. � Location of Proposed Construction/Alteration: Owner of Owner Mailing Address: m -------- er Property Address:.. . e �4Y, ._.. � . 01a-2 LO LO Name and phone number of contact persona — Tax Map o: Section ,.,.. .nj Block t....CW4. Cross Street _ 56w -0. .�..� � _ �,.._. �__ �._..... _ . .�........ NOTE: LOCATION SAP MUST BE SUB 1`11 APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY I' 1 +ALT TMENT APPF� / Signature�... A �la� � t'�. o bate Received by: M ell ELIZABETH A.NEVILLEC �� Town Hall, 53095 Main ad P.O. Box 1179 TOWN CLERK Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGE OFFICER Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC esidential@ 1 Oz or Non-Residential 25 Application No. Permit No. Applicant NameLLC. ...._. Applicant Mailing Address_,RID I .��__. � �...... CNL ... .. � Septic Tank�or Cesspool Brief Description of Proposed Construction or Altcratiora, YYIr4 Location of Proposed Construction/Alteration: Owner of Prop eit � .. �. �+ �....... Owner Mailing Address; �� ".�_._�....�...�,.�. Owner Property A ddr ress: Name and phone number of contact person_m - I 11�\ � _... Tax Map No: Section o � Q2-,DL Block .. •w...__ Lot ..._ Cross Street NOTE: L, CTI STI BE SUB T D� W12 -I APPLICATION. NEW CONSTRUCTION REQUI 3 BEY " I'C" II ALTIIm ;TIENT A1PR -�„- � 22` Si afore o i�� .. t ; , Urate Lb Received by: LL ....._. �a Town Hall, 53095 Main Road ELIZABETH TOWN CLERK P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGE OFFICER ', Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER IV149f southoldtovcrn.northfork.net FREEDOM O INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD WASTEWATERSOUTHOLD T APPLICATION CONSTRUCTION or ALTERATION CESSPOOL or SEPTIC TANK esidential@ 10 or Non-Residential 25 Application No. Permit No. Applicant Name Applicant Mailing Address... ep ti Fan P r Cess oo Brief Desc,riptio of Proposed Construction or A Itcrat.i�� Location of Proposed Construction/Alteration: Owner of Property: �. ... _ �.._...... Owner MailingA ddress:... .pL Owner Property Address; _ Name and phone number of contact person p Tax Map No: Section Block Lot Cross Street UL .. . . _.. ...._... .....__,. NOTE: LOCATION MAP MUST BE SUpq, ED ITH APPLICATION. NEW CONSTRUCTION REQUI SURVEY WIT I- EAL.a SLI �;`mENT A:P'PI ' .L zz Signature lac � Datc- t Received y, � �� Town all, 53095 n Road ELIZABETH A.NEVIILLEP.O. Box 1179 TOWN CLERK :;M Southold,New York 11971 REGISTRAR OF VITALSTATISTICS Fax(631) 765-6145 MARRIAGE OFFICER Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER FREEDOM F INFORMATION OFFICER soutoltowortforet OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION Y•ALTERATION PERMIT CESSPOOL T SEPTIC TANK esi eti 10 or Non-Residential @$25 Application . Permit No, ApplicantName,-,.,,,_ _....... Applicant Mailing � . Septic Tank or Cesspool - Brief Description of raposed Construction or ltcladoil Location of ProposedConstruction/Alteration: Owner of property: Owner Mailing Address:,.e e��, ..._ Owner Property Address _ Itl _ Name and phone number of contact person lj _ -7 Tax Map o: Section .• lock w _:...._ �..... Lot Q Lo .�.� Cross Street NOTE: LOCATION MAP MUST BE SUB 1 D TH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY x"111 ALT RTM NT APP AL Signature o ., p w Da e Received by: Town Hall, 53095 Main Road ELIZABETH A.NEVILLE �� RO. Box 1179 TOWN CLERKSouthold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGE OFFICER " Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER " southoldtown.northfork.net OFFICE OF THE, TOWN CLERK TOWN OFSUOL SOUTHOLD WASTEWATERDISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential@$10 or Non-Residential 25 Application No. ) Pen-nit No. Applicant eare + _t" , �..... . �. �.. ...._ Applicant Mailing Address._ Sei tic e� 1,,/__or Ces ool. 1 on of Proposed Construction or A 9 tci-a6oa: qM%n I uLy _e___..... Location of Proposed Construction/Alteration: Owner of Propei t _.._ _...m._ _._.. ..... Owner Mailing Address:w m _ _ �. Owner Property Address:` .__t"n Name and phone number of contact p erson . "w Tax Map No: Section �( .fin_. Block e, Lot Cross Street 5_C" CA NOTE: LOCATION MAP MUST BE 91JBM 11 APPLICATION. NEW CONSTRUCTION REQUI S SURVEY WIT _., L"I".'. E TM NT APPRO 4 Signature of tiiica t Date Received by: �� j Town Hall, 53095 Main Road ELIZABETH A.NEVILLE P.O. Box 1179 TOWN CLERK cz q. Southold,New York 11971 GIST OF VITALSTATISTICS F (631) 765-6145 MARRIAGEOFFICER °" Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER FREEDOM O INFORMATION OFFICER ° southoltown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK esidential10 or Non- esidential 25 Application o. 404. Permit No. Applicant ame,.. Applicant Mailing Address w _ or Cesspool- Septic oolSeptic Tank lcra[ilsBriefDescrl-tion of Proposed Construction or A � _ Location of Proposed Construction/Alteration: Owner of Property: , rvv ._ Owner Mailing Address:_,..w. Owner Property Address:_ _ Name and phone number of contact persons Tax Map No: Section ..._._. block_Q2. -p.. ..n Lot ��A Cross Street _ � � ... _......_. _.. �e.._n_ NOTE: LOCATION MAP MUST BE SUB T ,1 TH APPLICATION. NEW CONSTRUCTION UI SURVEY WIT " E STI I�� ,"I"M NT A:PP.1 Sigriaiurc cf pp ti _ ate Received by: �`�� Town Hall, 53095 Main Road ELIZABETH A.NEVH,LH " P.O. Box 1179 TOWN CLERK Southold,New York 11971 REGISTRAR OF VITAL STATISTICSOn MARRIAGE OFFICERFax(631) 765-6145 RECORDSMANAGEMENT OFFICER �� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER soutoltow . ortfork. et OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION 1'ALTERATION PERMIT CESSPOOL P SEPTIC TANK esienti 10 or Non-Residential plication Permit o. Applicant Name, Applicant MailingAddress....._ ► " 1� `? QOs .... Septic Tan1c �or Cesspool Brief Description of Proposed Construction or A]Icol _rn n _.. Location of Proposed Construction/Alteration: _, ,� Owner of Property:.._.. a: Owner Mailing Address' Owner Property Address:-... _ Name and phone number of contact person . .....�� Tax Map No: Section Block,�2 ,_,_..._.LL. .. dot ..._.. Cross Street ---- NOT : LOCATION MAP 1JS°]�" P S'1�B � APPLICATION. NEW CONSTRUCTION R 1 S SSR J l ' Til TMENT APPR 1 Signature of PPI ]Bate Received by: Town Hall, 53095 Main Road TOWN CLERK I P.O. Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGE OFFICER Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER " southoldtown.northfork.net lz. OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential@$10--,-/— or Non-Residential 25 Application No. o Permit No. Applicant N ine_.. Applicant Mailing Address.Septic Tai-j-k,,v/ mm Ael"Description� f Cesspool oposed Construction or Altca°atir�� t _nti... ...�... Location of Proposed Construction/Alteration: Owner of 1ole'ty: .� 1 � _._ __,.. Owner Mailing Address:m ._.-.. ��.�... .:.._......_, Owner Property Address:_ P Name and phone number of contact person ...... _... _ .. T Map No: Section w m.� lock Lot ..�. Cross Street NOTE: LOCATION MAP MUST BE S I T ED l"l H APPLICATION. NEW CONSTRUCTION UI SURVEY W 1" I, 'ALI "DEPARTMENT APPR C .t hate ,ig;na��n•e of At � � w Received by: � � ori ' Town Hall, 53095 Main Road ELIZABETH P.O. ox 1179 TOWN CLERK Southold,New York 11971 REGISTRAR OF VITALSTATISTICS w� Fax(631) 765-6145 MARRIAGE OFFICE .? Telephone (631) 765-1800 RECORDS AGEMENT FIC �� southolton. ortfork.net FREEDOM OF INFORMATION OFFICER OFFICE OF E TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION r ALTERATION PERMIT CESSPOOL C SEPTIC TANK esi eti 1 r n- esi etil $ ictio o. Permit o, x . Applicant Name Applicant Mailing _ A pP g Address...,. P•..(,,) • ..�.�...._ .� _�...� :�u �� - " Septic T or Cesspool Brief Description of Proposed Construction or Afteratioti 0-0 Location of Proposed Construction/Alteration: wner of Propail',y:. _ ��...... ._ �._ _ .. .. Owner Mailing ess°._..... .... Owner Property Ad ess.__ ,..21 .. _. Name and phone number of contact person .� Tax Map No: Section 1 . 1Block _ Lot Cross treet —5-6�o oAhox r m _.. b ...._ NOTE: LOCATION I p�� MUST B Sl'n1: T.X11 1 �:1 .PLICATION. NEW Y.� T.�.:r« AL.eCA&All'[ A� CONSTRUCTION REQUIRES SURVEY W1 111:1 , TH "1 TENT APP . AL Signature Appy . ]fate Received y: � mm.. - � � � ......... A Town Hall, 53095 Main Road ELIZABETH A. VII.LE RO. Box 1179 TOWN CLERK CDME Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Ov�. Fax(631) 765-6145 MARRIAGE OFFICER RECORDS AGEMENT OFFICER � � � � Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE TOWN OF SUTL SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential@ $10---)/— or Non-Residential @$25 Application No. Permit No. Applicant Name,... �..�..... � Applicant Mailing ,ddress _ ` _, _ e. .. Septic Tank—or Cesspool Brief Description of Proposed Construction or Altci-atioii __ Location of Proposed Construction/Alteration: Owner ofl�roe ty. _...... Owner Mailing Owner Property Address:.._ _ _. � .....2-P- C) Name and phone number of contact persons Tax Map No:y Section .wBlock.W_. °.... L.ot_.. Cross Street NOTE: LOCATION MAP UST E StII I B 1'"'1"Il APPLICATION. NEW CONSTRUCTION UI S SURVEY WITH lI A:1, I I��' I]'°SENT APP AL 2 i._ s e of pt."Ii r Dat Received by: ^4 �� Town Hall, 53095 Main Road ELIZABETH " P.O. Box 1179 TOWN CLERK Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGE OFFICER . Telephone(631) 765-1800 RECORDS MANAGEMENT OFFICER ) southoltow .nortfor .net FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION r ALTERATION PERMIT CESSPOOL r SEPTIC TANK Residential 10 or Non-Residential 5 Application No. Permit No. Applicant Name,.w_... Applicant Mailing Addxess.._..._ w ...... _�. _ _.. Septic Tank-�L_or Cesspool Brief Description of Proposed Construction or Alteration2 tot Location of Proposed Construction/Alteration: Owner of Prope�t. . . ----- Owner �. �..... Mailing Address., w...,m........ _. _._... POL Owner Property ddto ss.:- ------ ..._�. .. �' . Name and phone number of contact person .4.� � ...��. ... � Tax Map No: Section 1_ ..��1 B1 �. _ Lot O ,.... . Cross Street NOTE: LOCATION MAP MUST BE SUBM1 '17 IT PPLICA.T1ONa NEW CONSTRUCTION U1 S S R Si. 1�� Wl _ �T 1)' Al M l T JP O A:L . �aature of 1 lican ... _ .. i p D:�t:. Received by � � � . tk ELIZABETH A. �� Town Hall, 53095 Main Road TOWN CLERK `,' P.O. Box 1179 REGISTRAR OF VITAL STATISTICS , Southold, New York 11971 MARRIAGE OFFICER , Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF Tl '# TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATERDISTRICT APPLICATION CONSTRUCTION or ALTERATION CESSPOOL or TANK Residential @$10 or Non-Residential @$25 Application No. O Permit No. Applicant Name. Applicant Mailing AddressK:_._. -C-;6- _ CkA Y) I A3 Septic " aTdc,,/ or Cesspool Brief Description of Proposed Construction or A]terat �rl Coo& _... . _. .. _ _.._._ _ _.. . . ....._ m. ...� _ _m.. ... ...... Location of Proposed Construction/Alteration: Owner of Property: Owner Mailing Address Owner Property Address; t .. _ t1 Name and phone number of contact person mm m Tai Map No: Section ,lr , '.L Block _mLot Cross Street _ G"Choto � _ NOTE: LOCATION MAP MUST BE SU I �' ITI-1 APPLICATION. w ... " NE CONSTRUCTION RE,QUIRE,S SURVEY IIIT IAL TM I T"APPI O ... , Signature... .. an _. , ......._�m.e_,.. ... ..ate �t Apf i � D.� Received by ELIZA13ETH A.NEVILLE Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER ip . Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER ` r southoldtown.northfork.net OFFICE OF THE, TOWN CLERK TOWN OFSOUTOLD SOU :TOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANIC Residential @ $10 or Non-Residential @$25 Application No. S Permit No. Applicant Name--.— I "mm - Applicant Mailing Address a , q Septic Ta or Cesspool Brief Description of Proposed Construction or Alta°< � �� Location of Proposed Construction/Alteration: Owner of Property. _ � " Owner Mailing Address mmUa " Owner Property Address; ,.�_ � ... Name and phone number of contact person _ "`° __. _ m �.__.......� Lot _ C ,� Tax Map No: Section I IT b I Block_ Cross Street ScAqZ�a- NOTE. LOCATION ION M.AP MUM,' BE SU IT ED I`IT APPLICATION. NEW CONSTI..iC"IT.ION 1. 1 JIR.ES SI RVEX W1 I T D ,TMENT APP Signature pplicant Date r Town Hall, 53095 Main Road ELIZABETH P.O. Box 1179 TOWN CLERK Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGE OFFICER RECORDS AGEMENT OFFICER Telephone(631) 765-1800 FREEDOM O INFORMATION OFFICER southoltown.nortfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION r ALTERATION PERNUT CESSPOOL or SEPTIC TANK esi enti 10--,,/— or Non-Residential 5 Application No. Permit No. Applicant Applicant Mailing Address ,"�( Septic TankL Cool p or ess p Brief Description of Proposed Construction or Altera io ii_c,;��a Location of Proposed Construction/Alteration: Owner o f Prope.11 :_. ._ _ _ ... Owner Mailing Address:__ Owner Property Address: mmIT5 .. _U A 23 Name and phone number of contact person on . _... Tax Map NSection-_ �o: �.�mD�� Block IT Lot.._._. ..� ...��_ .� Cross Street �00 � �� m�me,�.�.� .�.m._ � �1.� �T �.��... PIt,�CAT�O: � �.------- NOTE: �,..__m�..... NOT : �LOCAT�OI"� MAP UST .� � � � � x '1..1 E CONSTRUCT TME T APP AL Signnature f Applica t__. Dat Received by: .....�� ....m,. M.... �.�._ i %,off ELY Town Hall, 53095 Main Road 14 C P.O. Box 1179 TOWNSouthold,New York 11971 REGISTRAR OF VITAL STATISTICS try Fax(631) 765-6145 MARRIAGE OFFICER Telephone (631) 765-1800 RECORDS AGEMENT OFFICER P FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE TOWN OFUTL SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTICTANK Residential @ 10 or Non-Residential 25 Application No. Pen-nit No. Applicant Name, XI � . Applicant Mailing Address uA-c� .... __ ..... mW.... Se 'tic, Tai-Ac �._or � ��... " p � " Cesspool— Brief Description tion of Proposed Construction or Altos° � �M .__......... . ..._ _. _. Location of Proposed Construction/Alteration: Owner of Property: 50, . .��.k� Owner Mailing Address:_ ��„on a�._...__._��. Owner Property Name and phone number of contact person 4c .. Tax Map No: Section km Block ,, Lot Cross Street SCV-): � Lo NOTE: LOCATION MAP MUST BE S�� T �� ITII PLICATION. NE C NST TCI N UI T VE 1 IIdA.L I I TMNT A:PP O AL 5i, l�natur ,ofA �9is:,s _ .w.Ost'� � t � � Received by: �....� _ .a.....�� ..�.— ... � . .�..... �, ELIZABETH A.NEVILLE Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Ov Fax(631) 765-6145 MARRIAGE OFFICER Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER " FREEDOM O INFORMATION OFFICEROFFICE OF soutoltown.nortor .net ru HE TOWN CLERKTOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION I'ALTERATION PEIUMT CESSPOOL 1'SEPTIC TANK Residential 10 r Non- esi eti $25 _ ApplicationNo. Permit No. Applicant Na e, Applicant Mailing Address Septic Tank or Cesspool Brief Description of Proposed Construction or 11ei-ation Location of Proposed Construction/Alteration: Owner of Property:—_.._ S PL'• .� Owner Mailing Address:_„„_ w:.. _- 33 Own erro ert Address: p y _ Name and phone contact person ► . - ,.. AOALTL!��10 Tax Map No: Section locket Lot Cross Street. —cy)— ( ')'-A . —---- NOTE. ] Taw L ➢CATI .P MUST BE SUB T'T Til APPLICATION. NEW CONSTRUCTION U S SURVEY T1 11 T D AAgrMENT APPR L ... 1 Dat . Si a e o " dant � e w eceived by: _ � � �� '� Town Hall, 53095 Main Road P.O. Box 1179 TOWN CLERK Southold,New York 11971 REGISTRAR OF VITAL STATISTICS a Fax(631) 765-6145 MARRIAGE OFFICER �'� Telephone(631) 765-1800 RECORDS MANAGEMENT OFFICER � ¢ FREEDOM OF INFORMATION OFFICER soutoldtown.nortfor .net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION Y'ALTERATION PERMIT CESSPOOL r SEPTIC TANK esieti 10 or Non- esientil Application No. Permit No. Applicant Nae.. Applicant Mailing Address._ ' a .._ ..• ...._ _.�.: �� Septic Tank, or Cess pool Brief Description of Proposed Construction or Alteration——0,V"1 Location of Proposed Construction/Alteration : Owner of Property: 56— Owner Mailing Address:-, 34 Owner PropertyAdcliess: ...._ ......m., Name and phone number of contact person Tax Map No: Section Bloc 02,_ .. . :;.'oil . _ ... Cross Street �C• ��.�.� �� ..-e.e.._ --------- NOTE: LOCATION A SUB i psi, II I APPLICATION. NEW CONSTRUCTION REQUS SURVEY WIT'I + T TMENT APPRO Si....a e 'Apple nt. . ._�.. .........Date _ Received by: ��. 39— � Town Hall, 53095 Main Road ELIZABETH A.NEVILLE P.O. Box 1179 TOWN CLERK Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGE OFFICER � Telephone (631) 765-1800 RECORDS AGEMENT OFFICER , soutoldton.nortfork.net FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT A PLICATION ALTERATIONCONSTRUCTION or CESSPOOL or SEPTIC TANK Residential 10 or Non- esietil 25 Application No. Permit o. Applicant Name.,,,—V ' ame.a..— . -._ ` _. -... _..-r Applicant Mailing Address..,l7. QC)B -- Brief l: escri of Pi-o posed Con p or Ces pool Septic Tank-1/—or 1 Construction or Itci•��lw.�� . _ � ,_.:. ....... ..... ... Location of Proposed Construction/Alteration: Owner of f'rolet :�, .. � Owner Mailing, dress ,m...,..� ._.... m _ ... Owner Property ch- Name and phone number of contact person ` c�- Tax Map No: Section l a ..1 lock�_ _.� ..._._ Lot �LL-__ Cross StreetL . ` NO"I'll® LOCATION MAP MUST BE SUBM , W If AIPPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WIT _ Ips TII EIS TMENT" APPI Signae of��pi.ca'nt Date Received by: m .— °" �.._ ..-.m..........� O ell ELIZABETH A.NEVILLE " Town Hall, 53095 Main Road CLE P.O. Box 1179 TOWNSouthold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145 ACkRRIAGE OFFICER Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER �� FREEDOM OF INFORMATION OFFICERS southoldtown.northfork.net OFFICE TOWN OSUTL SOUTHOLD WASTEWATERDISTRICT APPLICATION CONSTRUCTION or ALTERATION CESSPOOL or SEPTIC TANK Residential @$10_1./ or Non-Residential $25 Application No. u 1 Permit No. Applicant Applicant Mailing Address ' �� .,_ .. ...m ' Septic T or Cesspool Brief Description of Proposed Construction or Alteration_ Location of Proposed e Construction/Alteration: Owner of Property:, .—OX-5 _l _�. _ '. __.. .. .._. Owner Mailing Address...... Owner Property Address:-.._ A 1 l .. 0x Name and phone number of contact person , _ Tax Map No: Section 102-.01 Block J Lot 0 S 2 ,0 6 Cross Street NOTE: LOCATION MAP MUST BE SUIT E WIT.IAPPLICATION. NEW CONSTRUCTION REQU S SURVEY WIT DTII P TMENT APPII Signature of, pile tit Date Received by. Town Hall, 53095 Main Road ELIZABETH L E � � P.O. Box 1179 T Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145 IAGE OFFICER Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER , FREEDOM OF INFORMATION OFFICER • southoldtown.northfork.net OFFICE TOWN OF STOL SOUTHOLD WASTEWATER DISTRICT APYLICATIOI CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10--.,/— or Non-Residential 25 Application No. Permit No. otvt�ZD Applicant Name_�_.,,... ._..� Applicant Mailing Address._ � _ ._ .._.... Septic or Cesspool_ lir 1"Desciiption of Proposed Construction or A Ilea'at Location of Proposed Construction/Alteration : Owner of Owner Mailing Address:,_,. - 0 Owner Property Address: _. _._ l "' -rA - WCA-*--A�)- Name and phone number of contact person ... Tax Map No: Section-10 Block ... ._. mLot Cross Street LOCATIONA SU M 7 L.'��' �" I °APPLICATI CONSTRUCTION U S VE WIT 1 BALI I TME�T AIBP Al, Received by. ,. — Y �� Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGE OFFICER Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER soutoldtown.nortfor .net FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK esietial @$10-,/— or Non-Residential 25 Application No. Permit No. Applicant Name... Applicant Mailing Address, .. Septic Brief c Tank wmmor Cesspool — Brief of Proposed Construction or A I to ati Location of Proposed Construction/Alteration: Owner of Property:, ..__ Owner Mailing Address:., Owner Property Address:.._.. 33a._. . _._ Name and phone number of contact person :IT._ 1.. ck Tax Map No: Section 102 l Block 0 2- . _.., Lot Cross Streetf In .. � �� ....e. .... _........ _ _ .. UI Q , I":.E �" Il" PLICATION. NEW NOTE: LOCATION MAP UST lL �� ,� CONSTRUCTION REQUIRES SURVEY WIT A. T T 'ENT .APP A.L Si afore of a Mica Date Received by: — Town Hall, 53095 Main Road ELIZA]BETH A.NEVILLETOWN CLERK P.O. Box 1179 Southold,New York 11971 GIST OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGE OFFICER Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICERr southoldtown.northfork.net FREEDOM OF INFORMATION OFFICER - OFFICE OF rjV11E TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATERDISTRICT APPLICATION CONSTRUCTION or ALTERATION CESSPOOL or SEPTIC TANK Residential @$10-1/— or Non-Residential @$25 Application No. �` C Permit No. Applicant i" atne �...w .. C. Applicant Mailing Address-.... LD Septicic Tank�o1° Cess p �tief Desciption of Proposed o��str�ction or .., T-S ..... ,.._.. Location of Proposed Construction/Alteration: er t Owner of P�-op y�_ � ,��... Owner Mailing Owner Property Address: i ....LanL _..... Name and phone number of contact person w � � Tax Map No: Section lock ...�...._........,_ Lot �1 . Cross Street NOTE: LOCATION MAP MUST BE SIAPPLICATION. NEW PR SF AP O CONSTRUCTION : Sig�at�re o . pp i ,,It � Date Received by: Town Hall, 53095 Main Road ELIZABETHT CLE P.O. Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGE OFFICER Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER sou FREEDOM O INFORMATION OFFICER , tholdtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATERDISTRICT APPLICATION CONSTRUCTION r ALTERATION CESSPOOL or SEPTIC TANK Residential @ $10--,/— or Non-Residential 25 Application No. Permit No. PP _.. l — _...._ _. ..� .. A lic t ��e.�_ Applicant Mailing Address--k–C—) " ._... .._ Septic Tank or Cesspool— Brief ess oolBrief Descn tion of Proposed Construction or Alec o " Location of Proposed Construction/Alteration : Owner of Property: -..� Owner Mailing Address: - t....� " ....m,..�_�. .pW_ �... IT -�...�.,�w..�. Owner Property Address: _ ._.��'""" �� a �� ►�4 q4 Name and phone number of contact person . .� ..._. '�� . Tax Map No: Section..I._..2 - ..__...... _L Block _... . ....... Lot, Cross Street :loc �� e'_NOTE: LOCAT N MAP MUST BE S' BME 1 WIx. " , APPLICATION. NEW CONSTRUCTION U V 'W TT �'.FMENT APP l: , Signature of ppli 5t 1t Received y: __.. _ ----- __ .w.. ELIZABETH A. �� Town Hafl, 53095 Main Road TOWN CLERK P.O. Box 1179 Southold,New York 11971 GIST OF VIT STATISTICS (631) 765-6145 MARRIAGE OFFICER Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER FREEDOM O INFORMATION OFFICER southoldtown.northfork.net z OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD DISTRICTSOUTHOLD WASTEWATER APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK esidential $10-,,—/ or Non-Residential 25 Application No. d Permit No. Applicant Nazeem... _ Applicant Mailing Address_— Brief p r Cesspool ' 'p of Proposed Construction or ,1�c�•��ic��, ��"'t � _. BrDescription .. ._....— Location of Proposed Construction/Alteration: Owner o Property: . ._ �_ _ .. Owner Mailing Address:._... ...., ......_ Owner Property Address:_ Name and phone number of contact person " .. Tax Map No: Section_ .m...,..�._...m. Y._.. . � ��.� 1 Bloch t. Lit C' Cross Street _5Lk _0h.Q.� � NOTE: LOCATION MAP MUST BE SIJB I' T D T1.1 APPLICATION. NEW CONSTRUCT! N REQUIRES SURVEY WI . �, � ARTMENT APPR Signature of Applie J Date Received by: -41 w Town Hall, 53095 Main Road ELIZABETH A.NEVILLE � P.O. Box 1179 TOWN CLERK Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGEOFFICER 4" Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER FREEDOM O INFORMATION OFFICER soutoldtown.northfor .net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD DISTRICTSOUTHOLD WASTEWATER APPLICATION CONSTRUCTION or ALTERATION CESSPOOL car SEPTIC TANK esi enti 1 0--Z— or Non-Residential 25 Application No. Permit o. Applicant Namemm..._ :_ a . .- ` ......... u..�mm Applicant Mailing Address— Septic ddress_Septic T u: or Cesspool BriofDescription ofProposed Construction or A Itcratioil o=.I � Location of Proposed Construction/Alteration: Owner of Property:.. Owner Mailing Address:. ...., .... www. . _- ----- Owner Property Address:-- .._ Name andp hone number of contact person Lot " Tax Map No: Section � lock w_ � .... . _ .. Cross Street _—'- .�� NOTE: LOCATION MAP MUST BE SU r .ED ITII APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WIT f A.L A RTME NT AP 1 VAL Sign e.... A Received by: _........._ ELIZABETH A.NEVILLE Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS r� (631) 765-6145 IA OFFICER RECORDS AGEMENT OFFICER Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.nort fork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL r SEPTIC TANK Residential 10 or Non-Residential @$25 Application No. c��f Perroit.No. Applicant Name.... L-L-C- Applicant Mailing Address_ � Septic T or Cesspool - Brief Description of Proposed Construction or Alicratjoll L U' :_ w..._._. Location of Proposed Construction/Alteration: Owner of Property: _4 ..�_. '�� _...... __._ Owner Mailing Address:_._...._--- alua1f ..... ......_.... ... .. Owner Property Adds ess _ _ 113I_LCAr Name and phone number of contact person . � _.. �� to(o`7 Tax Map No: Section BI k, _._. Lot Cross Street NOTE. LOCATION MAP MUSTBE SU T EIS `II .APPLICATION. NEW : � AL REQUIRES u SURVEY 1 T T E T APP ( Si afore "f-,A—pp Da�a��; � e Received b � � ......_... a . m.......... . � �� Town Hall, 53095 Main Road ELIZABETH ANEW= " P.O. Box 1179 TOWN CLERK ze� Southold,New York 11971 ip REGIST OF VITAL STATISTICS Fax(631) 765-6145 MARRIAGE OFFICER Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER "� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK esietial @ 14 or Non-Residential 25 Application No. 0 Permit No. Applicant Name--_. t �m ..__ _ _ ... Applicant Mailing Address-------- W:.... 16 )4� -- Septic Tank_, ,,_or Cesspool Brief Description of Proposed Construction or ltcratioll nat 1. L—M.....-. ..-..__. Location of ProposedConstruction/Alteration: Owner of Property: Owner Mailing Address ....__a � ._a.V,–CL VCI .. Owner Property Address:._) Name and phone number of contact person Tax Map No: Section lock _. .. a..� Lot mITITIT Cross Street 5CV\o01 Y _ T : L C TI A SISMhI 3` wr1I PPLICATION. NEW CONSTRUCTION UI 5 SURVEY WITH IT SII DE A �ME NT APP10 Signature of A i:i aot Date Received : �d k, d c MW Une(s)MM Be 1n8PeCt6d By 7he Servkes 7;448 it �2 ' In"arim To& � l Y APPROVED IN ACCORDANCE WITH BOARD OF p REVIEW DETERMINATION DATED "-13— M w L.. Z Q W ECI TIS COMA T-S& TTIOgS UHER Z a Z W o 0 PAGE W 0Y J J F' (L _j o N 'L C/) u o ENGIUR S CE�TIfiICATIONrQUIREo ° ITN Q � � = o NSUP.E.'E. OR .A. CERTIFICATION R ~ o. CONSTRUCTION U a OF pw �y FOR ["FINAL AP R"i ti. "4�L T�'t � a (1U- H Suffolk City Dapmtment of Health S'ervir APProvai for ConstructioaOther Than S' lYlgl(,Fal CO) Reference No. 0-.46=jtg2a Design Flaw 00 PROJECT NO.: 00026 Wiese I Plans have been reviewed .� �' .. . .-_ DRAWN,BY: KCK confbrmanca nf withd In Cunt L :p< eat of Health Seri standards, relatingt Water CHECKED BY: TFL Supply and sewage disposal. Regardless of any omissions. DATE: - Iaconsistencies or Is* of detail, ustructisa required to Io i1� SCALE: AS NOTED =WrdaneO With the attached pernlit Conditions and appliable Standards,unless spedfluffly waivedby the Dep t.TWo appmal FILE NO.: - . es 3 years from Ow approval date,unless extendedor.mewej CARD: 00026 SP F- - ApproAl Date Revlower SHWT NO'.:. OF 5 ° . s, .` I. ' APPRO AL Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 10/27/20 Receipt#: 275989 Quantity Transactions Reference Subtotal 32 Septic Permit-Construct- Resid. 4874-4905 $320.00 Total Paid: $320.00 Notes: Payment Type Amount Paid By CK#1578 $320.00 Rimor, Development LLC Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Rimor, Development LLC 600 Madison Ave Ste 2001 New York, NY 10022 Clerk ID: BONNIED Internal ID:4874-4905