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ELIZABETH A.NEVILLE,MMC �a ` W ��" ,,, Town Hall, 53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 i REGISTRAR OF VITAL STATISTICS ��� �10 ` Fax(631)765-6145 MARRIAGE OFFICER ON y,d Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ' FREEDOM OF INFORMATION OFFICER ':fP www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4985 for a Cesspool/Septic Tank Construction Permit submitted by: Ri:mor Development. 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 �.a.. . Comments: Final_1.p r�ay.1J.1e u red,from the �a�al�lol ,County Health ___ az° n�ent ..Signature. u�ITITITITITITIT.� Dated ELIZABETH A. NEVILLE 'rown Hall,58006 Main Ras, TOWN CLERK P.O. Box 1170 REGISTRAR OF VITAL STATISTIC1� Southold, New York 11971 MARRIAGE OFFICER, , rax(631) 765-6146 RECORDS MANAGEMENT OFFICER „� Telephone (681)766-1800 FREEDOM 01"INFORMATION OFFICER r southoldtown,northfork.net OFFICE OF THE TOWN CLERK ------ TOWN ----TOWN OF SOUTHOLDZ n3 SOUTHOLD WASTEWATER DISTRICT MAY 4 2021 APPLICATION , CONSTRUCTION or ALTERATION PERMIT .. CESSPOOL or SEPTIC TANK Residential @$10p_ or Non-Residential @$25 Application No. g Permit No. ' Applicant Name �!"'''�o✓ o � � Applicant Mai Ling Address 0 0 Septic Taaal r Cesspool l fief l osuiption of Proposed Construction or Alterati r ��l�t���i�h.i 6t.S._ Location of Proposed Cons truction/Alteration: Owner of Pro ert p y. . Owner Mailing Address; 1m Owner Property Address 5 __ 149i� Name and phone number of contact person �µ _ 1 Tax Map No: 1000 Section �, G loc Lot � 0 . Cross Street � NOTE; LOCATION BICAP MUST BE S A0 E WFrI1 Al"FMCATIO 14. NEW CONSTRUCTION REQUIRES SURV9Y P"TMENT VAL ,Sign,ataar of AMC ate Recoived by: IN , ELIZABETH A.NEVILLE,NIlVIC Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 r Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER �� i p'�w Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER qi ' www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER ; ooc r4" OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4986 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development.. 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: Final a1)p aval rec -aid from the Suffolk Cowity He ItIl Del.artinent _......�_.._._._._._............... _.._......._ ........................... Signature Dated ELIZA.I~IEPII A. NEVILLE Town Hall,59096 Main Roa, TOWN CLERK � � ' P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER �r Fax(691) 766-6146 RE0ORD8 MANAGEMENT OFFICER Telephon6(691.)765-1800 FREEDOM OF INFORMATION OFFICER "� southoldtown,northfork.riet OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD r SOUTHOLD WASTEWATER DISTRICT MAY 4 20,21 APPLIC&UON CONSTRUCTION or ALTERATION PERMirt- - CESSPOOL or SEPTIC TANK Residdntial @$10 or Non-Residential @$25 Application No. �/�� Perinit No. Applicant Name � o✓ 2.v o ��� . „ Applicant Mailing Aldi"ass_ ® • ® ) Se)tic 1 arak or Cesspool__ l B of D ascription of proposed Construction or Alteration � It,,It, - w Location of Proposed Construction/Alteration: Owner of Property:_____. S aum.,c� Owner Mallin Address. Owner Property Addt°ass�, � � � � �--�" L4 C)� hone numb Name and p p ..�. I ,26,6 7 er of contact arson 6 � Tax Map No: 104)0 section "��. ® r Took Cross Street .,..__ - 514<4'0 (_A'0 le4f NOTE; LOCATION AIAP MUSx :II D WTC APPLICATION. NEW CONSTRUCTION QUIRES S DEPARTMENT A. V L Signa re lira at Received by: ...- ..�.. w ELIZABETH A.NEVILLE,MMC � �� � �h Town Hall,53095 Main Road TOWN CLERK �M¢' r P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS �m ���� Fax(631)765-6145 MARRIAGE OFFICER �� � � r� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER w ,southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4987 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development. 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: Final approval required from the Suffolk Health Departmentµ Signature Dated 't Mz� ELIZABETH A. NEVILLE `" Town Hall, 63096 Main Rae° 'hOYM CLERK � � P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER Fax(691) 766-6146 RECORDS MANAGEMENT OFFICER " Telephon® (691)766-1800 FREEDOM OF INFORMATION OFFICEti. southaldtown.riorthEork.net OFFICE OF THETOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION MAY 4. 2()21 CONSTRUCTION or ALTERATION PERMIT ,n °° °Z CESSPOOL or SEPTIC TANK . Residential @$14 µ or Non-Residential @,$25 ApplicationNo. Permit No. Applicant Naine " Ov, Applicant.Mailing A.ddres ® • O °ITS / G�� i_C Brief off Proposed Constivotio pcesspool_ ' n or Alrati6n OA�i�M.i u.+... ` Location of Proposed Construction/Alteration: Owner of Property._—.. w Owner Mailing Address � "� 4�4m:i_ Owner Property: d cess:. ,_..LO I Name and phone number of contact person_ 1 Tax Map No: /®®® Betio n ® , ® r � � �loeic Cross Street 00 U0 NOTE: LOCATION MUST'BE S TW WIT$ Al"PLICATION. NEW CONSTRUCTION REQUIRES SU P T�77 , 'At, Si tiat'U of l)pli It Received by .� ELIZABETH A.NEVILLE, MMC �y' t° n Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 � wo Southold,New York 11971 REGISTRAR OF VITAL STATISTICS �� � "i P� � � Fax(631)765-6145 MARRIAGE OFFICERh �. Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICERW www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4988 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development. 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: Final Uproval requiredfromthe Sul'fiAk County Health Depart mmentµ w Signature ... DatedmmmITIT EL17ABHTH A. NEVILLE Town Hall,65096 Main Roo. TOWN CLERK P.0• Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER , Pax (691) 766-6146 RECORDS MANAGEMENT OFFICER Telephone(681)765-1800 FREEDOM OF INFORMATION OFFICER. southoldtown•northfork.nel OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT Ay 4, 2,021 APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10 -- or Non-Residential @$2S Application No. Permit No. ApplicantNate R►,.,o✓ �. jo O#U ��. Applicant.Mailing AddressAddresso .v�.�o �. Septic Tank or Cesspool_ � Brief Dscption of Prolapsed.Construction or Alteratior�o � � �J I UA%- Location of Proposed Construction/Alteration: Owner of Prppert : »__— Owner Mailing Address: Owner Property Address wc. 8 ,26,6 Name and phone number of contact person Mh .. 6 Tax Map No: /000 Section 10&`. G Block l Lot—Jic�T) Cross Street e ~ NOTE: LOCATION MAP MUST BES xI APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY rAfamENTVAL Signature fApxt D, tc Received by: • - - ELIZABETH A.NEVILLE,MMC �`� 1 �' Town Hall, 53095 Main Road TOWN CLERK �� �� `�'� P.O. Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS " �,,, "� � Fax(631)765-6145 MARRIAGE OFFICER ��', Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER e OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4989 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development.. Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE wmmmmmmmmmmITIT Comments: Final approval requiredwfrom the Suffolk County HealthD pe artment Signature Dated ELIZA$ETR A. NEVILLF. "� �� Town Hall,53005 Main Roo, TOMIN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New'York 11971 MARRIAGE OFFICER Fax(631) 766-6146 REOORDS MANAGEMENT OFFICER Telephon®(681)765-1800 FREEDOM OF INFORMATION OFFICER sou tholdtown.northfork.not OFFICE OF THE TOWN CLERK TOWN Of 13OUTHOLD SOUTHOLD WASTEWATER DISTRICT My 4 2021 APPLICATIDE CONSTRUCTION or ALTERATION PERMIT ° � CESSPOOL or SEPTIC TANK Residential @$l Om or Non-Residential @.$25 Application No. .L_uq Permit No. Applicant Name e+r+-�®✓ Qit/ ® � Applicant Mailing Address--.cl' _" s Septic wk, air Cesspool Brief Dos .riptiolt of Proposed Contruction or Alteration� 400-s/h la*' 1111-i r Location of Proposed Construction/Alteration: Owner sof Property:-_ � Owner Mailing Address- Owner Properly Address-,____N_T___ 5 t Name and phone number of contact parson ., t 61 I -AJ ,264 Tax Map No: /000 S�tiol _�® ,.® � l41"L, r l Cross Street o NOTE; LOCATION MAP MUST'DE S TT D WITH APPLICATION. NEVE' CONSTRUCTION REQUIRES SURVOYP I . ° A ' VAL Signator of li nt ate Received by. . ELIZABETH A. NEVILLE, MMC �� ;�q 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 FREEDOM OF INFORMATION OFFICER .,9. www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4990 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development, 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: Finalm approval regui�red from the Suffolk County Health Department Signature Dated ELIZABEm A. NEVILLE Town Hall, 53095 Main 1Zoa. TORN CLERIK P.O. BON 1179 REGISTRAR.OF VITAL STATIS'ric;s Southold, Now York 11971 MA.R.RIAGE OFFICER � Fax (691) 765-6145 RECORDS MA14AGFEMENT OFFICER � Tolephone (681) 766-1800 FREEDOM OF INFORMATION OFFICER southoldtown,t1ortliforlc,nel OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SO)UTHOLD WASTEWATER.DISTRICT APPLICATION CONSTRUCTION or ALS,"1PRATION PEFMflT CESSPOOL or SEPTIC TANK Residdntial @$10or Non-Residential @$25 _ Application No. Permit No. Applicant Name � Applicant Mailing A,dd,ress_ Sa tic 1 ax k or Cesspool Brief Desora tion of Pro posed n traction or Alteratioaa CID 114"6) Location of Proposed Construction/Alteration: Owner ofPropel-ty: R. ' . _ Owner Mailing Addros:_.__ Owner Property Address J I-A, " fl Name and phone number of contact person _6� 1 G78 e2L7 r Tax Map No: /000 Section Md', ® r 1'3 4 Cross Street NOTE; LOCATION MIA.►P MUST BE Sf I"' ED I ArFbICATION. NEW CONSTRUCTION REQUIRE'S SURVLY T �NTAP � w Signature oApplic at Received by: ELIZABETH A.NEVILLE,MMC ��y �` d, Town Hall, 53095 Main Road TOWN CLERK P.O.Box 1179 � r Southold New York 11971 REGISTRAR OF VITAL STATISTICS AY Fax(631)765-6145 MARRIAGE OFFICER °m "'�� i °� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4991 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development. 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: Final a ipj2yal rec Uir d from the Suffolk Coq,t� l lealth_Q -artinem Signature Dated "Wr BETH A. I•;LT7 TOWN CLERK LLE Town Hall, 630Q6 Main R,08, P.O. Box 1179 REGISTRAR.OF VI`T'AL STATISTICS Southold, New York 11971 MARRIAGE OFFICER Fax (631) 766-6145 RRCORDS MANAGEMENT OFFICER Teleplione (631)765.1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.tie( OFFICE OF THE TOWN CLERK „m TOWN OF SOUTHOLD _ SOUTHOLD WASTIi;WATER DISTRICT ' N1 Ay 209' °1 CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residdntial @$1 . or Non-Residential @$25 _ Application No. � Permit No. 1 Applicant Name Applicant Mailing AddIress �O BD " Se tic'l'aiak or p Cesspool p e Brief Doscription of Proposed Construction or Alteration _ CIO 1,�d l�h►'u Location of Proposed Construction/Alteration: Owner of Property-_-. � a'!sKx_ ak Owner Mailing Address'. Omer -_ � .. Omer Property Address. IaL a.����- J 3 _ ° l Name and phone number if contact person 1a ��fa,6 7 Tax Map No: /DDO Section � , � Block Lot, 01)j Cross Street NOTE. LOCATION MAY MUST BE S LE I'T"II "]PLICATION. NEW CONSTRUCTION REQUIRES SURVLYA � s N °AP "B. )' Signature f Al,� caax D to Received by: ELIZABETH A.NEVILLE,MMC Town Hall, 53095 Main Road TOWN CLERKS 'a P.O. Box 1179 ,m4 � Southold,New York 11971 REGISTRAR OF VITAL STATISTICS � � 0 �a Fax(631)765-6145 MARRIAGE OFFICER �� � Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownn�gov FREEDOM OF INFORMATION OFFICER „ . � �,� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED. May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4992 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development 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: Finaa royare u red..fro ........... eSuffolk County Health Department „ Signature _..........a....._..._............._._....._._....� Dated l � Aa ELI7..ABETH A. NEVILLE ; Town Hall, 53005 Main ftoa• TOWN CLERK P.O. Box I179 REGISTRAR OF VITAL STATISTICS Southold, Now Fork 11971 MARRIAGE OFFICER Fax (631) 766-614G RECORDS MANAGEMENT OFFICER T©lophono (631)766-1800 FREEDOM OFINTFORMATION OFPICEII soutlioldtown.northfork.nei OFFICE OF THE TOWN CLERK: TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION M ,�, 4 021 CONSTRUCTION or ALTERATION PERMM' CESSPOOL or SEPTIC TANK Residential @$10r / or Non-Residential @$2.5 _ Application No. p� Permit No. t Applicant Name � ''"'�®✓ �.V o �.. pp g O -60,v Applicant Mallin �lcl�°css � �O Septic"1 ate. -or Cesspool Bdef Doscciption of Proposed Construction or At titiIl lldapsn Location of Proposed Construction/Alteration: Owner of Property:. . " Owner Mailing Address: 4A , Owner Property Address Name and phone number of contact person �,�,,� - w 7 Tax Map No: /®G® SectionI ok Cross Street O NOTE: L®CATYON Al" MUST IEEE S T "I�" APPLICAT110 V:V NEW CONS,rRUCTION REQUEBM S SURVVy EI,', 'I` zEN'T Ar R SAL Si tratur f"_.., g lip icax O ate Received by: -�.��...� z ELIZABETH A.NEVILLE MMC �" ''� Town Hall, 53095 Main Road TOWN CLERK " q P.O. Box 1179 FSouthold,New York 11971 REGISTRAR OF VITAL STATISTICSrFax(631)765-6145 MARRIAGE OFFICER 1 Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4993 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development. 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: Final a roval required from the Suffolk County Health Department Signature Dated ELIZABETH A. NEVILLE TU'V�'N CLERK � Town HAIL, 63096 Main Roa. w �„ P.O. Box I179 REGISTRAR OF VITAL STATISTIC'S tk Southold, New York 11971 MARRIAGE OFFICER Fax (631) 766-6145 IZEClORDS MANAGEMENT OFFICER Tolopltono (681)766-1800 FREEDOM OI'INFORMATION OFFICT, ,i southoldtown-northfork"net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT 4 2()K' APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL ar SEPTIC TANK Residential @$10_,_„�_ or Non-Residential @$25 Application No. b Permit No. t Applicant Name-.� � I ®"'Q✓ ��o � �_m.._ Applicant Mailing Aclrlross BD�v Septic T aior Cesspool— Brief Description of Proposed Construction or Alteration ��4' m'it,,,I'u,� Location of Proposed Construction/Alteration: Owner of Property:. re1Af ` fir-.. .._-.. Owner Mailing Address:.,._._. _ . 4c_ Owner Property Address:- - aLU54:��J�5 Name and phone number of contact person�a 64-1 Tax Map No: /ODO r tion �. !' Blockl Lot _w Cross Street _ .a _�m ' NOTE; LOCATION MtP MUST BE -��I I�AF-FYLI�C--A-ry.-T iON� N)EWOTION REQUIRES SURVEY ENTP0VALi Signatur o1 -ant .�.. Received by: 9 ELIZABETH A.NEVILLE,MMC w s� Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICSFax(631)765-6145 MARRIAGE OFFICER 0, Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ; FREEDOM OF INFORMATION OFFICER :" www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE Cesspool Construction Application Transmitted herewith is a copy of application No. 4994 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development.. 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: Final approval required from the SuffolkµCounty HealthuDepartment w Signature Dated ELlz"ETIi A. NEVILLE V 'Ibwn Hall, 53096 Main TOWN CLERK � Ron' P.O. Box 1179 REGISTRAR OF VITAL STAnsnci"3 Southold, Naw York 11971 MARRIAGE OFFICER Fax (631) 766-614G RECQRDS MANAGEMENT OFFICER Tolophono (681?766-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.nef OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WA.STIi MIATER DISTRICT lV Y 4 202'1 A.PPLI ,A'l:'1ON CONSTRUCTION or A'LT'ERATION PERM]T CESSPOOL or SEPTIC TANK Residdntial @$10_� � or Non-Residential @$25 Application No. 1� Permit No. t Applicant Name Zve& iKL-� Applicant Mailing g Addrcss—, Septic�'auak�Z_or Cesspool of Brief Description Construction or Alteration i�os�;�i� Co pJaI VON Location of Proposed Cons truc(ion/Alteration: Owner of Property:.� ...-.�W. ..._ ° Owner Mailing Addt°ess�_.�...._.....�.. Owner Properly Address f 4- Name and phone number of contact person G a Z647 Tac Map No: /04)'o ��section, , r._. � c � Lit � Cross Street .. _ 1ot'5 „ NOTE; LOCATION MAY MUST BE S D IT - AFFLICATION. lv']Lyy CONSTRUCTION REQUIRES SURVLY I T A.RTMENT AP "AL Signature f Alla " ant' lay e Received by: c dY' I`��'IIIINWr, ry M ELIZABETH A.NEVILLE,MMCF� n rk� Town Hall,53095 Main Road ej TOWN CLERKP.O.Box 1179 lug Southold,New York 11971 REGISTRAR OF VITAL STATISTICS �i�b ' Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER I www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER z; OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4995 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development. 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: Final approval recfuired from the Suffolk County Health Department Signature Dated ELI7ABETH A. NEVILLE 'Down Hall,63095 Mein lZoa TOWN CLERK P.O. Sox 1179 REGISTRAR OF VI'T'AL STATISTICS Southold, New York 11971 MARRIAGE OFFICER Fax (631) 766-6145 RECORDS MANAGEMENT OFFICER ,' Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown,northforlc.nei OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT M Xy 4 2021 APPLICA.TION CONSTRUCTION or ALTERATION PERMIT ` CESSPOOL or SEPTIC TANK Residential @$10...._..�� or Non-Residential@,$25$25 Application No. Permit No. Applicant Name ''no✓ Applicant Mailing rb� _...,__...�......�..._._�.ti..� , r •__._ iP Septic'!"a _ _or Cesspool Brief Description of Proposed construction or Alteration- . - �a J-% 1,ft ""4*- Location of Proposed Construction/Alteration: Owner ctf Property: Owner Mailing Ad�Ires:....-- , ,,, _�.. Owner Property Address: Name and phone number of contact person � leo Map o1/� Section 1 O�1 O / l./l1t ra��c Ma No: ti ec.tl _.�..� __..�.�.,. Cross Street NOTE: LOCATION A11AP MUST I3E S ji 1' " D ' VITU APPLICATI� NEW CONSTRUCTION REQUIRES SURV19Y E DEPARTMENT P VAL Signature Ap lic t lite Received by: ,, m ELIZABETH A.NEVILLE,MMC �m 01 Town Hall,53095 Main Road TOWN CLERK " '�'� P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ro,,,� s Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER � � www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER >�� zz OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4996 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development. Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Final approval required from the Suffolk County Health Lac al(n2ent Signature Dated ELIZABETH A. NEVILLE 1e' 4 Town Hall, 53095 Main R.oa. TOWN CLERKCD P.O. Box 1179 44 REGISTRAR OF VITAL$TATIsTics 010 Southold, Now York 11971 MARRIAGE OFFICER Fax (631) 765-6146 RECORDS MANAGEMENT OFFICER Tolephona (681)765-1800 FREEDOM OFINFORMATION OFI'ICLI` southoldtown,rtortlifoik.nei OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTH OLD WA,.STT;WATER DISTRICT MAy 4 202" APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANI{ Residential @$10 /or Non-Residential @$25 Application No. Permit No. mm Applicant Narne � "'''o✓ ��o � �.. Applicant Mailing Address-® O . 60)v Septic iI a—i k or Cesspool_ Brief Description of Proposed Construction or Alteration Co J Ar,11�,.11U.4%.- Location u..._Location of Proposed Construction/Alteration: Owner of Property; Owner Mailing Addross:. ..._ _ "_-- _ m M exA- I i Owner Property Address u_....,._....� Lb. L _ p number � Name and hone n r of contact person w„ __. i 632 ( ;6 'a X00 /CDd, 0 _o - loch rpt Tax Ma No, Section ,_.. _. Map � —� Cross Street ), o �, NOTE: LOCATION MAP MUST BE 'TE ' Vi-rff "PLICATION. NEW CONSTRUCTION REQUUMES SURVEY `R EAA�'P' ANT P OVAL . Z, Signature f Al,) Can Received by: �� �. Town Hall 53095 Main Road ELIZABETH A.NEVILLE,MMC �� � �� � , w i� P.O.Box 1179 TOWN CLERK �� �� Southold,New York 11971 REGISTRAR OF VITAL STATISTICS '�„ Fax(631)765-6145 MARRIAGE OFFICER bio �� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ��, �� , )�' www.southoldtownn . ov FREEDOM OF INFORMATION OFFICER ' Y g OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4997 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development. 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: Final approval required from the Suffolk County Health...........Department Signature Dated FF ELIZABE'rli A. NEVILLE Town Hall, 53006 Main Rea TOWN CLERK P.O. Box 1170 REGISTRAR OF VITAL STATISTICS Southold, Now York 11971 MARRIAGE OFFICER. Fax (631) 766-6146 OFFICER FREEDOM OFINFORMATIONOFICLIG " Telephone (69I)76C 1800 sou tholdtown.r1orthforlc.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT API1I.JICA." ' N P4�AY 2021 CONSTEWCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TAMC Residential @$10, /or Non-Residential @$25 Application No. Permit No. t Applicant Name �"'o✓ _ o " L A �._..,....�. pp1icant Mailing Address •� 60me " eptic Tank— or Cesspool__ Brief Description of Proposed Construction or Alteration CIO Aldlorh 61 Location of Proposed Construction/Alteration: Owner of Prperty° a*'`t- Owner Mailing Address----.-- ... Owner Property Address: _ m Name and phone number of contact person Tax Map No: /000 section ���, G � �. � Lot � 3 � oc Cross Street NOTE: LOCATION MLaP MUST BE S I"E WI'III AX'PLICATION NEW CONSTRUCTION REQUIRES SURVEY AL EP' I`1(MEN'T A �V•AL Signature App to a Received by: _ _ ELIZABETH A.NEVILLE, M p'x� �^ �71i Town Hall, 53095 Main Road TOWN CLERK r P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATITICo Fax(631)765-6145 MARRIAGE OFFICER ��� � 4Telephone(631)765-1800 RECORDS MANAGEMENT OFFICEII FREEDOM OF INFORMATION OFFI(IER www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD A„. TO: Southold Town Building Department x: FROM: Sabrina Born, Sotithbld Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4998 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development. 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 � ww ww Comments: Final approval required fromtheSlilfolk County Health Department Signature Dated ELI7.ABEni A. NEVILLE Town Hall, 53065 Main Roa. TOWN CLERK P.O. Box 1176 REGISTRAR OF VITAL STATISTICS 44, %k Southold, Now York 11971 MARRIAGE OFFICER, ' Fax (631) 766-6146 RECORDS MANAGEMENT OFFICER �" T©leplione (691)765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.aiortliforlc.nel OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT, APPLICATION M Ay 4 0121 CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANIC ` Residdntial @ $10 /or Non-Residential @$25 Application No. �g Permit No. t Applicant lank Applicant Mailing Address . BO d .l ,. ____ Selatic`1"a��k oI' :cssl.�ool...._. _�_�,�:_�.._ _ Brief Description ofProposed Construction or Alteration Location of Proposed ConstructiordA..iteration: Owner of Property:___ 4ik1t_ a.A. � Owner Mailing Address:---I -� Owner Proort Address: Name and phone number of contact person 678 Z64 TaxMap No: �Daa suction Md', 0 Iii k Lot Cross Street NOTE: LOCATIO .. .�,.,�.,.�.. _..�.� , . N U" MUST ISE S EL A1I�LICA'I"ICd NEW CONSTRUCTION ION REQUIRES SURVVY'W'IT I IT trNT AP IR ' AL Signature o Appli to Received by: ELIZABETH A. NEVILLE,MMC Town Hall, 53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p m� �g Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO:: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4999 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development. 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: iial__uppr yW 1equared from the Stiff lk COUnty Heal III..1kpmm rts���.��t._... ...................... .. Signature _.... ................------------. ............................... Dated ELI7,Amm A. NEVILLE 'Pawn Hall, 53096 Main Roa• TOWN CLERK y P.O. Box 1179 REGISTRAR.OF VITAL STATis,mas Southold, New York 11971 MARRIAGE OFFICER Fax (631) 766-0145 RECORDS MANAGEMENT OFFICER Telephone (631)765-1800 FREEDOM OF INFORMATION OFFICER A ` eoutholdtown.narthfork.nel OFFICE OF THE TOWN CLERK TOWN OF 13OUTHOLD SOUTHOLD WA,.STEMIATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10mm or Non-Residential @$25 Application No. Permit No. t Applicant NameApplicant Mailing Address .. . Ko . y Se tic Tax ik or Cesspool_ Btxef Description of Proposed Construction or Alteration Co hC4D01 t1h II UA-1— Location of Proposed Cons true tion/Alteratio n: Owner Qf l roport :.....-._..._..,-...__ f Owner Mailing Address:--_ � Owtter'Property Address; Name and phone number of contact person Tax Map No: /010'0 e<�tion lock l Lot m _ L10sQ Street �» Ilk" wM NOTE; LOCATION Al CONSTRUCTION REQUIRES SsUR.VL'Y w � 1TM � 1 �rWR `E� ' F.... 2-f Signatur f Applictu Received by: a �w �d 7 � ELIZABETH A.NEVILLE,MMC ��` � �� Town Hall,53095 Main Road TOWN CLERK` 4y P.O.Box 1179 3 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS �I Fax(631)765-6145 MARRIAGE OFFICER T �� � ml Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER �,�p' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 5000 for a Cesspool/Septic Tank Construction Permit submitted by: Minor Development. 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: Final approval required from the Suffolk Coun Health De artment 1 p ... .............._.....m Signature .._._..._.__.._........uu . Dated EL17ABETH A. NEVILLE ' � Town Hall, 53045 Main R.oa- TOWN CLERK P.O. Box 1179 RECIISTRAR OF VITAIj STAT ISTICS Southold, Now York 11971 MARRIAGE OFFICER Fax (691) 766-614G RECORDS MANAG SMENT OFFICER Teleplione (691)766-1800 FREEDOM OFINTFORMATION OFFICER soutlioldto%vn.nortlifork.nei OFFICE OF THE TOWN CLERK TOWN OF SOUTI-iOLD SOUTHOLD WASTEWATER DISTRICT APPLICA'I<'ION V A'" 4 2021 CONSTRUCTION or ALTI;RATION PERWT CESSPOOL or SEPTIC TANIC p R.esiddntial @$10. _ or Non-Residential @$25 Application No. Permit No. Applicantt °✓ 2V.�® Name Pp g A. (tress 60VI Applicant Mallin � � Sei�ti.c 1"ai�l� , �sr Cesspool^T Brief lie sot•iption of Proposed Construction or Alteration Ca� r'+r% Location of Proposed Construction/Alteration: Owner of Owner:Mailing Address. Owner Property Address:,_ LCI__ p Y _ IR It I Name and phone number of contact person- 1. Tax Map No; /000 `'otion �'D ® � c _ � r rr �,.... .. �._ �... Cross Street r l YL9� NOTE; LOCATION AU0 MUST BE r"S :1 "TED XTEI APPLICATION. NEW CONSTRUCTION REQUIRE S SURVV'Y (AL PART MNT AT AL Signature f App licar Or Ye. Received 6y: M o' ��� '` ELIZABETH A.NEVILLE,MMC r'�) �r�k Town Hall 53095 Main Road TOWN CLERK � � ��i" P.O.Box 1179 A Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER w � Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER � OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE Cesspool Construction Application Transmitted herewith is a copy of application No. 5001 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development. 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 _wwwwwwww_„� Comments; Final approval required from the Suffolk CountHealth____Department ............. Signature Dated i Vit . 40 EL17ABETH A. NEVILLE " rown Hall, 53096 Main Roa• TOWN CLERK P.O. Box 1179 REGISTRAR,OF VITAL STATISTIC Southold, New York 11971 MARRIAGE OFFICER ` Fax (631) 766-6145 R90ORDS MANAGEMENT OFFICER Tole Toleplione (691)765-1800 FREEDOM OF 1NFOR.MATION OFFICER ` soutl-ioldtown.riorthforlc.net OFFICE OF THE 'TOWN CLERK: TOWN OF SOUTHOLD SOUTHOLD WAASTEMIATER DISTRICT APIPLICA'1<'ION CONSTRUCTION[ or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10 /or Non-Residential @$25 Application No. -�(_ Permit No. t L Applicant Name__, ' o Applicant Mailing Address 0 Septic t r.rrl or Ccsspool _ Btxef Description ofl ro.�os�.rl t,�otas ip l truotion or Altznati Ta CIO I r. eia ^r'h 1'u,. a Location of Proposed Construe tion/Alteration: Owner of Property eaA Owner Mailing Address:-.----- Owner Property Address . .�_ _ 1 Ac Name and phone number of contact person Tax Map No: /01010 Section loa�, 0 � -10 flomat Cross Street - NOTE: LOCATION bl[Ar MUST BE S 'TE "1171-1 "FLICATIO NEW CONS'T'RUCTION REQUIRES SURVVY E AKI.' ENdT P R VAL Signature Apj is t f to Received by: ELIZABETH A. NEVILLE,MMC /fr�� � � Town Hall, 53095 Main Road TOWN CLERK �� � `� P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS "7 m�� d ti° Fax(631)765-6145 MARRIAGE OFFICERS �� �i� ��'� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ,„ FREEDOM OF INFORMATION OFFICER °B www•southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 5002 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development. 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 DISAPPROVEu .. Comments: Final approval regLdred from the Suffolk County Health Department .......... ......................... . Signature Dated Z;LI1ABETH A. NEVILLE * Town Hall, 530II8 Main lZoa TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, Now York 11971 MARRIAGE OFFICER Fax (631) 766-6146 RECORDS MANAGEMENT OFFICER Tolephone (691) 766.1806 FREEDOM OF INTFOR.MATION OFFICEFL, southoldiown.nortllforlc.nen OFFICE OF THE TOWN CLERK: TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT AI'I'LICAFION M Ay 4 2021 CONSTRUCTION or AbE,RATION PERP41T CESSPOOL or SEPTIC TANK Residdntial @$10 _�/or Non-Residential @$25 _ Application No. � Permit No. t Applicant Want Zvdayk, (r� Applicant Mailing rldres Se tte Taa�k or Cess ool_ Bdef Descn tion of Proposed Construction �1h 6, p p or Alteraititl ^� , Y I Location of Proposed Cons true tion/Alteration: Owner o£Pt'opeaty: Owner Mailing Address: * Owner Property Address;.. Name and phone number of contact person 62 46,(, p f GO Section ���, Block _ . Lot Tax Ma No: e, .._ - Cross Street ._ ... 0 NOTE; LOCATION MAP MUST BE I"E ?I''.ITj-j APPLICATION, NEVE' CONS'T'RUCTION REQUIRES SURNIP, . TXE PAgTMOENT Siscnatt�r o `Al:a �ic it D to Received by: ..�_..� ELIZABETH A.NEVILLE,MMC � �, ��� ��' Town Hall,53095 Main Road TOWN CLERK �q r d P.O.Box 1179 h$ Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ��� Fax(631) 765-6145 MARRIAGE OFFICER , U�� w`md Telephone(631)765-1800 RECORDS MANAGEMENT OFFICERS a FREEDOM OF INFORMATION OFFICER , `:r,� www•southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 5003 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development. 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: Final aparoval required from the Suffolk-County Health Department Signature Dated ELIZABETH A. N+MLLE 'rown Hall, 53095 Mein R.oa• TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAI,S`I'ATISTIC:S Southold, New York 11971 MARRIAGE OFFICER Fax (631) 765-614G RECORDS PREF;OM Ol INFORMATIONGEMENT IOPI,ICER FICER Telephone (691)765-1800 southoldtown.ilorthforlc.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT ��Vi AY 4 2 PI'I :,�.�UON CONSTRUCTION or ALTERATION PERMIT ' CESSPOOL or SEPTIC TANI{ Residential @$10,�.�_ or Non-Residential@$25$25 _ Application No. Permit No. Applicant Name_ i o✓ Applicant Mailing ldress �® BO r 1 Se tic Taa Brief Description of Proposed Construction or Altenati �k. or Cess ool__ //JJ P [ � oto �'a hCJK2ho^t+h IILL'�- ,. Location of Proposed Construction/Alteration: w Owner of Property:-._._..._�.�.. Owner Mailing Address;-. m_ Owner Property Address,. " _ 4`. PbLAY ' fit l " Name and phone number of contact person Tax i P c Lot Cross Street I ka LL,k, NOTE: LOCATION M[iP MUST BE S E'D U APPLICATION. NEVE' CONSTRUCTION REQUERE S SURM AL , P :1r N'T APP SAL Str store ;.�. LL-�.._ 1 Al;tl� an 1 Received by Hall,ELIZABETH A.NEVILLE,MMC Town,��; � �'�e , 53095 Main Road TOWN CLERK P.O. Box 1179 i� Southold,New York 11971 REGISTRAR,OF VITAL STATISTICSti Fax(631)765-6145 MARRIAGE OFFICER "x Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER ', OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 5004 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development. 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 Mm Comments: Final approval required from the Sul'.olk.County Health Department ......................... - ... ......... � Signature _............. Dated F ELIZABETH A. NEVILL E "� � m„� Town Hall, 53096 Main R oa, TOWN CLERK P.O. Box 1179 RD,GISTRAR OF VITAL STATISTICS Southold, Naw York 11971 MARRIAGE OFFICER ' Fax (631) 766-6145 RECORDS MANAGEMENT OFFICER �, Telephone (631)766-1800 FREEDOM OF INFORMATION OFFICER, southoldtoivn.ilorthforlc.nei w OFFICE OF THE TOWN CLERK{. TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT M Ay 4 2021 APPLICALrTON CONSTRUCTION or ALIT RATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10 -_ ,_ or Non-Residential @$25 Application No. Permit No. t Applicant Name ""''o✓ �/ o A licant.MatlYng Adc ® °�.��. -...�....-.�...�.. ....._._�....� ..'...-...�..__.��._.._ Pp tr.e s 0 . � � Septic Tal& or Ccsspool _ Brief Description of Proposed Constztiction or Alteration Co 1,\46 Wr 1,Pt i UA..- Location of Proposed Cons true tion/Alteration: Owner of Property: _ ._.. r ¢ Owner Mailing Address:-----.— * ' _ 9 Owner Properly Address:--- � � _4 Name and phone number of contact person 1" 1 Tax Map No: /0010 sI tion Cid'. G Blo f I,ot Crow Street NOTE; LOCATION AIAP MUST BE SU13 a 0 ITH APPLICATION NEW CONS'T'RUCTION REQUERES SURVEY :s T I NT AP "AL Signature M, gn oAlaplt Di e Received by: n ELIZABETH A.NEVILLE,MMC Town Hall, 53095 Main Road TOWN CLERK ¢' "a`' EO.Box 1179 Southold,New York 11971 ���� REGISTRAR OF VITAL STATISTICS ���� ° � ���ti' Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER f www.southoldtownny.gov FREEDOM OF INFORMATION OFFICERa OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 5005 for a Cesspool/Septic Tank Construction Permit submitted by: Hii or Development. 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: Final;:1 -7 N,required from the Suffolk C.ouiltt„Health De al,i ent -.. ....�......... Signature Dated ...._ ....._ KLT7ABE'm A. N+VILLH ' 'Pown Hall, 5306 Main tea• TOWN CLERK P.O. Box I179 REGISTRAR Oh'VITAI,STATIS'rla; Southold, New York 11971 MARRIAGE OFFICER Fax (631) 766-6146 RECORDS MA14AGEMENT OFFICER Telophon© (681) 766-1800 FREEDOM OF INFORMATION OFFICER southoldtown.a1ortliforlc.nel OFFICE OF THE TOWN CLERIC TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10 /or Non-Residential @$25 Application No. Permit No. Applicant Name �"''"'o✓ P.V.�o L-� i Applicant Mailing Address " Septic Taiak__jZqr Cesspool__ Brief Doseciption of Proposed Construction or Alteration— �)"; w,it,,,/'u.it%- Location of Proposed Cons true tion/Alteration: Owner of Property:_- GSR.- �.. �m Owner Mailing Address: a' Owner Properly Address; - � � ( - 103 Name and phone number of contact person -„ t Q 1 1 Tax Map No: t D00 1. ���,, I310 c Lot Cross Streeter l _ NOTE: LOCATION MAP MUST BE SUE1 ED I . I. APPLICATION. NEW CONSTRUCTION REQUIRES SUR.V19 Y W , ,H AL°I' "I` NT APP' O'k, L' Signature ofAppli t mm Dat Received bY. �...... _.�..�� a � �� tW Town Hall 53095 Main Road ELIZABETH A.NEVILLE,MMC �°� 4 wsrt , TOWN CLERK ' S ' P.O.Box 1179 Jq Southold New York 11971 REGISTRAR OF VITAL STATISTICSe �w°, ��Clfuuu �����`� Fax(631)765-6145 MARRIAGE OFFICER °w `� � ,� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER , FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 5006 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development. 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 DISAPPROVEmmIT� Comments: Final aprel rewired from the Suffolk County Health Department_ _ Signature Dated ELIZA.Bnm A. NEVILLE Town Hall, 53006 Main lloa TO'R'N CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Vol Southold, Now York 11971 MARRIAGE OFFICER Fax (631) 766-6145 RECORDS MANAGEMENT OFFICER Telephone (631)766.1800 FREEDOM OF INFORMATION OFFICER southoldtown.northforlc.nel OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICA'T`ION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10___w or Non-Residential @$25 Application No. Permit No. Applicant Name �"' ✓ e _ �_ o Applicnnt Mailing Address l Cesspool Sa otic"I"al�.l� . or W a DescriptionBrief o rolaose .;olttx �c,tiott or Allet`1tIOI� d a� .v _ . Location of Proposed Construction/Alteration: Owner of Property: Owner Mailing Owner Property.Address:-._.-. n Name and hone number of ronta.ct Tax Map No: /®GO sectioil ®d'4. ® � Blo is r Lot Cross Streetl h© ". NOTE; LOCATION IYL iP MUST BES EI7 CONSTRUCTION REQUIRE S SURVLY WI ANT A "R OVAL Signature o �; ppitoaa.it O ate e Received by: a ELIZABETH A. NEVILLE,MMCv�� w � � '�g, Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 w Southold,New York 11971 REGISTRAR,OF VITAL STATISTICS ��"�'� � ���� Fax(631)765-6145 MARRIAGE OFFICER ��7i� r�` Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER '�� � � Vi '(�N www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 5007 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development. meet. 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: Final ap roval_recluired from the Suffolk Co ung Health C)gp rta lent „ Signature Dated ELIZABETH A. NEVILLE ' »� Town Hall, 5306 Main Roa• TOMIN CLERK P.O. Box I179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER Fax (631) 766-6146 RECORDS MA14AGEMENT OFFICER �"� � Telephone (691)765-1800 FREEDOM OFINIFORMATION OFFICEF southoldtown.northfork.nef OFFICE OF THE TOWN CLERK: TOWN OF SOUTHOLD SOUTHOLD WASTEMIATER DISTRICT pVAY 1 2021 APPLI9A'l<'ION CONSTRUCTION[ or ALTERATION PERMIT h CESSPOOL or SEPTIC TANK Residential @$10__,.. or Non-Residential @$25 Application No. Od� Permit No. t Applicant Nance I o✓ 2V.Q.Qo �,. .w. Applicant Mailing AAdre'ss � W de Se tic Tasq-1 p ak or Cesspool Brief Description of Proposed Construction or Alteration Location of Proposed Construction/Alteration: Owner of Property:—— � _ _ Owner Mailing Addross:-- Owner Property Addsess:. ,— SDS Name and hone number of contact person p p 8 Tax Map No: /0100 cation Md'. G Block _. _.. Lot Cross Street - ._m.._ NOTE; LOCATION NUiP MUST BE S ,, ED 11r "PLICATION, NEW CONSTRUCTION REQUIRES SURVLY T. Iia ;VF 'NT AP R 'VAL Signature "fJ)j ''ealit I to Received by: „ G ELIZABETH A.NEVILLE,MMCy �°` �rr��pa Town Hall, 53095 Main Road %N TOWN CLERK r, P.O.Box 1179 V 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 W ,�-= www•southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 5008 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development. 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: Final approval required from the Suffolk County Health Department Signature Dated ITITITITITITmmIT FO ELI7.4BETIJ A. NEVILLE TOWN CLERK 'Town Hell, 530D6 Main RoeP.O. Box I179 REGISTRAR OF VI`I`AI.9`I'A7`ts'rIGs Southold, New York 11971 MARRIAGE OFFICEtI Fax (691) 765-6145 RECORDS MANA(ILMENT OFFICER Telephone (691) 765-1800 FREEDOM OF INFORMATION OFFIC3rt southoldtown.iiorthforkajet OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTBMIATER DISTRICT MM," X102j1 APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTrC TANK Residential @$10_� or Non-Residential @$25 Application No. Obt Permit No. Applicant Name ®✓ til/ o Applicant Mailing Address BD Selatic 1"aaal� or :`cssl3oo1.�.... .. . BtlefDowril tion of Proposed t;ot sltt�ot r It or Altcratidxa_ CIO 1 v It h i U.� Location of Proposed Construction/Alteration: Owner of Property: - Owner Mailing Address; _ i Owner Property Address;;,_ _ .1..3—— 1610 s Name and phone number of contact person -w a1; Tax Map No: G® o tier) C a�. ® . wB oclut Cross Street _- - NOTE; LOCATION MU,►P MUST BE S I EB ITU AT'PLICATION, NEVE' CONSTRUCTION REQUIRES SUR.VLY AL .l TME'NT AP Al., Si tz.att,re I'App ' app cm D . Received by: ..�.._.-. ELIZABETH A.NEVILLE,MMC Town Hall, 53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS1111�,Poo Fax(631)765-6145 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER � � �° Telephone(631)765-1800 FREEDOM OF INFORMATION OFFICER ° www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 5009 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development. 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 ITITITITITITITITITITITIT� DISAPPROVE Comments: F iiial approval required from the Suffolk Qou t l lc9lth Department Signature ..... ............................... ......... ._. Dated E LIZABETH A. N)✓VILLE Town Hall, 53096 Main Roa. TOWN CLERK P.O. Box I179 REGISTRAR OF VITAL STATISTIG3 Southold, Now York 11971 MARRIAGE OFFICER Fax (631) 766-6146 RECORDS MANAGEMENT OFFICER Telophone (691) 766-1800 FREEDOM OF INTFORMATION OFFICER southoldtown.northfork,net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT 2 f APPLICATION CONSTRUCTION or ALTIi;RATION PERMIT CESSPOOL or SEPTIC TANI{ Residential @$10 _ or Non-Residential @$25 Application No. 1 Permit No. Applicant Name Applicant Mailing Address " r Septic"t"ai or Cesspool Btiief Description of Proposed ConstTuctiort or Alteration Cz heiam 61 t�wt%- Location of Proposed Construction/Alteration: Owner of Pz°olertY, Qik1¢r Owner Mailing Ad' 15 dress: ri 4 Owner Property Address; P Y _ - tVl .. t Name and phone number of contact person _ �_. tl 1 C 18 26L7 Tax Map No; /OD° soction /4)', 0 Blo k Lot Cross Street NOTE; LOCATION Al" MUST BE S D > II APPLICATION. NE'`'4' CONSTRUCTION REQUIRES SURVI±;Y RTME NT APP , Signature oi`A,ij�lic,alrt Dat Received by; n � x ELIZABETH A.NEVILLE,MMC �r`>' �';u Town Hall, 53095 Main Road TOWN CLERK f" P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ANFax(631)765-6145 MARRIAGE OFFICER �'r� �'I � Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER � e�' www.southoldtownn Y g. ov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 5010 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development. 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: Final approval required from the Suffolk County Health Department Signature Dated ELIZABE,rff A. NEVILLE '' Town Hall, 530I36 Main Hoa TOWN CLERK P.O. Box 11743 REGISTRAR OF VITAI,STA'PISTjC S Southold, New York 11971 MARRIAGE OFFICER631 ax F ( 7 . ) BG- 614.G RECORDS MANAGEMENT OFFICER � , Telephone (691)765-180o FREEDOM Or INFORMATION OFPI(;I,[t southoldtown-northfork.nei OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEMIATER DISTRICT � ��� J '02" APPLICATION CONSTRUCTION or AL:TE+RATION PERMIT CESSPOOL or SEPTIC TANI{ Residential @$10 or Non-Residential @$25 _ Application No. 1�0 Permit No. App� licant Mailing l ..-� icant Narr�e� A pp ig,A.e1dre�ss , r D . g p w r 81i 1 or Cesspool__ Brief Description of Proposed Construction or Alt:er�rtion, Co 1 e; a w�l�h.i u a.,. Location of Proposed Construction/Alteration: Owner of Property Owner Mailing Address: 4 qA 10 1- Owner Property Address;_ c.� Q Name and phone number of contact person kg py ZE,,b 7 I'r - a.�c Map No: �®d® � tic�rr C �,._®� 1c� � r.. �t Cross Street NOTE: LOCATION WU& MUST BE SUB 140W I H "PLICATION. NEW CONSTRUCTION REQUIRES SURVEY , AEIAATMEN'T AP O "AI:, Signature of .ppii it lad to Received by: ELIZABETH A.NEVILLE,MMC � � � Town Hall, 53095 Main Road TOWN CLERK P.O.P.O. Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER f ma Telephone(631)765 1800 RECORDS MANAGEMENT OFFICER "`°i P t �.� FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 5011 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development. 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: Final approval.required from the uffolk County Health Departnient Signature Dated ELIZAI<iETH A. NEVILLE Town HAIL, 53096 Main R.oa• TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, Now York 11971 MARRIAGE OFFICER �"� Fax (631) 766-6145 RECORDS MANAGEMENT OFFICER Telephone (691)766-1800 FREEDOM OF INFORMATION OF ICErI soutlioldtown.northforlc.tie( OFFICE OF THE TOWN CLERIK TOWN OF SOUTHOLD SOUI'HOL.D WASTEWATER DISTRICT fY 0 .PPLIIw."AXI IN CONSTRUCTION[ or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residdntial @$10 /or Non-Residential @$25 Application No. Permit No. Il Applicant Name "o✓ Applicant Mailing Addt' ss ) 168 Gla Septic Taa�k. or Cesspool__ Brief Description of Proposed Construction or Altcrattioal_ Co do►'h t, Location of Proposed Construction/Alteration: JcaA Owner of Propert ; _,_ ..._. Owner Mailing Address: Owner Property Address. „- � t � Name andhone number of contact person p .. _ ._w8 Tax Map No, /DDO C` Gtion Cod, 0 loc Lot Cross Street' _ NOTE. LOCATION bl" MUST BE S E P APPLICATION, NEW CONSTRUCTION REQUIRES SURV19Y ElAki E T O'TVAL Signature f Al. i all to Received by: ELIZABETH A.NEVILLE,MMC Town Town Hall,53095 Main Road TOWN CLERK �� cif P.O.Box 1179 t � Southold,New York 11971 REGISTRAR OF VITAL STATISTICS �P�°��i � � Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ' www.southoldtownny.gov OF INFORMATION OFFICER � :, �" y.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: May 7, 2021 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 5012 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development. Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE ............... ._........_...� Comments: Final approval 0-ecltiired 'from the gfi'olk Qoq ty I-1e� 1 eartment ............. Signature Dated FF044, ELI7.ABE,rH A. NEVILLE •� ' �"` ; 'Down Hall, 530116 Main Ros• TOWN CLERK P.O. Box 11743 REGISTRAR OF VITAL STATISTIGs Southold, Now York 11871 MARRIAGE OFFICER Fax (631) 766-6145 RECQRDS MANAGEMENT OFFICER 41, Telephone (681)765-1800 FREEDOM OF INFORMATION OFI'ICEM ` southoldtown.$)orthforlc.ne{ t . OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT �, A I r7 I A.PPLICA'I`ION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residdntial @$10 � or Non-Residential @$25 _ Application No. Permit No. t pl moo✓ c A licant Mailing)11Cant Name—__— Pp ng Addr s_.- D 6o x Se otic 1 uk or Cess pool Brief Ides<ription of Proposed Constxuotion or Aiteration CIO /Pt r aA%- Location of Proposed Construction/Alteration: Owner of Proporty-_.._ _ au,,e- aA eel., Owner Mailing Add1cs : ` Owner Properly Address:--,--- Ecu-a � L, R— f 4111 l Name and phone number of contact person , w Tax Map No: Dao Soction Jod' 0 B1 ole Lo 5 Cross Street � A �' NOTE: LOCATION � � � ...�. "` TIES' _A IO _.. r.P MUST BE S ) ED IT ',I'LlICATION. _�.�...._.�.. CONSTRUCTION REQUIRES SURVVY Wff I. ALT D " P E7Da O AL .00, Sigaature Al)1)lie 'it - Received by .v. . Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 05/07/21 Receipt#: 280507 Quantity Transactions Reference Subtotal 28 .. . . ..id. _ 4985-5012.. ......... $280.00 28 Septic Permit- Construct Res Total Paid: $280.00 Notes: 102.1-1-21 to 102.1-1-32 102.1-1-39 to 102.1-1-54 Payment Type Amount Paid By CK#1592 $280.00 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: SABRINA Internal ID:4985-5012