HomeMy WebLinkAboutRuggieri, JohnELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INEORMAY'ION OFFICER
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- TO: • •thpid ~t~v~IV~ "DeparUnept
FROM: Lynda M. Rudder, Southold Town Clerk's Office
DATED: August 22, 2008
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax(631)78b-6145
Telephone (631) 765-1800
southoldtown.northfork.net
Transmitted herewith is a copy of application No. 3819 for aCesspool/Septic Tank Construction
Permit submitted by:
John Rugeieri for Joseph & Ronni Ruggieri
Please review the application and location map and advise if the project has received Suffolk County
Health Department approval and if this office may issue the permit.
Please complete the form below and return it to me.
Lynda M. Rudder
1 have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE ~//
DISAPPROVE
Comments:
O~ a~
Dated
20/08 '08 11ED 09:48 FAE 8J1 785 8145 SOUTHOLD TONN CLERR ~ooi
ELIZABETH A. NEVH.LE
TOWN CLERH
REGISTRAR OF VOCAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF IIvFORMATION OFFICER
----^~~
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OFFICE OF THE TOWN CLERH
TOWN OF 90UTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
Town Hell, 6309b Meia Road
P,O. Boa 1179
Southold, NewXork 11971
Fex (881) 765.8145
Telephone (631) 78b-1800
eoutholdtown.northfbrk.net
RECEIVED
auc 2 z Boa
Southold Town Clerk
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK ~t q
Residential rI $10 !!/or Non-Residential @ $25 ^ Application No. J U ~ 1
Permit No.
Applicant Name
Applicant Mailing Address (rc
Septic Tank_or Cesspooi~L ~
Brief Description of Proposed Construc~ on or Alteration ^ { o ~.J (~ . ~ {yld ski n,n
Location. of Proposed Constluction/Altera 'on:
Owner
Owner
Owner Property
Name and phone number of contact person
Tax Map No: I Dn0 Section - ~ y$~ flock ~__ I.ot
Cross Street ~~-`~~-~~~ ~,(
NOTE: LOCATION MAP MUST BE
CONSTRUCTION REQUIRES SURYEX
WITH APPLICATION. NEW
H DEPARTMENT APPROVAL
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Received by:
.SUR1/EY O~ PRO~'~RTY
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AREA = 15,368 SF OR 0.35 ACRES JOHN C. EHLERS LAND SURVEYOR
GRAPHIC SCALE I "= 30' 6 EAST MAIN STREET N.Y.S. LIC. N0.50202
RIVERHEAD, N.Y. 11901
369-8288 Fax 369-8287 REF.\\Compagserver\pros\08\08-141.pra