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JUDITH T.TERRY •= 1 Town Hall, 53095 Main Road
TOWN CLERK y i P.O. Box 1179
v- t' Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �Oy � �, Fax (516) 765-1823
MARRIAGE OFFICER `� 4/ O
RECORDS MANAGEMENT OFFICER 49. /410 ,A10 Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1772 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : BAYVIEW/SOUTH HARBOR L.P.
Address 1 : C/O MICHAEL CROTEAU
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-97-0161
Name Of Owner BAYVIEW/SOUTH HARBOR L.P.
Mailing Address 1 C/O MICHAEL CROTEAU
1450 SOUTH HARBOR ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 SOUTH HARBOR ROAD (EAST SIDE)
City St Zip SOUTHOLD NY 11971
Tax Map No. section 75.00 block 4 lot 22.001
Cross Street ROUTE 25
Building Permit Number Cross Reference:
Issue Date: 11/24/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
���,,0�o�ostFFoc,�,oG-
JUDI I TEIE tY • t 1yj Town Hall, 53095 Main Road
TO CLERK y x P.O. Box 1179
BLDG.DEPT. v. r � Southold, New York 11971
REGISTRARS VIT.Li..) 14 ti=� '.�u�� ' : ma �. Fax (516) 765-1823
MARRI• E OFFICER �
= fol
RECORDS MANAGEMENT OFFICER - sig �a��� Telephone(516) 765-1800,��
FREEDOM OF INFORMATION OFFICER .,'
OFFICE OF THE TOWN CLERK
• TOWN OF SOUTHOLD
TO: Southold Town Buildina Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: November 18, 1997
Transmitted herewith is a copy of application No. 1846 for a Cesspool/
Septic Tank Construction Permit submitted by:
Bayview/South Harbor Limited Partnership c/o Michael Croteau •
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.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments:
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Dated
. �
•
(/ts|'([[ U|; U||E l [)YYN CLERK
Town or sooUhw|d
/'^|i\\` llenry. Town Clerk /\p|NcoUm` 1,10. /
l\`,,o Hall, 5:1095 K4a|o Road Cuombnci|oo
P. U. Box 1179 — '-' •
S"o|ho|J. New York 11971 Nimrn\hn,____
Telephone � Residential
(516) 705- 1001 ~�/»/ p`'
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. TOWN OF SUUT|K)LU
SOUT||0'D YV/\STE K[ER DISPOSAL UiSTcT
N`YL|[AT|()N
/o,
CONSTRUCT ION or ALTER ATION PERMIT
• SEPT IC 'TANK o, ( F.SS|`, >|.
•
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$
DATE
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API' |[�NT NAME:' . :
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SEPTIC CESSPOOL
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DES O\||'TION 01: PRUP0SEV C0NsTUCT ION OR /\|'TERAT ION
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�_v LOCATION MAP: Must he attached hereto before permit may be Issued.
LOCATION OF PROPOSED CONS 1. ION OR A LT ERAT ION:
OWNER OF PROPERTY :
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OWNER K4A|L|NG
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OYYNER PROPERTY /\N)|1[SS:
_
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T NUk4UE!2 01: CONTACT PERSON : 04' 60 g��
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CROSS. STREET : ,Cep �
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BUILDING PERMIT NUMBER CROSS REFERENCE :
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•
RECEIVED •
DATE :
RIKNOVID
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' NOV 1 8 1117
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Southold '-__~~�.~~
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PLOT RS ,_'. ER TOP
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i 8�fQ(11AIUrO LOT 2 BAY1 W ",""A HARBOR
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EASE •j,K COUNTY DEPARTMENT OP HEALTH SPRVICPB
CON
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N oNi FANO PERMIT FOR APPROVAL OF corenivcnoN Mo A
ii pECar '
PAROLE RIIIRD LI�CR ONLYv igT' 91 / v_5'1 _ 6/rof
-
F�tE v APPROVED
NO'�� FOR MAXIMUM OF.X BEDROOMS
\ IOI F SOFT EXPIRES THREE YEARS FROM DATE OF APPROVAL
SURVEY OF
PROPERTY
ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION AT BA YVIEW
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW
VALID � 2. "` CERTIFICATIONS TOWN OF SOUTHOLDIEREO; l )ES „ Y
W" ` IMPRESSEDEALd" " s VEYOR
T
SUFFOLK COUNTY. N. Y.
ADDITIONALLY TO COMM Y WITH SAID LAW THE TERM ALTERED BY' 1000 - 75 - 04 - P/O 221
MUST BE USW BY ANY AND ALL SURVEYORS UTILIZING A COI'Y SCALE: 1" = 40'
OF ANOTHER SURVEYORS ANAP SUOI AS IVS ECTE�D'AAD
BROUSHT-TO-DATE'ARE MT IN COMPLIANCE WITH THE LAW. OCT 20, 1997
/ am familiar with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
and will abide by the condlilons set forth /herein and on the
permit to construct. �aAE OF NE*
S, ib
o,4N T.Mt%� 4s#,
Nejtir 10
AREA = 48,997 s ft The locations of wells and cesspools ,, �•���'"-1 NY. . LIC. NO. 496/8
Q shown hereon ore from field observations
and or from data obloined from others. •E T�t� �; C.
p/p . . :. ,�,•
ELEVATIONS
EN ASD REFERENCED1230 TRA' - STREET
SOUTHOLD, N.Y. 11971 -
95 - 279 ( 1 )