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JUDITH T. TERRY ,��=�0� Gym�Z Town Hall, 53095 Main Road
TOWN CLERK c/2
P.O. Box 1179
PrtSouthold, New York 11971
REGISTRAR OF VITAL STATISTICS k%O �, Fax (516) 765-1823
MARRIAGE OFFICER N y4 00'/RECORDS MANAGEMENT OFFICER �l * #� 11 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER ,- ',I S
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1608 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ROBERT REITZ
Address 1 : 320 7TH AVENUE
City St Zip ST. JAMES NY 11780
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. SCHD REF. #R10-96-0117
Name Of Owner REITZ, ROBERT AND FRANCES
Mailing Address 1 320 7TH AVENUE
City St Zip ST. JAMES NY 11780
Property Address 1 MAYFLOWER ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 107.00 block 8 lot 24.000
Cross Street WESTVIEW DRIVE
Building Permit Number Cross Reference:
Issue Date: 3/20/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY D ?1`� Town Hall, 53095 Main Road
TOWN CLERK ` y Z P.O. Box 1179
�A t Southold, New York 11971
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MARRIAGE OFFICER
REGISTRAR OF VITAL STATISTICS D �'�'��� Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER �1 **al/ Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER •,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 16, 1997
Transmitted herewith is a copy of application No. 1661 for a Cesspool/
Septic Tank Construction Permit submitted by:
Robert Reitz
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:
RECEIVED
MAR 2 1997 Signature
3/7/77
Southold Town :;;r' Dated
1
I
OFFICE OF TIME TOWN CLERK ....,�,���'
Town of Southold /'l �FF01x�'
oi_
'Judith T. Terry, Town Clerk $44 is 1 -R�OI� Application No.�
Town Hall, 53095 Main Road ;< Construction
P. O. Box 1179 I c r'�rrn j Alteration
Southold, New York 11971 %.t:$1 -.
Telephone =_w���'0 ��Q���`' $10.00 - Residential
(516) 765-1801 �, ' $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTIIOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee .$
DATE /S v-: 1/ /,.5'7
APPLICANT NAME: `Po, '5J?i FC/7"-Z_
APPLICANT ADDRESS: 32c2 77t 8vE T v J7/ 1-5; N. 7
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SEPTIC I CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION /MW / ,srrY
«pko0 A &---4/P t_=-Al ---LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PRQ,POSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY : 1026727 -k ilefil 'C S �&=/r7
OWNER MAILING ADDRESS:12o 77.4 PVC 67,--tlf?"4 c /1/P
/1210
OWNER PROPERTY ADDRESS: ' etia,..:; 41")
TELEPHONE NUMBER OF CONTACT PERSON :,,Ks,Hes) SW-4112 46k&S - 6
TAX MAP NO. : Section /07 Block 0Lot 2.9-
CROSS STREET:l /= -C-fl /?o, pL
BUILDING PERMIT NUMBER CROSS REFERENCE:
1
Sicdnatur f Applicant
RECEIVED BY: 41.20..4---:-
Town
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Town Clerk's Office
DATE: /74 (97
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SURVEY OF PROPERTY
ti. � SITUATED AT
4� „I MATTITUCK
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TOWN OF SOUTHOLD
v� `~ SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-107--08--24
SCALE 1"=30'
inAreso1N"`"QL=MON DECEMBER 2, 1996
t. DECEMBER 31, 1996 REVISED AS PER S.C.D.H.S. NOTICE
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\it AREA = 17,365.63 sq. ft.
," 0.410 ac.
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A e '4 i CERTIFIED TO.
lit % ROBERT REITZ
TRANCES REITZ
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SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
NOW FOR APPROVLAL CONSTRUCTION FOR A
SINGLE FAMILY RESEDENCEONLY
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