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JUDITH T. TERRY z F,,,Z` < Town Hall, 53095 Main Road
TOWN CLERK •
Z • P.O. Box 1179
REGISTRAR OF VITAL STATISTICS rIN
Southold, New York 11971
MARRIAGE OFFICER y0 �. � Fax (516) 765-1823
#40 � I��' Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 665 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : DR. VINCENT & BARBARA CLAPS
Address 1 : 817 MAIN STREET
City St Zip GREENPORT NY 11944
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 3/5/90.
Name Of Owner CLAPS, DR. VINCENT & BARBARA
Mailing Address 1 817 MAIN STREET
City St Zip GREENPORT NY 11944
Property Address 1 LONG CREEK DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 52.00 block 8 lot 1 .000
Cross Street LAUREL AVENUE
Building Permit Number Cross Reference:
Issue Date: 12/05/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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t TOWN U (�UIHC�` ` s _�� 4C.'*4 P.O. Box 1179
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JUDITH T.TERRY
' �l ��0 Southold, New York 11971
�������� ,,�� TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
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TOWN OF SOUTHOLD
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To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office
Dated: November 26, 1990
Transmitted herewith is a copy of application No. 681 for a Cesspool/
Septic Tank Construction Permit submitted by:
Dr. Vincent and Barbara Claps .
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 Y
DISAPPROVE
Comments: p,, a,.SL.:t.t .a �, a , %tAL\P-Vi
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Signature
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Dated
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OFFICE OF THE TOWN CLERK
Town of Southold _ ellJudith T. Terry, Town Clerk Application No.
Town Hall, 53095 Main Road G' Construction r/
P. O. Bax 1179
Southoki, New York 11971 Alteration
Telephone `'t*" m $10.00 -Residential
(516) 765-1801
�r � '` $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ I1� `z
DATE /I— Z6 - 90
APPLICANT NAME: cLeS
APPLICANT ADDRESS: 817 7n-c“:, &f.
�reenpo.t, /Ay 1044
SEPTICS CESSPOOL AC.
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
Weiv ,1 i�t /e A.�•/� 2 ,S-76 r a/we//i;25
J
LOCATION MAP: Must be attached hereto before permit may be issued.
' LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Witeenk w baro Cloys.
OWNER MAILING ADDRESS: 9/7 ''ta,t..i. £1 •
ot.L, 7\.( i1‘3411
OWNER PROPERTY ADDRESS: Long &eek. +c.
Soc :461d n /1971
TELEPHONE NUMBER OF CONTACT PERSON: '94.sr- 41330
TAX MAP NO. : Section Sal Block D 8 Lot d
CROSS STREET: ol
BUILDING PERMIT NUMBER CROSS REFERENCE:
giel(nUl
'4221-T gnature of Applicant
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DATE:
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N • 1 ONG I., (VAGANt) CPOMPA�NY AttIOF l EW YORK U4AMCc
a� *4 1 vwCENT CLAPS
WA' I ' BARBARA CLAPS
Fes. -' a NI VI T1ON 1NSRECTION REQUIRED
9113. MASHED MADE
SURVEY OF
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MAP OF LONG POND ESTATES
TATES
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— SECTION ONE
Center Pool of
3 FILED DEC. 27, 1985 FILE NO.8037
PROPOSED _POOL RAVELC DISPOS. OSTEM MIT« Peel Cluster
MIN!)SAND ITE�MOTANK:SO TOM
PRECAST SE t AT SOUTHOLD
POOLS TO SE t ABOVE GROUND eSTER.
LAND V TOWN OF SOUTHOLD
�y�,A.INS 9`\ SUFFOLK COUNTY, N.Y.
19 Qt�� 1000 — 52 - 08 - 01
i O� :
• C`:"'n N.Y. S. LIC. NO. 49668 SCALE IN401
APRIL 16,1987
I.11'11110.21.77 EYORS, P.C. MAY 12, 1989 (fopo)
X020 SEPT. 30, 1989 (revision)
P •. •-e - 909
MAIN ROAD AREA = 44,73.7 SO.FT.
or 1.0270 ACRES ,voce.
SOUTHOLD, N.Y. 11971 c,,rs e• w9,,.,-/ fic•-s
_--a —.e.,.,/,o f e,.,71"-r
ELEVATIONS ARE REFERENCED g.;propcon/04,/
TO N.G.V. DATUM
87- 239
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