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Home My WebLink AboutNeumann, James t. , 1 o,, ��, SO 4c (/l4,,. ELIZABETH A.NEVILLE , ,`O l0 Town Hall, 53095 Main Road TOWN CLERK ; P.O. Box 1179 REGISTRAR OF VITAL STATISTICS co Southold, New York 11971 MARRIAGE OFFICER �O,�� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Ol� ,�Q oil Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER reOUtifil ve.. southoldtown.northfork.net 41 °" OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4355-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner JAMES NEUMANN Mailing Address 1 101 W END AVE Mailing Address 2 APT 21E City St Zip NEW YORK NY 10023-0000 Property Address 1 750 E MILL ROAD Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 212-874-3123 Tax Map No. section 107.00 block 1 lot 100 Cross Street SEBASTIAN COVFE Issue Date: 9/05/07 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) e \ • l,#,,,,,—.___ • ELIZABETH A.NEVILLE � it Town Hall, 53095 Main Road TOWN CLERK ; P.O.Box 1179 Z ; Southold, New York 11971 REGISTRAR OF VITAL STATISTICS v. Ar MARRIAGE OFFICER A�'��1� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER \---_ 947�i• Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER ��'� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT CESSPOOL or SEPTIC TANK Residential $10 " or Non-Residential $25 Application No. 53o`1 @ @ PP Permit No. / , 35 5 Owner Name Jc mes N Q u nt h (J V Owner Mailing Address J C \ W £ D /4 V c' 4A.- )JA4 N- ( 0023 Owner Property Address -770 67 - M (G( ArriT ITOCk 6/ 11 qc..z Owner Telephone No. a (01 _ R I- 3 1 3 Tax Map No: Section JO " Block I Lot Cross Street Sc '445 T ( fr C d Je-v Please check each that applies: New Construction Alteration to Existing ystem Residential Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distance in feet from system to building and closest road. New construction may submit copy of survey with SCHD approval.) Si u fir:ture of Applicant Date Received by: q (,j`o7 • .'' " ELIZABETH A.NEVILLE / �O 0 Town Hall, 53095 Main Road TOWN CLERK ; 4i P.O. Box 1179 co, Southold,New York 11971 REGISTRAR OF VITAL STATISTICS ; MARRIAGE OFFICER '� �O �I Fax (631) 765-6145 RECORDS MANAGEMENT OFFICEROl�'C �� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER - U , ��isoutholdtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3364 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : YOUNG & YOUNG Address 1: ATT: ROBERT C. TAST AIA City St Zip RIVERHEAD NY 11901 Descripton of Proposed Construction or Alteration -PROPOSE TO ALTER & EXTEND EXISITNG SINGLE FAMILY DWELLING -FINAL APPROVAL REQUIRED FRUI THE SUFFOLK COUNTY HEALTH DEPARTMENT Name Of Owner KATHLEEN, JAMES, & MIKE NUEMAN Mailing Address 1 101 WEST END AVE APT-21E City St Zip NEW YORK NY 10023 Property Address 1 750 EAST MILL ROAD City St Zip MATTITUCK NY 11952 Tax Map No. section 107.00 block 1 lot 1.000 Cross Street SEBASTIAN COVE ROAD Building Permit Number Cross Reference: __ a 4490044041 Issue Date: 9/28/05 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) • ,. • �•,,,`Vic) SO(/r�o ELIZABETH A.NEVILLE �� l4 Town Hall,53095 Main Road TOWN CLERK 4 P.O. Box 1179 REGISTRAR OF VITAL STATISTICS G Q ,� Southold, New York 11971 MARRIAGE OFFICER 13 . � Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER . li�' �� Telephone(631) 765-1800 CUn � FREEDOM OF INFORMATION OFFICER O �'s��fe southoldtown.northfork.net ... OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD September 28, 2005 Dear Sir/Madam: Enclosed herewith is the Construction, Alteration or Modification Permit for a Septic Tank/Cesspool System for which you applied. AFTER the system is installed but prior to being used, an OPERATION PERMIT IS REQUIRED. The operation Permit is issued by the Southold Town Clerk's Office. The fee is Ten Dollars ($10.00) for a residential system and twenty-five dollars ($25.00) for a non- residential system. Your check should be made payable to the "Southold Town Clerk". An application form is enclosed. Please complete the requested information and return the application, proper fee, and LOCATION MAP (map must indicate the location of the cesspool(s)/septic tank(s), giving approximate distances in feet from any buildings to the pools and distances between the pools. Should you have any questions concerning this matter, please do not hesitate to contact this office. Very truly yours, t 1-1041./14v Lynda M Bohn Account Clerk Enclosures