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ELIZABETH A.NEVILLE it '� `
y� Town Hall, 53095 Main Road
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TOWN CLERK C P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �► ,� Southold, New York 11971
MARRIAGE OFFICER ����'��' Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER \_,4_449. is Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER is"
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2227 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : JILL DOHERTY
Address 1 : PO BOX 644
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF OVERFLOW TO EXISTING SYSTEM.
APPLICATION APPROVED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner WEBER, NANCY
Mailing Address 1 7 OXFORD STREET
City St Zip NORTHPORT NY 11768
Property Address 1 160 THE STRAND
City St Zip EAST MARION NY 11939
Tax Map No. section 21 .00 block 5 lot 7.000
Cross Street THE LONG WAY
Building Permit Number Cross Reference:
Issue Date: 1/26/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE ° tt; Town Hall, 53095 Main Road
TOWN CLERK % p % P.O. Box 1179
Southold,% Q3ZNew York 11971
REGISTRAR OF VITAL STATISTICS W .F v�
O Fax(516) 765-6145
MARRIAGE OFFICER ` Telephone(516) 765-1800
RECORDS MANAGEMENT OFFICER ` 'y�IJ� aO�'��� P
FREEDOM OF INFORMATION OFFICER '. 1��
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED : January 12, 2000
Transmitted herewith is a copy of application No. 2315 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Nancy Weber •
Please review the application and location map and advise if this office may
issue the permit.
Please complete the form below and return it to this office.
Thank you.
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the followin ecommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
Signatur
iI1(0. 160
Date
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD � VO ''
Application No. /�-
ELIZABETH A.NEVILLE,TOWN CLERK 1,4111r_.
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971
Alteration
‘001Telephone _ ,
$10.00 - Residential v
(516) 765-1801 -7,01 1 ,,0' $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE
APPLICANT NAME:
APPLICANT ADDRESS: /LD .-.•�••r,-_-
c�S LE.1`,O f ��
SEPTIC CESSPOOL ✓
DESCRIPTION OF PROPOSED CONSTRUCTION 0' ALTERATIO
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: C\a„.(y....\/ �- 4�� ' e i�.r
OWNER MAILING ADDRESS: .7 C) xf -A_ j }-
Roc--1-pof , A y 1170
OWNER PROPERTY ADDRESS i69 9 )-c. UAc -
A- Pc‘ec.r1DYN r y 1037
TELEPHONE NUMBER OF CONTACT PERSON: ll 0.9y-/-711 ,
TAX MAP NO. : Section a ( Blocky- Lot 7
CROSS STREET: \ e--Oay
BUILDING PERMIT NUMBER CROSS REFERENCE:
Le9i44-
( y I ( Signature of ' pplicant
RECEIVED BY: /01---/V-ek-c.--7,{
Town Clerk Office
DATE: //' z,/M
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< i.,. OBSERVAATII Is OCATION ANSELLS
ORSA N OATS 00DM-. ,• Y11Dil-�1I.`�t
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\ p / SNE WATER SWR4Y AND.SEW PIXAR net scoot
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The sewage disposal and water supply
�0 ��� � :aGilities for this locatloa have been
��/'/ • 4" GQ•' / tnspected by this department wad!Quad
\ to pie
be satisfactory
'Osat, s0\ 'N, �'%' Chief of General Engineering 4/47
cb� Services
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■=MONUMENT Ta- 0, o •• i kiss'. •
SUBDIVISION MAP FILED/N THE OFF/CE mop- Sys gf•(/ .6V r°i age• i �I Z
OF THE CLERK OF SUFFOLK COUNTY ON P$ o! 44DyOoP /.' N`. 1
JUNE/4/975 ASFILE NO.5255. QF'/fi a4e• �r -\ '1 T• ��� 1. S`
THERE ARE NO DWELL/NGS WITHIN/00 b ). {_'l Ci
OF THIS PROPERTY OTHER THAN THOSE \,‘.‹..."--'
SHOWN HEREON.
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REVISIONSA ,\$\ 91 W __./
YOUNG & YOUNG ,.R o
SCB,/977 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK - _-
?C./6,/977 Hwy. \. VE�•O 1 p747 e.,
ALDEN W.YOUNG HOWARD W.YOUNG \ AT ER .._..' J- - .2g3U,w
pq.3,/97B PROFESSIONAL ENGINEER AND LAND SURVEYOR (lA�y'G 76
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LAND SURVEYOR.N.Y.S.LIC.NO,12145 N.Y..LIG.NO.45859 awm.o.QID AITERAT1ON OR AODRpN A O \ VO r•T ND
;T. s,/978 SURVEY FOR:
OA OF IVEk,`o TO SECDON>mr o�THEYrxw.Iwic Of
R •`\', L 10090' I N"! `� RQ
ARNOLD LEV/NE 8 ESTELLE LEl//NE o,�raO N:j' ►T, IWCATla+LAW.
ARE
LOT NO /37 "PEBBLE BEACH FARMS " al G CONN OI THIS SIAM MAP NOT EEARSNG R/ S
z TM LAND SURVEYOR'S INKED SEAL OR ,SY EV
{ + 0 EMEOSSED SEAL DIAN NOT N CONSIGNED
('T{1 * w■A YALD TMIE COPT. t,/
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CAIA•ANR�S SON:ATfp MERFON fIlA4ES1 AS'
AT GUARANTEED TO: ',� YI.a 9 IWo'olfoNE NIS II AI,TN"yISRiEY ,A E�
EAST MAR/ON THE T/TLE GUARANTEE B.CO [} 4589 N 1
•L TINT CONPANY,OOYERNNINTAL AGENCY AND
TOWN OF SOUTHOLD SAVINGS BANK JF(. .IOC' ENDING INSTITUTION LASTED RENON.AND
(AND SURA
SOUTHOLD ' TO,N[ASSIGNEES OF THE LEMING.IAN
tur.(IN.GUARANTEES All NOT TRAN51WME
/ TO ADDITIONAL INSTITUTIONS O UMINOyl R
SUFFOLK CO., N.Y.
Et
Oy/zlild� OWNERS
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SCALE: ,_40' DATE` AUG./8,//975 NO. 75-53/
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