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JUDITH T.TERRY �� � Town Hall,53095 Main Road
TOWN CLERK % P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ® 1 Fax(516)765-1823
MARRIAGE OFFICER `�� 11
RECORDS MANAGEMENT OFFICER : � 4 i 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. 1342 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : PETER DENICOLA
Address 1 : d o Reyo to o_ �� EW
St Zip Soc.eori, 00000
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-95-0065
Name Of Owner REGO, NEIL
Mailing Address 1 100 FOX HILL ROAD
City St Zip BAITING HOLLOW NY 0000
Property Address 1 1695 CHABLIS PATH
City St Zip SOUTHOLD NY 11971
Tax Map No. section 51 .00 block 3 lot 3.008
Cross Street SOUNDVIEW AVENUE
Building Permit Number Cross Reference:
Issue Date: 6/01/95 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T. TERRY .4Town Hall, 53095 Main Road
TOWN CLERK ® rrn P.O. Box 1179
w Southold, New York 11971
REGISTRAR OF VITAL STATISTICS '1 Fax (516) 765-1823
MARRIAGE OFFICER V®'' �® / Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER '-_ 1 1' it
FREEDOM OF INFORMATION OFFICER ",o/vt��iiirl/
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD „,
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TO: Southold Town Building Department ,�9� f 3 01995 ,,
FROM: Linda J. Cooper, Southold Town Clerk's Office, _ '
BLDG.DEPT.
DATED: May 30, 1995 TCA.,'N OU hcf_D_-J
Transmitted herewith is a copy of application No. 1392 _ for a Cesspool/
Septic Tank Construction Permit submitted by:
Peter DeNicola for Neil Rego
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 f �,� 4
Comments: r,",„0„1-S P— c� GA r m 4� 3U� 60—a-'7-/
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RECEIVED 4 :? ' 4
S i g na te
r;
MAY 3 1 1995 C/c5'/A.--
town Clerk Southold Dated
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OFFICE d'F THE TOWN CLERK ,,,,""""%,
Town of Southold is'%C•,U,;- .. '0%......
G•= Application No. / 5 ya
Judith T. Terry, Town Clerk ,�� ',... y
Town Hall, 53095 Main Road Z �G Construction (---
P.
iP. 0. Box 1179 Z = t." z
Southold, New York 11971 l ttn .`` , .: • . • Alteration
----'
Telephone
-4._`0- 4440 %%e' c��
$10.00 - Residential
(516) 765-1801 : 1 , ' $25.00 - Non-Residential
. i00
TOWN OF SOUTHOLD ;
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 5513°,/61C-
APPLICANT
5 3®,/61J
APPLICANT NAME: ?e -e-4 -e(q) cote,
APPLICANT ADDRESS: 1(DQtc Cf.,4'u ?di,
`
SEPTIC V CESSPOOL
•
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
c.. s ?tit '®G,v1.11 0 lc 1--6-14-1
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER_ OF PROPERTY: (\lei L Yi 0
OWNER MAILING ADDRESS: l,,oto $ &' tl1L j
-;,-,,,A,1,1oLLotO f iv
OWNER PROPERTY ADDRESS: 5LI,,,,e
TELEPHONE NUMBER OF CONTACT PERSON: `r/ be — 3toY
TAX MAP NO. : Section Cl Block 2 Lot ?eOY
CROSS STREET: S011r.p Ustta-, GL U
BUILDING PERMIT NUMBER CROSS REFERENCE:
01(.0611--D
Signature of Applicant
RECEIVED BY:k (,O,Q,�--- -
o n Clerk's Office
DATE:
Survey No_:89— 064
/ R§CALI VE TANA.. ..... .... - .
40822 e.p., Itrrp of eljarrbonnttp U.aobs ;
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APR 19 1995 ' at�s j Oo�ttlyalb t - «
.9� Filed Septembers28, 1989 as Map Na. 8
Sp, S.C. DEPT. OF
_kj F HEALTH SERVICES ,
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Unautfronzed alteration or addition to a map bearing a Professional
/^ I // • , oo ' Land Surveyor's Seal is a wdation of Section 7209, Sub-Section 2,
/ , yc of the New York State Education Low
C / Rights-of-way or easements of record not shown on this map are
/ 'J t not certified:
N.. •0 Ll� _ Certifications indicated hereon si9nity that this survey was prepared
rvo �\ h �L in accordance with the existing Code of Practice' for Land Surveys
(349,7 /n_ /•� adopted by the "New York State Association of Professional Land
• v/y�•� ! pj$ �$d�■' �,al�Agq®pRtp1! atlJ ypa l�d1 `r �R. `� i Surveyors" Said certifications shall run only to the person for wnom
O illar aT li F WRf I r u L the survey is orepared, and on his behalf, to the title company,
r li I .-N J �A'� governmental agency, and lending institution listed hereon Cert.-
S62"38'OS'W 275.12'' 1 owneons are not transferable to additional institutions or subsecuent
l N owners.
Copies from the "ORIGINAL" of this survey map not marked with an
Lor seallGINAL'shall not beof e Land considered torbe aEMBOSSED" seal id true copy or"REO" inked
�2%31,�euv yf 53aeraiLY 1:� EI :aN3ONLY Certified to
S Y"PRES THREE YEARS FROM DATE OF APR-al= .321.87
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I S� eL3 CCS:_:�'_ L=- :7 0 �7;r 7 s em-�::2_s I �'"�'��N
I .L1-7.71.-.3V_IL __ ::S__- ,y
I hereby certify that this map was made from an actual
I AM .f FAMILIAR TAR WITS THE STANDARDS FOR ?�- survey completed by me on 07/3/90
1 _ - i PROWL ANT) CONSTRUCTION OF SURSURFAQ'F t for Chardonnay E totes n II
I i /t��/ -fes~ :::..t-1:: ��� OD ;i• '!91'a': 17'f�S'.: 'b Yptt�' r : 1� :u!1
�rm+� :7 Oil cQn
t DI.TF:j- ` SIDENC'ES AND WILL ABIDE BY THE CONDITIONS (�CCCL Q• / /
SET
FORTH TSEREII� AND ON THE PEEWIT TO Edward- A. Bullock, Jr_
CONSTRUCT"
N^O.rr'rys'A �, Professional Land Surveyor &Engineer
G ! l 49 Miller Avenue
1 `f _�__.-r Port Jefferson Station NY 11776
_ -- APPLICANT 516-473-5332
N Y.S. P.L.S. No. 49214 &N Y.S. P E. No. 63675
Scale- = 50' Tax Moo No 1000- 51 - 3 -3.17
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