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JUDITH T. TERRY „ r, Town Hall, 53095 Main Road
TOWN CLERK ® P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ° .�` Southold, New York 11971
MARRIAGE OFFICER V- iii Fax (516) 765-1823
d ®,�l Telephone (516) 765-1801
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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. 867 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : SCOTT CORWIN
Address 1 : P. O. BOX 276
City St Zip GREENPORT NY 11944
Descripton of Proposed Construction or Alteration
ELIMINATION OF EXISTING SYSTEM. INSTALL LARGER SYSTEM IN ANOTHER
LOCATION.
APPROVED AS SUBMITTED. HOLD 8' SEPARTATION. EXCAVATION INSPECTION
REQUIRED. CALL 765-1802 FOR AN APPOINTMENT.
Name Of Owner SCHNEIDER, MILES
Mailing Address 1 P. O. BOX 231
City St Zip GREENPORT NY 11944
Property Address 1 KNOLL CIRCLE
City St Zip EAST MARION NY 11939
Tax Map No. section 37.00 block 5 lot 11 .000
Cross Street BAYVIEW AVENUE
Building Permit Number Cross Reference:
Issue Date: 7/10/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
!PIP
'' REMINDER NOTICE 7/8/92 3 C -7
J., .. ,
JUDITH T. TERRY (� .- Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ` "t• } Southold, New York 11971
MARRIAGE OFFICER - Fax (516) 765-1823
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Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK r�1'@ 9 L j a�Le1 ° 3 f ),
TOWN OF SOUTHOLD ?y,,l.7-,-..-,,,,-:-.,..-.,,=:,-;:::-,1:_j,..:2-__- r
' ill it ,iJ JUL m 81992 ; a
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TO: Southold Town Building Department t,-I W _
FROM: Linda J. Cooper, Southold Town Clerk's OfficL E3",,'"Nul-_�'�s�?1}Fest_:
. � -ter
DATED: June 29, 1992
Transmitted herewith is a copy of application No. Agg( for a Cesspool/
Septic Tank Construction Permit submitted by:
Scott Corwin for Miles Schneider •
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 X
DISAPPROVE Q n n
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Dated
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' OFFICE OF THE TOWN CLERK �cj�FFQGA'`,D L
Town of Southold Application NoMo''
Judith T. Terry, Town Clerk �G PP
Town Hall, 53095 Main Road r . �, Construction
P. O. Box 1179 � � �` ��
�� � � Alteration
Southold, New York 11971 '�f '
Telephone of �; Residential ir
(516) 765-1801
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE CplaRtn--
.
APPLICANT NAME: SCOTT CORWIN
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LANDSCAPING & EXCAVATING, CORP. Vi'
APPLICANT ADDRESS: P.O. Box 276
GREENPORT, NEW YORK 11944
J
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED ONSTRU TION OR ALTERATIONe4 /'j e UnOt. 6l
C y(braG -W ov 1-s(, ief t)006 will CdIA4 jL `v' ro
tio v vt Ty-0wt �� avS C Stde Id1a1/ h i�J` i/ aloe 400 9A/. Jp7 & 1
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permit LOCATION MAP: Must t�e attached hereto before
p t mayi be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER. OF PROPERTY: 1;9400:rovjviti Vl�11(ei ��ci6►44&/-
OWNER MAILING ADDRESS: 1))k
(02,,vhfe, DV-iy
OWNER PROPERTY ADDRESS: lfaut CI1(4 - (' �l✓�d� /V� ,
010 fitZeit4 ho `SSA. NI ihnbeir..Acri�Atet
TELEPHONE NUMBER OF CONTACT PERSON: r11.4/it..d 47 -///J
TAX MAP NO. : Section 517 Block 3 C°Afr�e Lot 1/
CROSS STREET: iA1 I/1.e,w Av
BUILDING PERMIT NUMBER CROSS REFERENCE:
ignature of Applicant
RECEIVED BY:
R E C l: ' erk's Office
DATE:
JUN£"'2 g
Southold'Town Clerk •
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% 'en -, A ^ SCOTT CORWIN
CO 6 • ,� d ,e�` qD n, LANDSCAPING & EXCAVATING, CORP.
o o �7 P.O. Box 276
1 "Zito^''S 29 GREENPORT. NEW YORK 11944
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LOT 25 f: 26 -*MP OF SECT/ON T`t/O
GARD/NEAPS' BAY EST,,.-4—TES
CERT/F/ED TO.* 5/TUATE0 AT EAST MAI?/ON
EDli/ARD G f MARGARET 4 VALENT/NE TOWN OF 50UTHOLD, SUFFOL/'CO, NY
HARTFORD FUND/NC, LTD. F/LED. •SEPT Z.1 /927-414P Nf• 275
/NT/4,4 0,45TAL ABSTRACT CORP. 0/5T/000 SEC 37 BLK5 LOT/1
UNA'JTHOGZE' Al',ER:. ..0 r o o oHs ANTHONY ABRUZZO
SE TONT 71c,.r I� . Rx`sT
EDUCA` ,z„ ` ,.�w Y4 SIMRE6/STEREO LANG SURVEYOR
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COPIES OF THIS SeRVV MAP NOT MARINO
_ TLE LAND SU;•TY7,'a ,4;LD SEAL OR
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EMoCSSED :tAL SIIALL NOT BE CONSIDERED * ,i, [[' A'�i`' O * 8 ERM/NE RD,�POCXy PT, NY/1778
10 LE A VALID TT:J: COPY. i A
CERTIFICATIONS INDICATED HEREON SHALL RUp { 1 5/(0-744-4293
ONLY FO THE PERSON FOR Viii0M THE SURVEY t.\ O°9561 . ��
IS 1•'EPARED, AND ON HIS BEJ ALF TO THE �ij.:5 6 I &A 5URVEyED.�DEC.3, /915
TITLE. COMPANY, GOVERNMENTAL AGENCY AND
LENDING INSTITUTION LISTED H:PEON, AND •
TO THE ASSICNEFS OF THE LENDING INSTI. r,` ‘-:.---\,-, :ii TUTION. crR•'FICPTIONS ARE NOT TRANSFERAIR -1
70 ADTNTIONAL INSTITlfiONS OR'StlBSEQUENT
OWNERS. / );// el"
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