HomeMy WebLinkAboutSpanos ELIZABETH A. NEVILLE �� e.0%.�: Town Hall, 53095 Main Road
TOWN CLERK ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS P � Southold, New York 11971
MARRIAGE OFFICER �� •fi Y r' � 1I, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =, ®� to• Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER - �,1�'
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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. 2473 R Residential X Non-Residential
Fee $ . 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : GEORGE SPANOS
Address 1 : PO BOX 187
City St Zip GREENPORT NY 11944
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 SPANOS, GEORGE
Mailing Address 1 PO BOX 187
City St Zip GREENPORT NY 11944
Property Address 1 BAY AVENUE
City St Zip EAST MARION NY 11939
Tax Map No. section 31 .00 block 8 lot 25.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 11/30/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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' ELIZABETH A. NEVILLE % _- l�: Town Hall, 53095 Main Road
TOWN CLERK ; - % P.O. Box 1179
CA
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER %. 4, 04a.i Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER -..: ` INg *too Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER - ���
....•iii
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: November 27, 2000
Transmitted herewith is a copy of application No. 2561 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
George Spano by Will Grodoski
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells,buildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED. .
9 Signature
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' -1~ECE OF THE TOWN CLERK CIIVFO( r
TOWNOFSOUTHOLD ,��., , e Application No.a 6(
FLIZAB$THA.NEVILLE,TOWNCLERK .1 $10.00 - Residential f
P.O.BOX 1179
cn . ' �� $25.00 - Non-Residential
SOUTHOLD,NEW YORK 11971 . . ` yr��.
Telephone *el * Ai
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
A 14- ,v\a,-/--f4v
PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. ,
Fee $ •
DATE i/c2Z9/(-361
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OWNER NAME: ( , ) i 2,/ 4 I ii ,, )
OWNER MAILING ADDREIF • '/ 4/ ---->
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OWNER PROPERTY ADDRESS: ci uZ_ -1 1 114 P7�b`4/L_
OWNER TELEPHONE NUMBER: aciy----673
TAX MAP NO. : Section _ 3 / Block Lot 6"----
CROSS STREET: �7e..e_�y, /IQ
TYPE OF SYSTEM: , Septic Tank New Existing
Cesspool w Existing
Residential Non-Residential
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to building and closest road.)
Of/ is. \A i.. ,
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Slgnature o . pp cant
RECEIVED BY:
Town Clerk s Office
DATE: l l d" P
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