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ELIZABETH A.NEVILLE t A� ® : Town Hall, 53095 Main Road
TOWN CLERK CA Z P.O.Box 1179
Prt t Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ® (1
MARRIAGE OFFICER � Fax Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �_�®,l 111 $$ ���� Telephone (631) 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. 2532 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool •
PERMIT ISSUED TO:
Name : CRAIG & KRISTINE SCHULTZ
Address 1 : PO BOX 5896
City St Zip ROCKY POINT NY 11778
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-00-0282 ,
Name Of Owner TSONTAKIS, ARGENTIA
Mailing Address 1 26 I U WILLETS ROAD WEST
City St Zip ROSLYN NY 11576
Property Address 1 485 MILL ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 113.00 block 3 lot 8.000
Cross Street LUTHERS ROAD
Building Permit Number Cross Reference:
Issue Date: 3/27/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
J n " ►-_, ower — C/—
01 OFF
ELIZABETH A.NEVILLE t1%1 �� Town Hall, 53095 Main Road
TOWN CLERK k ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS uto Southold, New York 11971
MARRIAGE OFFICER e�+ csr �1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �, ®l �� o. Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ��,,, ��'
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 13, 2001
Transmitted herewith is a copy of application No. 2620 _ for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
Suzanne & Dennis Heffernan
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 ‘7
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells,buildings, property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
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Dated
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OFFICE OF THE TOWN CLERK \��CFO`/�^ //
TOWN OF SOUTHOLD /40� )P Application No��O 021)ELIZABETH A.NEVILLE,TOWN CLERK P.O. 0
BOX 1179 Construction z�
SOUTHOLD,NEW YORK 11971 I =vm
,� Alteration
Telephone • ,� �Q� �, $10.00 - Residential L� •
(516) 765-1801 = '1ilt
,� $25.00 - Non-Residential
TOWN OF SOUTHOLD
•
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
' APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. •
Fee $ 10.00
DATE -January , 2001
APPLICANT NAME: ,
Craig S±U1tz and Kristin Maim Schatz
APPLICANT ADDRESS: P•0• � 5896
Rody,)`Fbint, NY 11778 •
SEPTIC CESSPOOL; x
DESCRIPTION OF PROI?OSED CONSTRUCTION OR ALTERATION
NSW diellirgI '
LOCATION MAP: Must; be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
• OWNER OF PROPERTY: Argentia Tsontakis
OWNER MAILING ADDRESS: 26 I U Willets Road West
Roslyn, NY 11576
, OWNER PROPERTY ADDRESS: 485 Mill Road
Mattituck, NY. 11952
TELEPHONE NUMBER OF CONTACT PERSON: 821-1803
TAX MAP NO. : Section 113 Block 03 Lot 008
•
CROSS STREET: Luthers Road
BUILDING PERMIT NUMBER CROSS REFERENCE:
\ \ ``
S n• 'u+ a of Ap • 'cant
Craig Sc ult
RECEIVED BY: '
Town clerk's Office
DATE:
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SUFFOLK COUNTY Dl.,tr'-t^:6ic:1a•� ::i' ,-1Li-._:F; :iERVICES
p PERMIT Fop,APPROVAL OF CONS T UC•;! FOR A t,
ceogP°DL 4 TIICLE FAMILY RE5!r'rNc:. t.) LY
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DATE 17,-a-001-1.s. REF. t io 1°- op- D
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1 APPROVED ►CPI -='-'2,10."-='-'2,10." /
r FOR MAXIMUM OFZC' DROO S
1 EXPIRES THREE YEARS FROM DATE OFAPPROVAL
EXCAVATION.INSPECTION REQUIRED
FORtANITARYSYSTEM
4 BY HEALTH DEPARTMENT `,
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