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ELIZABETH A. NEVILLE 1to��°� Town Hall, 53095 Main Road
TOWN CLERK % o - P.O. Box 1179
e Southold New York 11971
REGISTRAR OF VITAL STATISTICS v' rft
MARRIAGE OFFICER � ,jiL � ��0 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER V* /0
�aS Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER - ,,�� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3001 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ARTCO DRAINAGE
Address 1: PO BOX 1132
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT
WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES.
EXCAVATION INSPECTION REQUIRED.
Name Of Owner VLAHOS, THOMAS
Mailing Address 1 PO BOX 1229
City St Zip SOUTHOLD NY 11971
Property Address 1 SUMMIT DRIVE
City St Zip MATTITUCK NY 11952
Tax Map No. section 106.00 block 2 lot 9.000
Cross Street CENTRAL DRIVE
Building Permit Number cross Reference:
Issue Date: 2/18/03 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE '%/�4, y�; Town Hall, 53095 Main Road
TOWN CLERK % o - % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS % I+,i Southold, New York 11971
MARRIAGE OFFICER ` 1i ���� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER "'/®� ��O'i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER���,,��� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 13, 2003
Transmitted herewith is a copy of application No. 3123 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Artco for Vlahos
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
V
DISAPPROVE
Comments: Maintain required setbacks from adjacent wells,buildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED. .
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Signature
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Dated
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OFFICE OF THE TOWN CLERK ,,, ,,,,,•••,,,
TOWN OF SOUTHOLD •,•'�,cuFFOik�,
FT.T7ABETHA NEVA.IF,TOWN CLERK •`��� Gly: Application No. (as
P.O.BOX 1179
SOUTHOLD,NEW YORK 11971 Construction
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Alteration
Telephone
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Telephone = ofd, 1%%?) $10.00$10.00 - Residential
(631:) 765-1800 �� �,
$25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION •
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
•
Fee .$
DATE \ 13 cy;
APPLICANT NAME: ARJD
APPLICANT ADDRESS: \b)c 11
SEPTIC CESSPOOL>Q
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION'
cw•zc_� o• $111A
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY:) a/vl� �• 01,o Ai1S
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OWNER MAILING ADDRESS: bx. �`
Souk -NA Si , 1 ) nl
OWNER PROPERTY ADDRESS: .5 -'1Nry,1Alt.2 '1: 5.1 •
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TELEPHONE NUMBER OF CONTACT PERSON: ' 91:470
TAX MAP NO. : Section O O Block Lot
CROSS STREET: Czn&IAA •
BUILDING PERMIT NUMBER CROSS REFERENCE:
Sig ature of Applicant
RECEIVED BY 4
Town Clerk's Office
DATE: 1 \i'11
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