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ELIZABETH A. NEVILLE f,oO %.‘ Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
y 2 Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER "'/Ql 1a� 1��, 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. 3023 R Residential X Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
Address 1: 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
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 SARKUS, PETER
Mailing Address 1 47 79 AVENUE
City St Zip NEW HYDE PARK NY 11040
Property Address 1 650 BAYWATER AVENUE
City St Zip SOUTHOLD NY 11944
Tax Map No. section 78.00 block 3 lot 24.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 5/14/03 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE .14�`Z`V y • Town Hall, 53095 Main Road
TOWN CLERK $ o= ; P.O.Box 1179
i ti • 2 $ Southold, New York 11971
REGISTRAR OF VITAL STATISTICS t
�% Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER %#4f0 .1 Telephone (631) 765-1800 •
FREEDOM OF INFORMATION OFFICER - l * 1911. southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK 1- , , - -
TOWN OF SOUTHOLD I , -
TO: Southold Town Building Department 1
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 18, 2003
Transmitted herewith is a copy of application No. 3147 for a Cesspool/Septic Tank Construction _
Permit submitted by:
Morris Cesspool
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
` / l •�
Comments: ,�
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Signature
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Dated
OFFICE OF THE TOWN CLERK '11'Cy�1Ff UL/reTON OF '0 ..Q Q�/
W - Application No.3 p
ELIZABETH A NEVILLE,TOWN CLERK L.
P.0 BOX 1179 ti Construction
' SOUTHOLD,NEW YORK 11971 ; o T
cn . �� Alteration
Telephone
". 0 �Qrt's, $10.00 - Residential
(516) 765-1801 _y1 4',�P' - $25.00 - Non-Residential
....i,•
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
• CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE / /, / /i 02
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APPLICANT NAME: _ lea .51 i1 � /
z7�
APPLICANT ADDRESS: l,� ��� orr A
SEPTIC CESSPOOL-4
DESCRIPTION FiPROPOSED CONSTRUCTION OR ALTERATION
611
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: � ficl-X-/61(5-
,
OWNER MAILING ADDRESS: r C2 gr an i
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1 OWNER PROPERTY ADDRESS4 10 i 9 as i-e sc
d-Q Pk 1 o 1(05/5l
TELEPHONE NUMBER OF CONTACT PERSON: /iIf Xret
TAX MAP NO. : Section 70? Block 7 Lot 2 V
CROSS STREET: Areo.0_6(y
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
,D,,,,. 5 4 Aivi;
Signature of Applicant-,
RECEIVED BY:
Town Clerk's Offic4ECEiVED
DATE:
APR 1 8 2003
Southold Town Clerk
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