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•ELIZABETH A. NEVILLE ����� 'yd Town Hall, 53095 Main Road
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TOWN CLERK % d - P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS Prfi Southold, New York 11971
MARRIAGE OFFICER " Fax���� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER "'/Q! $ �i� 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. 3064 R Residential x Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ARTCO DRAINAGE CORP
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 BRUNO, NICHOLAS
Mailing Address 1 47 ALPINE WAY
City St Zip HUNTINGTON STATION NY 11746
Property Address 1 BAYBERRY ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 76.00 block 1 lot 2.000
Cross Street MAIN BAYVIEW ROAD
Building Permit Number Cross Reference:
Issue Date: 7/29/03 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
Aelt' UFFO`,r,
ELIZABETH A.NEVILLE '� O4 Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS � V' �
MARRIAGE OFFICER ; Fax����� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER "'/� �a0i� 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. 3064 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ARTCO DRAINAGE CORP
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 NICHOLAS BRUNO
Mailing Address 1 47 ALPINE WAY
City St Zip HUNTINGTON STATION NY 11746
Property Address 1 BAYBERRY ROAD
City St Zip SOUTHOLD NY 11971
Tax Map No. section 76 block 1 lot 2
Cross Street MAIN BAYVIEW ROAD
Building Permit Number Cross Reference:
Issue Date: 7/29/03 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
3b q
V ` ' '• , ',�OO�uEEO`����
ELIZABETH A.NEVILLE YY Town Hall,53095 Main Road
TOWN CLERK o - P.O.Box 1179
Southold,
REGISTRAR,OF VITAL STATISTICS
New York 11971
MARRIAGE OFFICER `.% 1,iL ���, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER - �Q! � Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ ,�' southoldtown.northfork.net
OFFICE OF THE TOWN CLERK r-- 777,
TOWN OF SOUTHOLD
JUL -13 2003
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office __J
DATED: July 3, 2003
Transmitted herewith is a copy of application No. 3191 for a Cesspool/Septic Tank ALTERATION
Permit submitted by:
Nicholas Bruno
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.
* * * * * * * * * * * *
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.
Signature
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Da et
®
ELIZABETH A. NEVILLE 4 >
ti' 4 Town Hall, 53095 Main Road
I
TOWN CLERK O :4 % P.O. Box 1179
REGISTRAR OF VITAL STATISTICS !may. Southold, New York 11971
MARRIAGE OFFICER �`Q1, '.�V�,' . Fax(631) 76,5-6145,, .
RECORDS MANAGEMENT OFFICER #4 a� ii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER = .1 * �.•° southoldtown.northfork.net
•-•,,,,..e°,
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 or Non-Residential @ $25 ApplicationNo.
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CAAOL
No. �a
Applicant Name
' I AOL as A WOO Rc D i\aL�att�
1)
Applicant Mailing Address `fp 8 1131
VGt-- 7k tr _ Vl� 11 cr 5-3
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property: N \OA 0 f &S Po IA)
Owner Mailing Address: -17 ici-bouvQ,
k4 n I ) 7 qt-moi 0
Owner Property Address: S ^Q-)61/4- 6
ingot y 1(2- 4 $&- ae-4.0
Name and phone number of contact person TINA i c q '-q660
Tax Map No: tow Section 710 Block ( Lot 61•
Cross Street rYII(M co -52-2-v e.4
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
/,)3 I 7 3-03
Signature of Applicant Date
Received by: ,LA)A-f-44-----L-
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APPROVED AS PER TERMS
AND CONDITIONS OF
PERMIT NO./-V7 5 05053/X000/
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