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Home My WebLink AboutBruno 0'4,,,,,,,,,,,,, ', l c fFOL4'- •ELIZABETH A. NEVILLE �� 'yd Town Hall, 53095 Main Road • TOWN CLERK % d - P.O. Box 1179 va 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 / 3 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. / ci/ \ G 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- 1- Ill \A . a eil 46i77„.1 .11 ,--'... Mr- I —. ''''''''''...1.''''..'111#(6.1.4) ' kJ ,„ -i 11� „forIII 47,1 A I :- i 0,At( 4,46% j 'Ili � ii gii- • lin i 406 3 (7) sem,- . D� +, wiN s 410 s 4 .1 I.pis # C .. , Only wLAw ' 14 : ' - *i , . , . G9 N 79"45' $0" W . 45,00' Sun Lane ivy 4.r.c( b y ; PFGamc ufcd/416 5-01-14/704 s, SIC . I' gj'..c s binr-f. : /0/7/0.c9- ' Proposed ddcid/514;v 5 c4Lf : / " z: do ' New Se,o'*/c iaek. S CTwI # /Aoo- 74 — l - a- NYSDEC i7/ APPROVED AS PER TERMS AND CONDITIONS OF PERMIT NO./-V7 5 05053/X000/ 44n1/C*Ai 7.-S e DATE •'0//5-/v .1/6e-- 5uP,i 1-..tt t,, ,c) ,,j-f-itoW Kit/ � iiirm a: 14 i Cil 6)0:5 .--\ it 0.1suick'I c, A . EkuAq a . l