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Home My WebLink AboutDemert i� Tip A.NZVUJ.E p SO�I� Town Hall,5$096 Main Road TSN,CLZIRK P.O.Box 1179 REGISTRAR OF VITAL STATISTICS '!' Southold,New York 11971 MARRL4GZ OFFICER Fax(631) 766.6146 RECORDS MANAGUIENT OFFICER Telephone(681) 766-1800 FREEDOM OF INFORMATION OFFICER �/'/yk � southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4383-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner ROBERT DEMERT ------------------------------ Mailing Address 1 45 OLD MILL ROAD ------------------------------ Mailing Address 2 ------------------------------ City St zip MANHASSET NY 11030-0000 Property Address 1 1055 SIGSBEE ROAD ------------------------------ Property Address 2 ------------------------------ City St zip MATTITUCK NY 11952-0000 Owner Telephone No. 516-526-5628 ------------ Tax Map No. section 144.00 block 2 lot 3.000 Cross Street MAIN ROAD ------------------------------ ---------------------------------- Issue Date: 10/29/08 Elizabeth A. Neville ------ Southold Town Clerk (TOWN SEAL) o�*0 SO�jyol ELIZABETH A.NEVILLE,RMC, CMC O Town Hall, 53095 Main Road TOWN CLERK l l�L P.O. Box 1179 REGISTRAR OF VITAL STATISTICSSouthold,New York 11971 MARRIAGE OFFICER G�► • �O Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Ol� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER C�Un 1�,� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Sou old Town Building Department FROM: Carol Hy 11, Southold Town Clerk's Office DATED: October 24, 2 8 RE: Cesspool Construct n Application Transmitted herewith is a copy of app11 tion No. 3 5 for a Cesspool/Septic Tank Construction Permit submitted by: Robert Demert Please review the application and location In d advise if this office may issue the permit. Please complete the form below and retu it to me. ank you. I have reviewed the applicatio nd location map of the project cite above and make the following recommendations: APPROVE DISAPPROV Comments: Signature Dated *V9i 09/2ED0@ 21:1' 6314231594 BANO ORA1NAGE CORP PAGE 0:1 r� XLIZABETH A.NB VILLE ; ' !.� 'fawn Hall,53096 Main Read TC1yVN CLERK P.O.Box 1179 r,MR.AR OF VITAL STATISTrCS . � � Southold. Now York 11971 MARRIAGE OFMCER ��t Fax(681) 766-6146 ORba MAIN 4GE'V PVT C)PFJC FF(k �l � '� Telephone(631) 766-1800 I)OA2 OF rMF'OR.MATION,,OyppjOjR, southoldtown.northfork.net THE TOWN CLERK TOWN OF t otrrHOLD „f SO "YOU1 D WASTEWATER DISTRICT f .A PLI AT_.,LQN OPIMA.'IION PERAHT . C 'SST?`bCbL 0 SEPTIC TAN> . m ` Residential CW. $1()._' or- , onwResld ntral $25 Application No.3--'�- � x Permit No. _ Owner Name_ � ,�� ; dY� erz I Owner Mailing Addless. A)r C)30 r`. ihvner Fz-operty Addrebs /0 Si la , Owner Telophoue Na- r.� JfTax Reap N0: .'iPCtl4T1 !�/Y,.,�� ......-Block �- Lot �3 a U_d oM r` o. Cross 3trec1., J Please check each that appYiMConstruction f r Alttrration to Existi_._ . ng Systean �ac�o.� It Residential Non-Residential -NOTE: LOCATION Mo,",.N ST 'BE SUBMITTED WITH .APPLICATION. (Locate 1 ' 'building and systepi give Wit# 'row 26d approximate distance in feet from systein to building and closest road, Mery card"e►rr may fiubmt copy of;survey vvptli" 'HD approval.) Signature of Applicant. Date Itl c: Ved by. __...._.�._ 1�C: 09/29/2008 20:29 631431694 BAI-40 DRAINAGE CORP PAGE 01 AZ: Ire ` V t x Nr � n f a �o f f I+l Xt �_. I.tG �� '1>0 of li r r R' i 04j "p Pool, 1. ,A. �s' Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 10/27/08 Receipt#: 30101 Transaction(s): Reference Subtotal 1 1 Septic Permit- Construct- Resid. 3835 $10.00 Check#: 1081 Total Paid: $10.00 Name: Demert, Robert 8010 Marina Drive Holmes Beach, FL 34217 Clerk ID: CAROLH Internal ID: 3835 I o��OF SO(/l�ol ELIZABETH A. NEVILLE,RMC, CMC O Town Hall, 53095 Main Road TOWN CLERK l J P.O. Box 1179 REGISTRAR,OF VITAL STATISTICS CO2 Southold,New York 11971 MARRIAGE OFFICER Fax (631) 765-6145 RECORDS MANAGEMENT OFFICERIpTelephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER COUn I�,� southoldtown.northfork.net 2 $ ;OFFICE OF THE TOWN CLERK i TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Carol Hydell, Southold Town Clerk's Office DATED: October 24, 2008 RE: Cesspool Const ction Application Transmitted herewith is a copy, application No. 3835 for a Cesspool/Septic Tank Construction Permit submitted by: Robert Demert Please review the application and locate n map nd advise if this office may issue the permit. Please complete the form below and retu tome. Thank you. I have reviewed the application and location map of th roject cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Signature Dated 09/09/2e08 21:1.7 6314231E94 BAN40 DRAINAGE CGRP PAGE 01 t h +v ELIZABETH A.NEVILLE Tow:n Halt, 6:3095 Main Road TOWN CI.IRIC P.O. Box 1179 GIST1 ItR OF VITAL.STATISTW8 Southold. New York 11971 t MARRIAGE OFFICER �q�' Fax(631) 766-6146 ORDS MANAl3EMEVT C1PFJ0Ftk' Telephone(631) 766-1800 DOM OF INFORMATION,OPP16RR. southoldtow•n.northfork.net ( PPI OF THE TOWN CLERK TOWN OF SOUTHOLD r SQUTFRULD WASTEWATER DIS'T'RICT �^ OP9RA.TIO:N PI+'ItNUT V" CE SSI*66L OF SEPTIC TANK y`F Residential Cw, $10 -or ,". -a-Resldential ;a, S25 Application No.-3-1 o. . _ 5 J �s Permit No. �_..,. .. � Owner Name � a,b ? Ownea Mailing Address. y S 0..90(- AtitP 'oC i ' y rq1 aw h a.u( A), Y /10 3 0 Owri.er Property Addreas /0 f s 9/"1f"—Yiz°C Owner Telephonz No. �r Tax Reap No. Sectidzt 141y 0° Block L.ot 3.000 Cross Street, 111gi� a,aa2 r! t Please check each that applies: Neva Construction Alt6ration to Existing System 'o 1,.N Residential Non-Residential NOTE: LOCATION N f OUST BE SUDKU TED WITH APPLICATION. (Locate building and systepi give zips �u w aaad approximate distance in feet from system to building �:. and elosest road.: New cons"'Wonnxlay.submit copy of survey with SCHD approval.) Sigrlature of Applicant Date Icec ei ved by M:, 03/2912003 20: 29 h314231594 3ANO DRAINAGE CORP PAGE 01 t , J 91. j v a � ') a x 1 ,,.._.,.....� _...L.._..'�. .t y' f°'