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Home My WebLink AboutRimor 4639-4648 Town of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 08/22/18 Receipt#: 247692 Quantity Transactions Reference Subtotal 10 Septic Permit- Construct- Resid. 4639-48 $100.00 Total Paid: $100.00 Notes: 102.1-1-1 #4639 102.1-1-2#4640 102.1-1-3#4641 102.1-1-4#4642 102.1-1-9#4643 102.1-1-10#4644 102.1-1-11 #4645 102.1-1-12#4646 102.1-1-13#4647 102.1-1-14#4648 Payment Type Amount Paid By CK#1066 $100.00 Rimor, Development Llc Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Rimor, Development Llc Po Box 908 Cutchogue, NY 11935 Clerk ID: SABRINA Internal ID:4639-48 ELIZABETH A. NEVILLE,MMC "" v Town Hall,53095 Main Road TOWN CLERK �w P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS «� �UFax(631)765-6145 MARRIAGE OFFICER ° ` Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER �u � °° ) www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER '" OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: August 22, 2018 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4639 for a Cesspool/Septic Tank Construction Permit submitted by: Rimer Develo mient LLC-Unit t. Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE _. ... Comments: Final artN re ured from the Suffolk County Health Depa°l�ncrt Signature Dated._.. ._._. ....._.. z� ELIZABETH A. NEVILLE Town'Hall,59096 Main Rog. TOWN CL P.O. Box 1179 REGISTRAR OF VITAb STATISTICS Southold, Now Yorlt 11971 MARRIAGE OFFICER fax (681) 705-0145 RECORDS MANAGEMENT OFFICER Tolgphone(681)765-1800 FREEDOM OF INFORMATION OFFICER sou tl�oldWwnmorthfork.nel I OFFICE OF THE TOWN CLERK TOWN OP` OLD SOUTHOLD WASTEWATER DISTRICT I I NST CTX r AI�TERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$l 0µ q or Non-Residential @$25 Application No. Pennit No. Appliciuit r plic t, ailing Addreqs its � Septic TI�� . o�c Cei .— �� BriefDesol"iption of Proposed Construcfioli or Aitoration pJam 6A i a.*.- Location of Proposod Construction/Alteration: Owner of Proporty:—____ Owner MaiWlg Address: .� Owner Property Address: i e and phone number ofn �"�.�.. . p _ t arson .., � �,,. 6, (' 626 A4 7 Tax Map Noe Section / Block r t � d00 CN 5" Cross Street --- - _ NOTE., LOCATION MAP MUST BE 1"I"TE W1�1"lit "PLICA'.lC"IOM. NEW CONSTRUCTION REQUMES SURVW HE T EVARTMENT APPROVAL Sig� t o Appli „aa Date Received by ELIZABETH A. NEVILLE,MMC ��r� '� � '� Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICSFax(631)765-6145 MARRIAGE OFFICER °1 Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER " ' www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: August 22, 2018 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4640 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development LLC:'-Unit 2. Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Final approval re uq ired from the Suffolk County Health Department Signature Dated 1 Coy 'o ELIZABETH A. LLE � rown,Hall,63096 Main Roo. TOWN CLERK �� I P.O.Box 1179 REGISTRAR OF VITAL STATISTICS Southold, Now York 11971 MARRIAGE OFFICER 1 etas (891) 706.6146 REOQRDS MANAGEMENT OFFICER �� elophotio(681)760.1800 FREEDOMO TION OFFICER � sou tholdtow tujot•tltl"orlt<nel I OFFICE OF THE TOWN CLERK TOWN Of SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICA41ON CONSTkUCTION or ALTERATION PERMIT CESSPOOL r SEPTIC TANK esi Qlitil lOIgo mm _ or Non-Residential @$25 Application No. . Permit o, r App lic It Naalo .. �. ._._ .. Applicant,MailingAddress_ Brief Description f"1:Proposed Col� tr�Iotaol� Alteration� o tic TaI� „_0r Ccssocl t �, Pjo k" P Location ropos ontructio t tion: Owner of Owner Mailing,address Owner Property Address: 14 � . Name and phone number of contact person. 0 . TaxMapNo'. /01D0Station Block t �+ f , Cross fteet ' NOTE: LOCATION MAP MUST ItI MlI"'I' t WITH APPLICATION. NEVE'' CONSTRUCTION REQUIRES S ' APARTMENT APPROVAL Is Sign� hIr f Apt 'oaiit tato locoivod by: ELIZABETH A. NEVILLE, MMC "6r � �� " ; Town Hall, 53095 Main Road TOWN CLERK P.O.sox 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS �l�, W, , Fax(631)765-6145 MARRIAGE OFFICER � � ,, Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICERfa' �, OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: August 22, 2018 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4641 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor.Development LLC-bl it 3,. Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE _ DISAPPROVE frorrr tYic S'uf olk COLMt Ilc,�tltl� I)c ar•t.z��cnt Comments: Final a rvl rc .�r�cc _IT_ Signature Dated ELIZABETH A. NEVILLE Town,,Hall,68096 Main Roo. TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, Now York 11971 MARRIAGE OFFICER P", (891) 706-0146 RECORDS MANAGEMENT OFFICER %wTolophone (681) 766-1800 FREEDOM OF INFORMATION OFFICER southoldtomi.nortUor .nef OFFICE OF THH TOWN CLERK TOWN Of SOUTHOLD SOUTHOLD WASTEWATERDISTRICT Al'I'IAQAIM CONSTEWCTION or ION PERMIT CESSPOOL or SEPTIC TANK Residential l 0 _ or Non-Residential @$25 Application No. NO,141 Permit No. µ°✓ � a ' -� ApP lxct Mailing N -... _ App Septic To Cesspool Brief Description of Proposed (.otlstr�tctiott or Alteration ��!� 1, % Location of Proposed Construction/Alteration: Owner of Proporty.. -._. Owner Mailing Address:—_--- a Owner Property Address: �._fN -' -� ��, � . l Name and phone number of contact person Tac Map No: /000 roc tion /0�. a iBook Lot 003, ono Cross Street NOTE; LOCATION MAP MUST BE SUIT B W11 APPLICATION, NE`P'i' CONSTRUCTION REQUIRES SURVEYI'I I ATN N`I'APPROVAL ; pl cant � T: ttt Received by ELIZABETH A. NEVILLE, MMC °ur Town Hall,53095 Main Road TOWN CLERK � ` &"pan. P.O.sox 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICSFax(631)765-6145 MARRIAGE OFFICER � � � Telephone 631 765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: August 22, 2018 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4642 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development LLC-Unit 4. Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE L q ' from the Suffolk Count r Health Dep ulwll Ie Comments: . Final a i1,),r\ral re uired m_ Signature Dated ELIZABETH A. NEVILLE 9$ Town Hall,68096 Main Roo, TOWN CLERK P.O. Box 11.79 REGISTRAR OF VITAL STATISTICS Southold,, New York 1.1971 MARRIAGE OFFICER rax (681) 766-0146 R OQRD®MANAGEMENT OFFICER wi`olophok (681) 7664180o FREEDOM OF INFORMATION OFFICER sotitholdtowtimorthfork,nel OFFICE OF THE TOWN CLERK TOWN Of SO OLD SOUTHOLD WASTEWATER DISTRICT PPLICA"I" O CONSTRUCTION or A&BRATION CESSPOOL or SEPTIC TANK Residential l O p or Non-Residential @$25 Application No. . Permit No. . APPIic t N e t o✓ �. m ,,,. ,,.�.,.. t lxc t, ailing AddressApp _. m_ Septic,Tmk. /_or Cp ool_... ...., ..�..._� Brief Description of Proposed Construction or Alteration 7' 0 " Location of Proposed Construction/Alteration: Owner ofProl)orty:—..–,- �--JL _ w. Owner Mailing Address:— . Owner Property Address: �� .. Cc. .. .. 0 t Name phony number of con ..�� t person t�• Tax Map No; /0100 section ��. 0 t Block r Lot gy Cross Street LOCATION MAP MUST BE SUB F D WI"I "PLICATION. NEW IT ITRD, P ' ANT w µ Receivedby Signature o��&)1�Ialit Dam . ELIZABETH A. NEVILLE,MMC ^ ' '� '�� "°, Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICERS www.southoldtownny.gov FREEDOM OF INFORMATION OFFICERy OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: August 22, 2018 RE Cesspool Construction Application Transmitted herewith is a copy of application No. 4643 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development LLC-Unit 9. Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE ,f Comments: final a royaj r giro I 1"rom the SLiff"olk Cour�elth 1 artinent Signature Dated ELIZABETH A. NEVILLE Town Hall,58096 MainBoa- TOWN - P.O. Box 1179 REGISTRAR OF'VITAL STATISTICS loutlwld, New York 11971 MARRIAGE OFFICER. , ]!ax (681) 786-6146 RECORDS MANAGBMBNT OFFICER ' Telophc tie(681)765-1800 FREEDOM OF INFORM.ATION OFFICER souClio Idtow ii,northfor .nei OFFICE OF THE TOWN CLERK TOWN OF BOLD sourHOLD WASTEWATER DISTRICT APP1.,ICA"IM 01 CONSTEWCTION or A&BRATION PERMIT CESSPOOL Residential @$10µ or Non-Residential 25 Application No. . Permit No. r i Applicant Naine.� Applicant. ailingrdd ess s�I�I� . or TCesspool— Brief "�`css 1pool,.�.,�._..� .�.�_.� _ .�w_�.�.. .� _. � �. �.._�.. .mm. �....w..,�,.��.�.. S el �.,-.. .�.. 1.Irief Description of lei°olaosecl Construction or Alteration- � " i Location of Proposed Construction/Alteration: Owner of Property—__.— Owner Mailuig Address: " Owner Property Address _ , --AOL Name and phone number of contact person---- - 1 Map 0 131 _t, Tax Ma No; DOO Section Block t (,� ti.��n Cross Street e NOTE, LOCATION MAP MUST BE ;SUBMI WITH v1#1LICATION, NEW CONSTRUCTIONT TH DEPAk NT"APPROVAL Signature of Al Date ELIZABETH A. NEVILLE, MMCF Via' Town Hall,53095 Main Road TOWN CLERK � � w�� P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER u .' Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER � � "' www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER " OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: August 22, 2018 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4644 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor• Development ILC-Unit 10.. Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations APPROVE DISAPPROVE Comments: in<t] �a _ar 11 red;t rred 1torn the Suffolk Count I lcalth Q r'tncnt Signature Dated ..... _ ..... F 04 ELIZABETH A. NEVILLE Tow'%Hall,58096 Main Roo. CLERKTOWN P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, Now York 11971 MARRIAGE OFFICER Fax (681) 786-0145 RECORDS MANAGEMENT OFFICER Tolophono (681)765-1800 FREEDOM OF INFORWIATION OFFICER sout,'holdto`vn.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT AI�I�L CA"I"I � CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK esi antial l Od_pmm or Non-Residential 25 Application t4o. . Perinit No. Applicant Name .P _ 4.- y" .— Applicant .. .. lic t, ailing Adchvss :, esspool, S rief Descri tion of Proposed Construction or Alteration ,_ Location of Proposed Cons truction/Alteration: Owner of Property -- Owner Mailing Addresw.. .__ 4u _ Owner Property Address:�� i Name and phone number of contact person Tax Map No; section 01% G 131ock .,o CY Cross Street NOTE: SCK EDWI1. TION .��..�.�. CONSTRUCTION LOCATION b1AP AWST BE NEW 'I"I T . T ENS APPROVAL Si�crat ure o ,41 "c t �, _Date Received by: �iV" °i � Town Hall 53095 Main Road ELIZABETH A. NEVILLE, MMC �, �� oo a �� , t �w TOWN CLERK i P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS °� Fax(631)765-6145 MARRIAGE OFFICER � � Telephone 631 765-1800 RECORDS MANAGEMENT OFFICER , www.southoldtownny.gov; FREEDOM OF INFORMATION OFFICER 'S OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: August 22, 2018 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4645 for a Cesspool/Septic Tank Construction Permit submitted by: lli,nar l irclo pnie.nt LLC-Unit 11. Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. * * * * * * * * * * * * 1 have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Final a TEOval mrec)u red from the Suffolk County Health Department Signature Dated ELIZABETH A. NEVILLE "I`o wii Hall,68086 Main 1108, TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, Now York 11871 MARRIAGE OFFICERF", (681) 766-6146 RECORDS MANAGEMENT OFFICER � �" `l""olophoilo(681)766.1800 FREEDOM OF INFORMATION OFFICER "w " souttIoldtown.northf'ork.not OFFICE Or' THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPIA!I A°I"l.O CONSTRUCTION or ALTERATION CESSPOOL or SEPTIC TANK esiatrtil @ 10mm_ or Nan-Residential @S25 Application No. . Permit No. Applicant Name B Applicant.Mailing �l�l� �..� A.ppli D O �y 1 . Scl tto Tank-, _or Ccsspocrl-__ �� IltefDescriptiorr of"Proposed Construction or Alteration�, Location of Proposed Construction/Alteration: ' caner of PrSopert :--.�...-.�...__ . MLL�.t „ Owner Mailing Addressrc 15 A$44— � er PrOperty s:- _- - ._. 'Llv,�. . . i Name mid phone number of contact person Tac Map No: /04)0 Section /00�. G 1 Block Lo t Cross Street NOTE; LOCATION MAP MUST BE SUB T' D " 1711 APPLICATION. NEVE' I ." I ''I" INTAPPROVAL V11161 Ix y� Reov i f�' 1 tic t i:�atc ivy ELIZABETH A.NEVILLE,MMC Town Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Gig � Fax(631)765-6145 MARRIAGE OFFICER , Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ", i� ` www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER J J OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: August 22, 2018 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4646 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development arnent LLC-Unit 12. Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. * * * * * * * * * * * * 1 have reviewed the application and location reap of the project cited above and make the following recommendations: APPROVE DISAPPROVE .........� Comments: Final app Suffolk (:'otinlv Health De,artnient Signature bated"_............... _ ELIZABETH A. NEVILLE rowrn,Hall,68098 Main Roa, TOWN CLERK ! P.O. Box 1179 BEGI13TRAR OF VITAL STATISTICS Soudhold, New York 11971 MARRIAGE OFFICER Fnx (681) 766 146 RECQRD9 MANAGEMENT OFFICER `1'olophocae t081)7t1 -1800 FREEDOM OF INFORMATION OFFICER sootholdtowti,nortnhfork-not OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT CONSTliUCTION or A&BRATION PERMIT CESSPOOLor SEPTIC TANK esiontial 10 w mm or Non-Residential 25 Application leo. . Permit No. f Applicant Nati°ae t Applicant.Mailing. ddacs.. r � , l Se tta T or Cesspool iJr r._.._.�_... �...�_..._ ��. ref Description of Proposed Construction or Altorati n _ d w+11h .��..� T Location of Proposed Cons truction/Alteration: Owner of Property:-— Owner Mailing Address:--,'. w w m Owner Property Address t t r Name and phone number of contact person t m 1" a es s' block l Lot Tax Map No; � tipta " ` .��...,�_ _. �..,. ��. _..._.�._..� .....� Cross Street . NOTE; LOCATION MAP MUST BE S11111 'EV IIlt PL1CATXON. NEW CONSTRUCTIONffl AL'7 AJITMENT APPROVAL Signature o Apt 'is Date Roc,elvodby: ELIZABETH A. NEVILLE, MMC `° '�� Town Hall, 53095 Main Road TOWN CLERK � p° P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS , �,� Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS OM OREMENT OFFICER �� h� �'�'�'•southoldtownny.gov FEDOF INFORMATION ION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: August 22, 2018 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4647 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development LLC-Unit 13. Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Fin v-d required f•om the Suffglk Coaunty He alth��:rtmettl� Signature .......... Dated ELIZABETH A. NEVILLE Towii Hall,68096 Main Roo. TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS 19outbold, New'York 11971 MARRIAGE OFFICER Pa (891) 766-0145 R CQRDS MANAGEMENT OFFICER Tolophone(681)766.1800 FREEDOM OF INFORMATION OFFICER � sou 0told towuimorthfor ,net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER IST APPLICA11ON CONSTEWCTION or ION PERMIT CESSPOOL or SEPTIC Residential 10 or Non-Residential @$25 Application No. Pennit No. Applicant Nam Applicant.Mailing address Sclrtic"I'atlk . or Cesspool Brief Description of Propos Cot str rot err or Altera Location of Proposed Construction/Altoratiow Owner o Irolel ty mm . Owner Mailing Address:_—, Owner Property Addres Name and phone number of contact persont+ 61 vU/67 Tax Map No, / 0 'SCR' ion lock l t _ � C .. ®C Cross Street - .._LOCATION T BE SUIS '1" 111 111 APPLICATION. NEW CONSTRUCTION S SURVEY firI ALT J AATMENT APPROVAL w 1 a 60' cal Date Receivod6y- � ELIZABETH A. NEVILLE, MMC i"�� uta Town Hall,53095 Main Road TOWN CLERK I „ "u P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS °r ro Fax(631)765-6145 MARRIAGE OFFICER �° �� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER '° www.southoldtownny.gov FREEDOM OF INFORMATION OFFICERJm, � ' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: August 22, 2018 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4648 for a Cesspool/Septic Tank Construction Permit submitted by: Rimor Development ment LLC-Unit 14. Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. * * * * * * * * * * * * 1 have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE .m DISAPPROVE .... Comments: Finga .TrotUqT required :I i°om the Suffolk County Health Depqrli-nr nl Signature Dated ELIZABETH A. NENqLLE Town HAIL,58095 Made jt- TO" CLERK P.O. Box 1179 REGISTRAR OF VITAL STATIaTICB Southold, Now York 11971 MARRIAGE OFFICER, Fax (891) 785-6146 RECORDS MANAGEMENT OFFICER Tolophorro(681)766.1800 FREEDOM F INFORMATION OFFICER southolet(own„northfor .nei OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD sou'rHOLD WASTEWATERDISTRICT VFLICAVTIOI CONSTkUCTION or ION PERMIT CESSPOOLor SEPTIC TANK esi dntial 10 IT or Non-Residential 25 Aplxlication No. . P r°n it.Nor. Applicant Nanic_ �✓ �.V c ._..__-µ Applicant.Mailing Address e�ttcor P Cosspoolr r Brief Description o Propos Construction or Alteration P\do 0110NI r Location of Proposed Construction/.Alteration: Owner of Propert :_.��..� . __ 4A*%4- �alk Owner Mailing.A,ddres. � Owner Property Addros Name and phone number of contact personq tl�� 1 G 7 Tax Map o section tf dock t )00 Cross Street, NOTE; LOCATION MAP MUST HE SUB ED I"ril APPLICATION. NEVE' CONSTRUCTIONI E T ENT APPROVAL Signature AbDaW r b ' Received y: � �. a