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HomeMy WebLinkAboutPfister 1 ELIZABETH A.NEVILLE cm Town Hall, 53095 Main Road TOWN CLERK ti g P.O. Box 1179 REGISTRAR OF VITAL STATISTICS O Southold, New York 11971 MARRIAGE OFFICER cif' S ®�� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ®1 �� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE O� THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4278-R Residential X Non-Residential Pee $ 10.00 New X Exislting Name Of Owner PFISTER, JAMES & CATHERINE ------------------------------ Mailing Address 1 190 GILLETTE DRIVE ------------------------------ Mailing Address 2 ------------------------------ City St zip EAST MARION NY 11939-0000 -------------------- -- ---------- Property Address 1 770 KENNY'S ROAD ------------------------------ Property Address 2 ------------------------------ city St zip SOUTHOLD NY 11971-0000 -------------------- -- ---------- owner Telephone No. 000-000-0000 ------------ Tax Map NO. section 59.00 block 3 lot 17.005 ------ --- ------ Cross Street COUNTY ROAD 48 ------------------------------ ---------------------------------- "lssue Date: 3/10/05 Elizabeth A. Neville -------- Southold Town clerk (TOWN SEAL) i' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD 0�, C� Application No. ELIZABETH A.NEVILLE,TOWN CLERK $10.00 - Residential P.O.BOX 1179 SOUTHOLD,NEW YORK 11971 l • $25.00 - Non-Residential Telephone - �� '(516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ DATE j OWNER NAME: ff �(.� s CA l1el V • ?- -t S+-C r OWNER MAILING ADDRESS: go C I qe# T)1 1,W-c 04 11935 OWNER PROPERTY ADDRESS: -770 �S �e)Q-d Sou+ ) d . �I g I 1 q-? OWNER TELEPHONE NUMBER: TAX MAP NO. : Section q Block Lot RTYPECROSS STREET: C-R- TYPE OF SYSTEM: Septic Tank New L, Existing Cesspool New Existing Residential Non-Residential LOCATION MAP: Must be attached hereto before permit may be issued. (Locate building and system; give north arrow and feet of distance, approximately, to building and closest road.) J Signat re of Applicant RECEIVED BY: 6wn Clerk's Office DATE: 3 , r 3 (116.50' MAP) S 41057' 30" E 116. 38' 3�•° 3(..0 4 5 ' W Z tL OD • i3 !, ' v , W 41.7' lu N ( A) / SToR� FR/3ME v srR EC 4-Z.7 ®. GAS• �.4a. 7 C lS•7`dam'. �tl 21.q �' r '� 2.4.3� q.8 we�o � /S•3 t r'oO � W W s Y O O - N r` z O 34. 10 O W 0 0 35.5 w z Q ° O O I 3Ih 1� ¢a Z • 35.E N 41° 57' 30" 1W 177. 30' 705.05' Nyrg o-NYt7 ►}Yo. � KENNEY ' S R AREA: 79, 99e' a 1.836 ACRE UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 SUBDIVISION 2 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON AND TO THE ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS%R SUBSEQUENT OWNERS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY THE OFFSETS OR DIMENSIONS SHOWN HEREON,FROM THE PROPERTY LINES TO THE STRUCTURES,ARE FOR A SPECIFIC PURPOSE AND USE;THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES,ADDITIONAL STRUCTURES,OR ANY OTHER IMPROVEMENT ' i PUBLIC WATER AVAILABLE X; WELL WATER ❑; INDIVIDUAL SANITARY SYSTEM 10; SANITARY SEWER COLLECTION SYSTEM AVAILABLE ❑ ELEVATIONS TO DATUM: OFFSETS TO FOUNDATION: UTILITY EASEMENTS IF ANY NOT SHOWN' U.S.STD.MEASURE SURVEY-OF: LOT 5 — MAP OF SUBDIVISION MADE FOR CERTIFIED TO: ARGIRIOS PAPADOPOULOS S GEORGE MARAGOS FILED 13 SEPTEMBER 1988 FILE NO: 8612 S.C.TAX MAP: 1000 - 59 - 3 - 17. 5 SITUATED AT: S O U T H O L D TOWN OF .SOUTHOLD SUFFOLK CO., N.Y. © COPYRIGHT 20011 BY : PHILIPP A. HATTEMER JR. LAND SURVEYOR - EAST PATCHOGUE9 N.Y. 11772 TEL. 286 2112 FAX 286 - 3808 v SCALE: 1 ■ s 60' FILE NO. 1040 DATE: 8— 18-12001 N.Y.S.LIC.NO. 4-74-12 f FO-UNDTION LOC. 9- 26=2003 FINAL : 9- 20 •- 2004