HomeMy WebLinkAboutHands -- o SUFFo`�cQG
ELIZABETH A.NEVILLE _� 'y� Town Hall, 53095 Main Road
TOWN CLERKy - P.O. Box 1179
Southold,New York 11971
REGISTRAR,OF VITAL STATISTICS
MARRIAGE OFFICER Fax(631) 765-6145 Q
RECORDS MANAGEMENT OFFICER Q! ��®� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWIS OF SOUTHOLD
SOUTHOLD WASTEWATIE.R DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
operation Permit No. 4243-R Residential x Non-Residential
Fee $ 10.00 New x Existing
Name Of Owner HANDS III, WIL IAM
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Mailing Address 1 PO Box 624
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Mailing Address 2
-------------city St St zip ORIENT NY 11957-0000
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Property Address 1 1025HILL CREST DRIVE
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Property Address 2
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City St zip ORIENT NY 11957-0000
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owner Telephone No. 631-323-3821
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Tax Map No. section 13.00 block 2 lot 8.008
Cross Street ROUTE 25
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Issue Date: 1/28/04 Elizabeth A. Neville
-------- Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK
TOWN OFSOUTHOLD O� G Application No. y�7
ELIZABETH A.NEVILLE,TOWN CLERK
.G $10.00 - Residential
P.O.BOX 1179 cn
SOUTHOLD,NEW YORK 11971 • $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 $ 1
DATE J )L �I
OWNER NAME: A t-
d5
OWNER MAILING ADDRESS:��
OWNER PROPERTY ADDRESS:
OWNER TELEPHONE NUMBER: 19j) " '3-2,-3 "'-3 �Z I
TAX MAP NO. : Section (�7 �� Block Lot
CROSS STREET: (Z'�'
TYPE OF SYSTEM: Septic Tank New / 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.)
Loe
Signatu o Applicant
RECEIVED BY:
Town C erk's Office
r'
DATE: l y � ,� e' . 7 S
I
5URVEY OF LOT 6
MAP OF HILL GRE5T E5TAT`E5 Lot
- 5EGTION ONE pI,
FILED AU6. 15, 1183 vacant
A5 MAP No. -218
51TUATE: ORIENT
TOWN: 5OUTHOLD N47022'1011E 267.00'
5UFFOLK COUNTY, NY e I 35'
e I 35' 4
SUFFOLK GOUNTY TAX LOT el 33' N
' \
# 1000 — 13 - 2 - 8.8 + o y
SURVEYED - - - - - - - -
10-23-02 F - - - - - - - - - - - - - -
CCIER°II°IDFl D TO: I it ` I J
WILILILkmIHANDS I PIROP05ED DRIVEWAY
Test Hole # 4 N I r �` CA
from Filed Mop
i J I I EP1
Top Soil —0 /
1' I ST 9
sanam 4 < a
La o Zl (LP) s
CD I >m
a 60' (T
I s Lot
QN
me
sand j rn
with 15O-
--------- I II ~ -a
Layers I __ - I Q
It. I
OF —
y W r w a6 I I
ua �
O I P(ZOP05ED 'i I I y
8 I WELL {
L — — — —building envelop)i — — — — — — — — — — — — — — —
N
{ Q el 31' el 31'
13
el 2-f'
547022'10"W,, 267.00'
:t
I
I
i
vacant
NOTES: pF NES,
j Lot
CoA- ma"unau thpr izea alterat 1pn o add 1[111 to a vey
p bearing a licensed land surveyor s sealsi
■ MONUMENT 01st ion of section 7209 sub-d-ision2 ofsthe
i New York State Education Law
O PIPE /o f drily eoples from the prig lnal of t„is sur
ea
f f f marker wits an obe coons of t„e Lantl sur
I � / stampetl eal hall be ldered i1 be valltlytrue
f1 eoples”
O "Certifications lndicatetl hereon signify that this
AREA = 40,050 SQ FT OR O.G2 ACRES a1 Yay was prepared In appprdanpe wit„ the e.
50202 J fisting Cotle of Practice for Land Surveys adapted
^y� by the New York State.. for
aLand of Professional
ELEVATIONS REFERENGE SUFFOLK GOUNTY TOPO MAPS O r Lantl Surveyors Sa Id cWrtificatlons shill run only
LAND cJ to the person far hom the s vey preparetl
antl on his behalf to the title company governmen-
tal agency and le no ing institution listed hereon and
to the assignees of the lending institution Cart iflca-
IF CLAY 15 FOUND IN THE LEAGHING POOL AREA IT MUST BE ulna are net transferable to additional Inet.tut—a
EXGAVATED AND REPLAGED WITH GLEAN SAND TO PROVIDE
A MINIMUM 6PENETRATION INTO NATURAL SAND.
JOHN Ca IEHLE S LAND SURVEYOR
6RAPHIG SCALE 1"_ SOj 6 EAST MAIN STREET N.Y.S.LIC.NO.50202
RIVERHEAD,N.Y. 11901
369-8288 Fax 369-8287 REF.-HP SERVER/D/PROS/02-311