HomeMy WebLinkAboutPeyton, Tom ,14,• sufFour
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ELIZABETH A.NEVILLE "reGy Town Hall, 53095 Main Road
TOWN CLERK 2 H Z P.O. Box 1179
ftEGISTRAR OF VITAL STATISTICS v'
Southold,New York 11971
MARRIAGE OFFICER `;�1i el Telephone
Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER = �Q 4>i. Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ��'� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4233-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner PEYTON, TOM
Mailing Address 1 60 STRATMORS OAD
Mailing Address 2
City St Zip EAST MARION NY 11939-0000
Property Address 1 60 STRATMORS ROAD
Property Address 2
City St Zip EAST MARION NY 11939-0000
Owner Telephone No. 631-477-8558
Tax Map No. section 21.00 block 1 lot 9.000
Cross Street ROCKY POINT ROAD
Issue Date: 1/28/04 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK C3�FFU�
TOWNOFSOUTHOLD �� � COIj Application NoY0233
ELIZABETH A.NEVIIJ.F,TOWN CLERK
P.O.BOX 1179 $10.00 - Residential
%1 $25.00 - Non-Residential
SOUTHOLD,NEW YORK 11971 $
Telephone _4j -RD- •
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATE
OWNER NAME: TO ? ,111-0s43
OWNER MAILING ADDRESS: 60 5 n-mors 2 D
e. (4ft4.50
OWNER PROPERTY ADDRESS: 60 STR,(�TY1 ?It3
f. Wile—M/0
OWNER TELEPHONE NUMBER: tfl7-a SS-s
TAX MAP NO. : Section g ( Block b ( Lot U 9
CROSS STREET: }pO\r 1-1J
TYPE OF SYSTEM: Septic Tank New X Existing
Cesspool New t? 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.)
• ure of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
eAf,,4/1 -#0.2 9E(3
r
Air M• II
.
11
SURVEY OF
LOT 4
MAP OF
STRATMORS ESTATES
4" FILE No. 3723 FILED FEBRUARY 20, 1963
SITUATED AT
LOT® 1 o' • O EAST MARION
195 11 �1•
CI TOWN OF SOUTHOLD
Eos of 00 —ism SUFFOLK COUNTY, NEW YORK
1T E LT S.C. TAX No. 1000-21-01 -09
•
ci N 79.44' SCALE 1"=40'
a+►111 10( 17"' r \ o OCTOBER 3, 2002
14icE _ 1�
1-t MARCH 21 2003 FOUNDATION LOCATION
1' A3•:�—— `� OCTOBER 9, 2003 FINAL SURVEY li
a ..e�• - I •-- O
„ 14 AREA = 20,588.64 sq. ft. i
s 4-1 0.473 ac.
AMN
>r TORY
)
Ls—. 4 1e.o1 & GARAGE 43s' _- •
v. NOUSE t.2. 3 . •
LOT O o a
$
12°
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Id
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o_ VINE 9 80.00
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1
_ �:I S~82.54'40 W ` 41, —oRAx+
f2 . 4 oRs ROAD
sTRATM
- -- LOT O
9 PREPARED IN ACCORWNCE 7 maim
STANDARDS FOR TITLE ! _ ESFABINTIED
BY THE LIAL.S.AND I AND ADOPTED
LOT O CERTIFIED TO: 11• TE RAND
y., 4 li
LAWYERS TITLE INSURANCE COMPANY "�` �',;
NORTH FORK BANK �` %,
• THOMAS B. PEYTON r
`t y'1�l.Y.S. Lic. No. 49668
t
UNAUTHORIZED ALTERATION OR ADDITIONTO DNS r i"
SECTION 7200 ES
IWW YORK STATE n- _. n
„� Josep A. ingegno
COPIES of THIS SURVEY YAP NOT RIEAR111G 'l.
OR I
TO SE A VALID TRUE TCOPY.
THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BEIDERED
Lid urveyor
CERTIFICATIONS INDICATED HEREON 4411 RUN
ONLY 10 THE PERSON FOR WHOM THE SURVEY
IS PREPARED,AND ON HIS SENN,TO THE
IDE
MANY,oovata
umiortx AGENCY AND)IERE0 MID nue — Subdh*Abne — Site Plans — Construction Layout
umeacAMON. TION AiE MRSANSFERO/E. PHONE (631)727-2060 Fax (631)727-1727
THE EXISTENCE OF MGM OF WAYS OFFICES LOCATED AT ANIUNG ADDRESS
AND/OR EASEMENTS OF RECORD. IF
ANY, NOT SNOW ARE NOT GUARANTEED. 322 ROANOKE AVENUE P.O. Box 1931
RNERHEAD, New York 11901 RlvwMud, New York 11901-0966
22-405b
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