HomeMy WebLinkAboutDelane "���®e If FOL4-
ELIZABETH A.NEVILLE ����,�® ` �y ; Town Hall, 53095 Main Road
TOWN CLERK
1 = : P.O.Box 1179
2 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS 1,� Fax(516) 765-1823
MARRIAGE OFFICER :` sfi �1
RECORDS MANAGEMENT OFFICER -�®1 - �a® ii Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER - /����
-eases .o'I
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3778-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner DELANE, DONN-PAUL & PATRICIA
Mailing Address 1 865 WHITE EAGLE DRIVE
Mailing Address 2
City St Zip LAUREL NY 11948-0000
Property Address 1 865 WHITE EAGLE DRIVE
Property Address 2
City St Zip LAUREL NY 11948-0000
Owner Telephone No. 516-298-1874
Tax Map No. section 127.00 block 9 lot 23.000
Cross Street LAUREL ,WOODS ROAD
Issue Date: 3/23/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
•
eoI
OFFICE OF THE TOWN CLERK 1���FpA.0''-
Town of Southold � �Q Application No� /
Judith T. Terry, Town Clerk -
~ c—
Town Hall, 53095 Main Road '; 4 1 $10.00 - Residential
P. O. Box 1179 U' t :r: i ;' $25.00 - Non-Residential
Southold, New York 11971Q ` ,; *-$
Telephone 10 `A(9 1
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. j 7 L/R
Fee $ 25-
DATE L-) /c0/9S
7�
OWNER NAME: bD f l-PbUJ `I'G� I�C� De,)
OWNER MAILING ADDRESS: -
►�
�s tUh i te:Or.
JFK
)"
� � r I rl� 4-0
VV
OWNER PROPERTY ADDRESS: h1 Eoc /e., Dr: L_b-1- 03
L urte! did ji* gLi- ?
OWNER TELEPHONE NUMBER: QQ /5.3 � 29P-a/21-72)
)
TAX MAP NO. : Section 1 V7 Block q Lot 9 a
CROSS STREET: Latire,, Woods RA
TYPE OF SYSTEM: Septic Tank New X Existing
Cesspool ,c 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.)
419L.4_44:60
Signature of Applicant "
RECEIVED BY:
Town Clerk's Office
DATE:
AREA 40 112 S Q . FT N. Y
FF EL. 735 I .
*U
CAP_CAP_ E c 71 5
Ct
O/'�
, IJ
z
vacant Q vacant
U
........."
con c curb
o (WHITE EAGLE- DRIV E(70 o)
IS 32 °33' 42"E • 184.00'
603 00' (76.1) (70,3)
13
O O , I\ "1 p
W O' ap \� 40
N a-
_ N
1 I ��
' (71+5 •
(71s) ` 1
o .o
r0
Cr Prl, 'i -----1--- Z p'
J 1:...,,,,c ii
4
4 (71 ,1 1— - -- ic__ (7/S) V
CV
N
(V
LY
E W
W CO
CO 2 .
c c
z 0
, o D v
u Z ,
0 W 0
> CO I- >
EO 0
0
-J L0 J
LD PPoP W Eu- CM
N • o
0 N
Ln
Z N
( k*•4) N . 32° 33' 42"W. 1 84 . 00 ' ( 6-.5)
NOW OR FORMERLY RASWEILER
vacant
WE OFNSETS (OR DIMENSIONS) GUARANTEES INDICATED HEREONJOB NO. 9 7 - 3 19 FILE NO. GOLDEN VIEW EST
/MOWN HEREON FROM THE SHALL RUN ONLY TO THE PSFaON SURVEYED FOR
,STRUCTURES TO THE PROPERTY FOR WHOM THE SURVEY IS PRE-
LINER ARE FOR A SPECIFIC PUR- PARED, AND ON HIS BEHALF TO LOT NUM BER 23
POSE AND USE AND THEREFORE THE TITLE COMPANY, GOVE4-
ARE NOT INTENDED TO GUIDE THE TAL AGENCY AND LENDING INSTI- M AP OF G O L DEN VI EW E STATES
-ERECTION OF FENCES, RETAINING TUTION LISTED HEREON, AND TO
NAILS, POOLS, PATIOS, PLANTING THE ASSIGNEES OF THE LENDING
AE'tAS, ADDITION TO BUILDINGS INSTITUTION GUARANTEES ARE
OIFAN'OTHER CONSTRUCTION NOT TRANSFERABLE TO ADDITIONAL SITUATEDAT
INSTITUTIONS OR SUBSEQUENT LAUREL -
JNAUTHORIZED ALTERATION OR OWNERS
ADDITION TO THIS SURVEY ISA TOWN OF S O U T H O L D , SUFFOLK COUNTY , N Y
'IQLATION Of SECTION 7209 Of •_.`. Of THIS SURVEY MAP NOT
I-E NEW YORK STATE EDUCATION -• N'1,-- LAND SURVEYOR'S SCALE 1" 4 0' DATE 7 - 2 4 - 19 97
AW. ' , `E S' ..."L i... EMBOSSED SEAL
,'(� U L ' A • NO,c,:(DEWED TO BE
le A
GUARANTEED 0 / Y 'O • % c
v0 02 TAX MAP NO. 1000-127 - 9 - 23 (REF. ONLY) DISK 170
HAROLD F. TRANCHON JR. P.C.
!. ...4,q,: LAND SURVEYOR
�n�
-,,,<,.... 4, (74F3`�gq, o SUCCESSOR TO WILLIAM G. METER
1866 WADING RIVER-MANOR RD. WADING RIVER,
i"- .y0-4( / � N� NEW YORK, 11792
N.Y. LI . N . 048992 516-929-4695
HAR LD F. TRANCHON JR. PENN. LIC. NO. 21115-E
No 100 798