HomeMy WebLinkAboutDiffley IP
I" IF Wit
JUDITH T. TERRY /O® G� Town Hall, 53095 Main Road
TOWN CLERK i P.O. Box 1179
REGISTRAR OF VITAL STATISTICS : T ; Southold, New York 11971
MARRIAGE OFFICER y �� Fax (516) 765-1823
Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 1693-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner DIFFLEY, GERARD AND KAREN
Mailing Address 1 180 PINE STREET
Mailing Address 2
City St Zip MATTITUCK NY 11952-0000
Property Address 1 220 PINE STREET
Property Address 2
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. 516-298-4393
Tax Map No. section 141 .00 block 1 lot 28.000
Cross Street YOUNGS AVENUE
Date Of Last Pump Out 0/00/00
Issue Date: 5/22/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
VFFICE OF THE TOWN CLERK CO /
Town of Southold � •..� 42 Application No. / c 93
Judith T. Terry, Town Clerk y
Town Hall, 53095 Main Road ^;Y .- } $10.00 - Residential
P. O. Box 1179 u' '.ryi $25.00 - Non-Residential
Southold, New York 11971 O ` ® '
Telephone 1
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. /493
Fee $ Jo_ d d
DATE � /”/
OWNER NAME: ja re,, ., e Q,-� 2) 1 Fr/e L/ -
OWNER MAILING ADDRESS: /�v
f'T II?S'-2-
OWNER PROPERTY ADDRESS! A d
l 7a 7' c1c Arr I�95�
OWNER TELEPHONE NUMBER: m/6, a9,' - 7393
TAX MAP NO. : Section / 1 Block / Lot .2_Et
CROSS STREET: ynti.Nr vin. c{e "- hi-orho Id A. ve IVLiP
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New Existing
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT:
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.)
RECEIVED e
MAY171991 Signature of Applicant
Towne
RECEIVED BY: ��� -4 -I
Tow , Cle' 's Office
DATE: -5/ 7/9/
1 �I
t -
t z
A4y
'10 4O
cm
�`'�k�•
s� `'..t ve`494...,:.'1-
A0 4
F R
ii' T 4
`` / % °,b
y?• ti•, s,- O°
10
o�
4 4�' c� a d 5t m rY,�
2 otic , b� �. a ah /• ao
qp
o \
qt
�
�a �ti \°- ,Q,.
Cr'
of
4,4
03 ,_
s /
•s* 0
'e
• / / 0 pO •
A/4. 2O y, ,•h,,/ tiP
i o Qv
F
P
SI.%' 9 h, 0r00
Si. pv
�1 \ -
CERTIFIED TO :
' 1
AOUEBOGUE ABSTRACT CORP.
LONG ISLAND MORTGAGE
GERARD E. DIFFLEY
KAREN L. DIFFLEY SURVEY FOR
GERARD E. DIFFLEY
13
KAREN L. DIFFLEY
AT MATTITUCK ,
• TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y
1000 — 141 — 01 — 28
SCALE I" = 30'
. FEB. 28, 1986
.\,,..pf NEW y0
�•sQ. QµA.IhaE 9i.
1 qyO
sm q�
Y `4`S Prepared in accordance with the minimum
r+lr j standards for title surveys as established by
`tel(-0 ' / the 41.A.1.S.and approved and adoptid
i N.Y.S. LIC.NO. 49668
��ii for such use by The Now York State Land
• " u....„4354.04.4,...m.„
t E YORS 8 ENGINEERS,P.C. Tale Association.
(51 - 020
P 0. BOX 909
MAIN ROAD
SOUTHOLD, N. Y. 11971
86 — 153
•
/
IT