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ELIZABETH A. NEVILLE �r G1 ; Town Hall, 53095 Main Road
TOWN CLERK y - ; P.O. Box 1179
v Southold, New York 11971
REGISTRAR,OF VITAL STATISTICS $ Fax(631) 765-6145
MARRIAGE OFFICER ,L
RECORDS MANAGEMENT OFFICER y_ 01 4.„0,, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER _ ,.•�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4040-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner JESTER, BURRIS J.
Mailing Address 1 P. O. BOX 824
Mailing Address 2
City St Zip JAMESPORT NY 11947-0000
Property Address 1 1855 ROCKY POINT ROAD
Property Address 2
C=ty St Zip EAST MARION NY 11939-0000
Owner Telephone No. 631-287-0772
Tax Map No. section 30.00 block 3 lot 8.000
Cross Street MAIN ROAD
Issue Date: 7/18/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
A
OFFICE OF THE TOWN CLERK Cl\ff il(/�' '"
Town of Southold s5 CQ =% Application No.40
Judith T. Terry, Town Clerk �` �� ,z
Town Hall, 53095 Main Road a -4 $10.00 - Residential
P. O. Box 1179 $25.00 - Non-Residential
Southold, New York 11971 'OO ��t`
Telephone : .� � �0li
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
OPERAT ION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ OLD)
DATE --7/ 3/00
OWNER NAME: 3L4 V°Y' S S 11
OWNER MAILING ADDRESS: r" , 6 , d X O .247
f)--yvv_Qs Q c -f 1.1_q y 7
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OWNER PROPERTY ADDRESS : / S S� f�, � - 2I YY) 1---1 ��_�
OWNER TELEPHONE NUMBER: CID (3 Lt, td..' ,.� G 3/- 7- 07
TAX MAP NO. : Section Aftj.r . Dia Block c0 3 Lot
CROSS STREET: Mt � ir/ d `t t `�
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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.)
Siglj re of Applicant
RECEIVED BY:
y t n Clerk's Office
DATE: #7 in ( (.9(-
LOT 15
VACANT
N76'54'10"E 8t WIDE FARM ROAD 337 66'
__ STAKE,
-- -- -- -- ROAD 3'f N-
oz W
N. U
CI
IN I (10:.7) t(101.5) I p i
30.3' \\ Z'
d i, (D FR yJ ��
Z , OW�`")i.D 'u\ \ (]
Q i `I'- oo ai
O Q `tis �(nQ cST��CP
/ , DECK.... z��ci5,1' , /h 1 Q
I
0 ,, LOT 16 ¢10.3' Oc2 GAR.N ////DEARTH DRIVEWAY 'Z' Q
35.4 W
C .
�,,—_--_102'_---7FUO) (101 --
7) �.7' h ` ��
O WELL v
Q
Z I INS Q. ,Z)z
ir
_ _ _ , _ 1_ )... ,
o 50' RIGHT OF WAY NAIL IN PIPE.'') 1 r');'e
' S1r 4
76'S4'10"W � 44
324.44
/ 4.4.110)1
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LOT 19 .� 0
VACANT
MAIN ROAD (S . R . 25) AREA: 54,448 Sq.Ft. = 1.250 Ac.
CERTIFIED TO: JOB NO. F2381 P�� FO C Ew�o SURVEY OF
MAP NO. 8759
RURAL DEVELOPMENT FILED: JUNE 7, 1989 co Q�G N"�RF��-4- . LOT 16 Rot O G T 00--
USDA . Q o
BURRIS J. JESTER REVISIONS: `r ,� i� , -� MAP OF I 1 -� Q
REPUBLIC ABSTRACT CORP. r- EAST MARION WOODS
UNDER CONST. 04/03/200 ! E '�
AO
EASEMENTS ANO/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED / ,0°""".% •
ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT FINAL 05/12/2000 A r °�""` _ SITUATE AT 132 'I p ., hWoy
THE TIME OF THE SURVEY. - I • _ ',� - EAST MARION Ha'.- on Bo N.Y. '4,.'46
GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON(S) FOR A /
WH11
OM
�pTHE SURVEY IS PREPARED, AND ON HIS BEHALF 70 THE TIRE COM- 4, C /�7 (631) 8-5330
PANY NOPIIt S ENMENTAL AGENCY AND LENDING INSTTTUTIONS LISTED HEREON,S TO A OF
ENKLIN t BSEo OWARE NERS s�0 ANDS��¢' SUFFOLK COUNTY, NEW YORK ORK
r Marc E. Charoet, LS
THE OFFSETS(OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO / '\ Successors to
Fi E�NOT INNiEENNDEv FOR
GUIDETHHE ERECTION�OF FENCES. RUNNING RUNTHERE-iING SCALE: 1"=50' DATE: NOVEMBER 6, 1999 Paul T. Canalizo, LS. Robert A. Kart L.S.
NkALLS, POOLS, PATIOS PLANTING AREAS, ADDITIONS TO BUILDINGS AND Good Ground Surveyors, P.C.
NA'O77-1ER CONSTRUC1OFL license no. 050149 S.C.T.M. DIST. 1000 SEC. 030 BLK. 03 LOT 8
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