HomeMy WebLinkAboutLeaden, Christopher ,, •OFFOk�'0
ELIZABETH A. NEVILLE ��_ 'y�; Town Hall, 53095 Main Road
TOWN CLERK o P.O. Box 1179
REGISTRAR OF VITAL STATISTICS v' i Southold, New York 11971
MARRIAGE OFFICER :�,fi ��e1�, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER � Ql 4•000� 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. 4041-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner LEADEN, CHRISTOPHER & LYNN
Mailing Address 1 PO BOX 1036
Mailing Address 2
City St Zip CUTCHOGUE NY 11935-0000
Property Address 1 935 FAIRWAY DRIVE
Property Address 2
City St Zip CUTCHOGUE NY 11935-0000
Owner Telephone No. 631-734-2914
Tax Map No. section 109.00 block 5 lot 14.031
Cross Street PATHWAY
Issue Date: 9/12/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
111
f OFFICE OF THE TOWN CLERK �FFO +
TOWNOFSOUTHOLD ��� �C�G Application No. tI ( 1
ZABETH A.NEVILLE,TOWN CLERK
ELI
$10.00 - Residential
P.O.BOX 1179
SOUTHOLD,NEW YORK 11971 z $25.00 - Non-Residential
Telephone 0.ijitON:"
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
RECEIVED
APPLICATION
for SEP 1 1 2000
OPERATION PERMIT Southold Town Clerk
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ /0 .0 0
DATE 775/° o
OWNER NAME: 0-h rI S I't'r E LyN/►i Zea 4
OWNER MAILING ADDRESS: IP-0 • Fox 036
CGS- rt b40 G u-is /V--Y- /7? 3s
OWNER PROPERTY ADDRESS: 935 F'A7/?e Ay PR*ire
C(A-7LfroGcccr /NO'. il937
OWNER TELEPHONE NUMBER: 6-0 735E - a9iY
f0
TAX MAP NO. : Section 1"5tri Block 0 00 S Lot ojq. 031
r7 3 s
CROSS STREET: 191-7-14 p ky
TYPE OF SYSTEM: Septic Tank L/ New � Existing
Cesspool t/ New c/' 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.)
(2,46#?-friA
Signature of App icant
RECEIVED BY:
Town Clerk's Office
DATE:
•
1 - I am familiar with the STANDARDS FOR APPROVAL ELEVATIONS REFERENCED TO AN ASSUMED DATUM S� . , .,I, 9, 012
AND CONSTRUCTION OFSUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
and will abide by the conditions set forth therein •
and on the permit, to construct. (--.\
SURVEY O ' OPR T
The locations of wells and cesspools shown hereon 0„,-ea
are from field observations and or data obtained AT CST TCH Q E
from others.
mea LOT * TOWN OF TOWNSHIP
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l S 88'59'20" E -------- MAY 24, 1999
(dwelling) ,«
el 31,0' 2� .93'
el 29.9' r '�"' 1r t
1 el 32.5' ■ r /
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LOT NUMBERS REFER TO "MAP OF FAIRWAY FARMS" 41. . . �s , LIC. NO. 49618
FILED IN THE SUFFOLK COUNTY CLERKS'S OFFICE h•����* • •
AREA = 45,883 8q. ft. ON FEB. 15, 1974 AS FILE NO. 6066. OF SECTION 7209ANY ALTERATION 0R OFAH ETIOt'4 TO ORKI S STATEEY IS A EDUCATION VIOLATION /'ECON7 ''' AIro • r1,,`�P.C.
EXCEPT AS PER SECTION 7209-SUBDIVISION 2, ALL CERTIFICATIONS O 6 FAX - � �
■=MONUMENT HEREON ARE VALID FOR THIS "AP AND COPIES THEREOF ONLY IF P. O. BOX 909
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET Q Q
WHOSE SIGNATURE APPEARS HE '0N. SOUTHOLD, N. Y. 11971 �./�/
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