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ELIZABETH A. NEVILLE �e ?�: Town Hall, 53095 Main Road
TOWN CLERK ; y • P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER Fax y l��1, Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER —791 jig .3 ,o Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICERi
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4065-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner SPONZA, FRANK & AMIE
Mailing Address 1 141 CENTRAL AVENUE
Mailing Address 2
City St Zip GREENPORT NY 11944-0000
Property Address 1 63980 ROUTE 48
Property Address 2
City St Zip GREENPORT NY 11944-0000
Owner Telephone No. 631-477-2972
Tax Map No. section 40.00 block 3 lot 3.004
Cross Street QUEEN STREET
Issue Date: 12/26/00 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
y(Ca5
OFFICE OF THE TOWN CLERK AV M/r _
TOWNOFSOUfHOLD �, CO AppliEation NoraNWF___,
1 .IZABETH A.NEVILLE,TOWN CLERK $10.00 - Residintia I '(
P.O.BOX 1179
En
SOUTHOLD,NEWYORK11971 �i $25.00 - Non-F esidential
Telephone g/ * 0:0°.
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
DATE ��- �lG0
OWNER NAME: Vrar\ K £ `Am i e_. Sporizo�.
OWNER MAILING ADDRESS: ILL l Cir+Co P4-v€-
OWNER PROPERTY ADDRESS: (039, 0 R4-e_�•k.8'
G-v-e_tate-tpor+j IUP a '
OWNER TELEPHONE NUMBER: `- -77--,Z97a.C7 3
Y 'AJ
TAX MAP NO. : Section 1 ULM- Block Lot Q �
CROSS STREET: beiWte.n. C LU Y cc + '�" kthnia,2.1
TYPE OF SYSTEM: Septic Tank L/ New ✓ Existing
Cesspool ✓ New ✓ Existing
Residential V 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.)
Signature of App ant
RECEIVED BY:
Own Clerk's Office
DATE: /7,1--- �-/A,C5^
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SURVEY OF •
TM 1000-40-03-03.4 LOT# 1
IN
ZONED R80 SURVEYED: 14 DECEMBER, 1999
OF SCALE 1"=50'
ELEVATIONS SOURCE: AMAROY ACRES AREA = 61,536 SF
SUFFOLK COUNTY D.P. W. AERIAL TOPO 'OR
1.413 ACRES
GREENPOR T, TOWN OF SOU THOL D
GUARANTEED TO SUFFOLK COUNTY, N. Y. '
NOTE: NO RESIDENCE WI THIN
150 OR AS NOTED
FRANK B. de AMIE L. SPONZA
SURVEYED FOR: FRANK B.& AMIE L. SPONZA
FIDELITY NATIONAL LAND TITLE INSURANCE CO.
TOWN OF SOUTHOLD
I
li,t
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12' KM N/S CR48
NORTH ROAD COUNTY ROAD 48 3
7 Z NOTE CONC. PANELS 8" WIDE ASPHALT COVERED
N 53' L EDGE oOF ONC. PA VT , N 52' 37' 20" E
QUEEN ST.
3• 134 .4 •0' EDGE OF ASPHALT PAV'T 120.9 ' 622.73� —��
MH 0Cp�//y y n�RHE.ALZ MIRES --•a-- P_HAL T/ED NYT .
cROAD SIGN LML.POLE ►p 130 , iii
S 2.2' ,
I.
15' / •
n1 11 RAY •
•
IW (30' TOTAL) Illb— • i.
k2 •
W POLE
IW / E
ti
1.2
/ t-
N/F
LEONE /
CELLAR ENT.
CHIMNEY / At _
c 84.6' A• ,' / �e
Li J e CONC �� CESSPOOL
1 1/2 STORY (sMI . ,s•;
co WOOD FRAME 2.0' N l • 4.–
RES. 33.2 CESSPOOL
4. 10.0 SEPTIC l
.. TANK / / /
93. N GARAGE N 922.
LOT F
?5.4" .` r
DRIVEWAY h0
S61' 31' 10., / (9 r
Pi/
197 57' FD 17.
LOT 3 IP
• LOT4
SANITARY LOCATION AROVIDED BY OWNER.
`' 0 2a94_ �vt•.rl�._.g(U -00 000_3
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s;,..,._ :.!`‘'7, i�.p',r.1nc1'o. .. . .,: .: . :.d found to
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..:-.:"%hrt311. ,3 . , �1 ;.V; )F , R,D,,r,.
^x 'SURVEYED BY
Cosset,P,E•, } _ STANLEY J. ISAKSEN, JR.
0fmce o v ,. ,l`r'11ssu"wateT ., P.O. BOX 294
NEW_ UFFOLK NY 195>
___�____._ ___ ._ 631 !734- 5. / I
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ICENSi LAND, s.0 r YOR°
NOTE: 1. 31 MAY, 2000 LOCATED POURED FOUNDATION . NYS L r. NO.. 492 A
2. 22 NOVEMBER, 2000 FINAL SURVEY . 99C825