HomeMy WebLinkAboutTyler, Gregory 4 �
ELIZABETH A.NEVILLE ��_ �: Town Hall, 53095 Main Road
TOWN CLERK ; h Z P.O. Box 1179
REGISTRAR OF VITAL STATISTICS s Southold, New York 11971
xo Fax
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER ` r'' Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ''�rrrr
OFFICE OF THE TOWN CLERK
SOUTHOLD NASTITIDVA9MIIIIIISPDSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4090-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner TYLER, GREGORY & SUSAN
Mailing Address 1 P 0 BOX 536
Mailing Address 2
City St Zip PECONIC NY 11958-0000
Property Address 1 80 HORSESHOE DR
Property Address 2
City St Zip CUTCHOGUE NY 11935-0000
Owner Telephone No. 631-765-4724
Tax Map No. section 95.00 block 4 lot 18.023
Cross Street ROUTE 48
Issue Date: 6/27/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
E OFFICE OF THE TOWN CLERK COFO(,t
ETH A.NEVILLE TOWN CLERK ,ZTOWNOFSOUMOLD .O CD - Application No. ✓ qB
. g < $10.00 Residential
P.O.BOX 1179
SOUTHOLD,NEW YORK 11971 ���:I $25.00 - Non-Residential
Telephone */ * 1
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERAT ION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No, A6'09 I`
Fee $ 10.00
DATE (0-0' ) ". ° 1
OWNER NAME: G EGO'k Y r-- S05 1-1N) TYC-Ft
OWNER MAILING ADDRESS: PO & K 5310
PECO/Vic IJ\'' U8
OWNER PROPERTY ADDRESS: $0 411 .S_51}0£ DRIVE
COTC+1 O6u� N y (N35
OWNER TELEPHONE NUMBER: (ra31) 1(05-47 1
TAX MAP NO. : Section ° 5 Block 14 Lot 18 • 023
CROSS STREET: (CUTE- `Eg
TYPE OF SYSTEM: Septic Tank X New X Existing
Cesspool New Existing
Residential X 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.)
i ) �►►
t(t,i. -t re of ' pplicant
1
RECEIVED BY: c`.}, <___
Town Clerk's Office
DATE: (/ (Z7 /O(
I I ,
c Fssq (-)
LOT 22 0
�E� `mosso 00 RESIDENCE
�So o o SURVEY OF
o LOT 23
N 45' 32' 05" E IN
B 46.
Li EL. 15 EL 47 3 I 289.35'
in EL. 4Z5 MAP OF OREGON NEW ESTA7ES
fecM.
4 C N SI7UA7E
C
75'
aCU TCHOGUE,
PROPOSED DRIVEWAY GARAGE w TOWN OF SOUTHOLD
75' / \ N/F MA TRICK SUFFOLK COUNTY, N. Y.
PROPO
PROPOSED RESIDENCE
SURVEYED FOR: GREGORY K. TYLER
60 TO cEssPo�; CES OOL ( "C.1_/____ }_ 3 BEDROOM nn CESSPOOL SUSAN P. TYLER
150'+ TO WELL tr. 27.5• RES.
----\,--- �(_; "OPOSEED LOCATION UNKOWN
83' To cP S PROPOSED' SE" - 78 , �`.\ ,
THI O� • 50% EXP NSIONTANK O
120
Z Nt IF NECES. ARY .
(I) ` r .
4.1 ` CM
Cf) oa
Ct ` SURVEYED 09 NOVEMBER, 2000
EL 8 4' 10 OC. WALL \`� SCALE 1"=40'
NO VEHICULAR PROPOSED ACCESS I v FOR S.C.D.H.S USE ONLY AREA= 43,201 SF
R=24. EL 47.2 WELL 47 CM' EL 4Z8 0.99101?
ACRES
EL. 483
A=39.01 •P E R— 5669.58' LIT7L • L=282. 18'
EL. T 4 . EC 4&33
B 47.60 EDGE OF ASPHALT EL. 48.17
NORTH ROAD ( CR 4 8 ) 1/MORE THAN 150' TO ANY IMPROVEMENT (RES. OR BUS.) THIS,SIDE
ZONED AC
ELEVATIONS TAKEN FROM
EAST END TOPOGRAPHIC MAPS
TEST HOLE DATA ON FILE WITH 7HE SUFFOLK COUNTY
, TEST HOLE#1 FM/6241 MI LOT 26 DEPT. OF PU, LIC WORKS
GUARANTEES INDICATED HERE ON SHALL RUN
ONLY TO THE PERSON FOR *NOM THE SURVEY EXISTING GRADE
IS PREPARED, AND ON HIS BEHALF TO THE ''\ 'iW •
777LE COMPANY, GOVERNMENTAL AGENCY, TOPSOIL
LENDING INSTITUTION, IF USTED HEREON, AND
70 THE ASSIGNEES OF THE LENDING INSTITUTION.
GUARANTEES ARE NOT TRANSFERABLE 70 it.o•
tow&osAIEt
ADDITIONAL INSTITUTIONS OR SUBSEQUENT DINERS.
Iso•
TM 1000-095-04-18.23 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEYED BY
SUFM 6241 THE IS A STATE U SEATI N N 7209 a< °`"Y STANL EY J. ISAKSEN, JR.
THE NEW YORK STATE EDUCATION LAW L0' P.D. B EX . I
FILED APRIL 4, 1975
4
COPIES OF THIS SURVEY MAP NOT BEARING sox.r GRAM NEW F OLKt NY 11956
THE LAND SURVEYORS EMBOSSED SEAL SHALL 631 3/ SNrptJ
GUARANTEED TO NOT BE CONSIDERED TO BE A VAUD TRUE
COPY.
GREGORY K. TYLER „,r \� / // ” �4/
SUSAN P. TYLER
ALLIANCE ABSTRACT CORP. LIC N•iI AND ss��// OR
NYS L 1. NO. 4927•
OOC952