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HomeMy WebLinkAboutEckert, James I'O\O'Yf F,,/�'Co ELIZABETH A. NEVILLE _ '�� Town Hall, 53095 Main Road TOWN CLERK y P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER `� .j. l��1�, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER � �Ol ��,i� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER •- � OFFICE OF THE TOWN CLERK SOUTHOLD 'WJAWIREPATBITEIMPIDSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4094-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner ECKERT, JAMES Mailing Address 1 P 0 BOX 1160 Mailing Address 2 City St Zip AQUEBOGUE NY 11931-0000 Property Address 1 1635 MEADOW BEACH LANE Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 631-722-4766 Tax Map No. section 116.00 block 700 lot 8.000 Cross Street NEW SUFFOLK AVENUE Lf-Yid ktio 2Qamidi Issue Date: 7/20/01 E zabeth A. Neville Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK �1FF0 � Application No. 7 C9 TOWN OF OOUTBMA , I4..IZABETHA.NEVILLE,TOWNCLERK .� $10.00 - Residential �,.. P.O.BOX 1179cr, SOUTHOLD,NEWYORK11971 �/ $25.00 - Non-Residential Telephone Sel t $#"/� (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ (0;06 DATE 7,491Q OWNER NAME: J,4Ne5 C. ,�GbtGT2r OWNER MAILING ADDRESS: c,a. i.3o X `/4,o Aque,B q3( OWNER PROPERTY ADDRESS: 463S- ill t...---TADok.) �c��►C/1 JL4&c /if i t zX i , N `l 6/ R S's OWNER TELEPHONE NUMBER: 63( - 7.3a- `1764 TAX MAP NO. : Section/'&,d-</Q.- -a, Block o 7 Lot Icir ® K CROSS STREET: j() Svr'Fa,c1,c 4 ve TYPE OF SYSTEM: Septic Tank r/- New ✓ Existing Cesspool ' New r 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.) Signature of Applicant RECEIVED BY: Town Clerk's Office DATE: \°,9:1 h i- 1, • ,r , e Rx ,45 LA-.31) 00' R=g0.00' 77'. * • xI x 1' a lig • S 87.07'50" E I N % ''' \qe i'-• ' . 1 0 �"4C`? TK�rc: ANK czum I µ 1 NC � 1S anyvict \LP O . —� Si.� -1��. i 1T .O • . . I UNORtwAY 54.3. • •(P O — _ 1per • . • d9 • Ii - *• / 5- k � Si _ WLa . 49:e\ xROOF OVER CONC. PORCH 113 , a1.41 le cY / ,`,{y?) SEEP }4 "I( 1 CONC. a. •' . ocf, J, o "_ / / ..a. . . . ...\ 1.0. 1 \ W W W O • WATERWATERSERVICE y • 21.9' c / .oG .,. ` / yj�� /� p� \ h,..% / / / . 4-4.% •-••,e$?, . ..0,... 40., . / i / •P • !y /\ / •Pe • •• . E� I .o • .96, F q� Il . •y cri:/' `12:tec, i '<� % \ ' I� ced ).1 „It*a i...N ,50 W • e au iw . - - .c., / Q. NA THOMAS H. A UDREY B. INFORMATION TAKEN FROM: RANCE RATE MAP No. 36103C0482 G BASE FLOOD ELEVATIONS DETERMINED AREAS OF 500-YEAR FLOOD: AREAS OF 100-YEAR FLOOD WITH AVERAGE DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN I SQUARE MILE_ AND AREA PROTECTED LEVEES FROM 100-YEAR FLOOD.