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HomeMy WebLinkAboutRyan, Stephen • dot OFFOLA'fi": ELIZABETH A.NEVILLE et Gy�: Town Hall, 53095 Main Road TOWN CLERK o P.O. Box 1179 REGISTRAOF VITAL STATISTICS 'F Fax (631) 765-6145 W Southold, New York 11971 R. MARRIAGE OFFICER ' RECORDS MANAGEMENT OFFICER =y_'flpl #08018 �� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK SOUTHOLD PWASIZEIVAMEEIRTHESENDSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4095-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner RYAN, STEPHEN & HELEN Mailing Address 1 1395 AUGUST LANE Mailing Address 2 City St Zip GREENPORT NY 11944-0000 Property Address 1 1395 AUGUST LANE Property Address 2 City St Zip GREENPROT NY 119114-0000 Owner Telephone No. 631-477-3403 Tax Map No. section 53.00 block 4 lot 44.022 Cross Street PLEASANT PLACE Issue Date: 7/24/01 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) • RK OFFICE OF THE TOWN OFSOUTHOLDE N11 FD(�'`,0 TOWNApplication No. ELIZABM A.NEVILLE,TOWN CLERK $10.00 — Residential P.O.BOX 1179 SOUTHOLD,NEWYORK 11971 $25.00 - Non-Residential Telephone _ [ , �' (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for RECEIVED OPERATION PERMIT JUL 2 0 200i SEPTIC TANK or CESSPOOL ioUrnoia levee Clerk Operation Permit No. Fee $ DATE OWNER NAME: 07/CP/fE/ / `� 1e r) F /' v OWNER MAILING ADDRESS: /39S p AI• Z. OWNER PROPERTY ADDRESS: 13 9 5 4 i s 6 rLp crd- ( '>-`A Il qy Cf OWNER TELEPHONE NUMBER: (6 3 1) C/ -7 '7 — 3 tit) 3 TAX MAP NO. : Section 6 3 . Op Block y Lot /y, C a CROSS STREET: eA s a n 7- Oa C Q TYPE OF SYSTEM: Septic Tank New Existing Cesspool New Existing Residential —j 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: wATE2 MA!N --r QOAaN SUFFOLK COUNTY A-IEALTH DEPT: II Ey-C`5. H.5.12EF. Na • • BQY ° gP'‘ c l4 ebNtG i t24 , A pNtAo L t3 0561 "AMENDED MOP FiL6 t t2 MAP OF Pt20PEGZTY (Suco- it sc�avE Foe 109 11 o 6) STEPHEN 0 $ I-IELEN F QY�IV CN 1AT CNOUSE� A25k4A/toMAQUE ��� 50TOWN OF O, N.Y.5 . te its _ •• m .z.) 0 "AUGUST AC1ZE5° m 640U5E SCALE: r= 5'O' CO uNo CONSt) ArzEA=4/,634 sQ.FT: SuFF CO. r<LE MAP N0.9107 (0.9 se AC N D = MONUMENT 4, ! 416- / g� SUFF. CO.TAX MAP OE51GNATION: Q 1,1577 1000, SECT.053,Sue 4,PrC..44.22, CHousE) . , OiN'Er2S' 40012Ess: 2� • , �,.D.i Q ( 040I NG PLAN unauthorized dt�h�+n n.McMinn ',' i to this survey is a violation of W -_ k q TEST 1"IDLE Section 7208 of the New York State Q .. . 3 _ 4sim. �jrlowfdi b. 0 ® 4 O ' Q Education Law.• _ ___. a � 4 0HCaUSO a copies of this survey map not t>affiityO „\ to73, _ .-L the land surveyors inked seal or 1`�� ' • embossed seal shall not be considereds j4A:, = tbw to be a valid true copy. • O 111111 T in _ ..N. _ !A. , pCO , Guarantees indicated I+ereon shay nm `�� 2 `` ' . ( ALS only to the person for whom flue survey 41 ' v�1. w N e• 7.7 [ T.Z '! is prepared.and on his behalf to the , !L k� i I -- er dropkuntitution Rsmted�herreo�:a1� $.Taauc C3) Gf�t�Ol. Q totheaeefpnee.orthelendirWka6s+don.ELEVATION DATUM: � /4 7 -1—>`— r 111 0 Guarantees are not traruferaWa MER1�!ffEA LEVELoNGVD) 3 R GeoXlnto wgt7E¢ O Jto additional institutions or subsequent owners. I 1 �t j r ., AAA' J 2EV1510145: RP2. 12,200O;JUNE!S, ZO. SSE o LA N G sv I M N/43 09'40”Vel. — 15C. 0 2!2-05 6UAe4NTEED 7a STEPHEN O e HELEN F QYAhi; ll l» Jug y �, LE►w,�� 9L�� �' 8 1cYATEQ MAIN 1� ULSTE2 SAVINGS SANK;COMMQNtMEALTH LAND O �j b/ TITLE INSU2AWCE Co.,AS SLeVEYED 5EPT. 13, (9 W to - �O \;i+1 . CA 9 b/ AUGUST L AcvE (11 * f.. i, ;., . i; 7 j A(VTE-0NY W L EWANDOW51k/ z - �; 4 �, L 10EN5ED LQ,tilO ScJQV YOQ �,,+j,,.� j / ' 0 © 0 p o. Box 44s t (Haic15E PLEASA SOUT140L.0, IDLY_ 1197/ F' ,wew i 0• ' UND. CONST. PLACE (Nouse) (VACANT) FS3o Loc.Audis r 1 . øo .� ,.