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HomeMy WebLinkAboutEvangelical Lutheran Church Ifr ��Ff o�KcC, JUDITH T. TERRY ;1 O ` Town Hall, 53095 Main Road TOWN CLERK rri P.O. Box 1179 REGISTRAR OF VITAL STATISTICS % .` Southold, New York 11971 �� Fax (516) 765-1823 O MARRIAGE OFFICER �` • '1i 4 %Ng* ITelephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3149-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner EVANGELICAL LUTHERAN CHURCH Mailing Address 1 OF THE ADVENT Mailing Address 2 1100 BAYER ROAD City St Zip MATTITUCK NY 11952-0000 Property Address 1 1100 BAYER ROAD Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 516-298-4918 Tax Map No. section 107.00 block 9 lot 30.000 Cross Street MARY'S ROAD Date Of Last Pump Out 0/00/00 Issue Date: 11/19/93 Judith T. Terry Southold Town Clerk (TOWN SEAL) ' 3/V7- OFFICE OF THE TOWN CLERK cuFFO(,l( Town of Southold �� : , e4.7% Application No. 24-1- 111 Judith T. Terry, Town 'Clerk r ^N y Town Hall, 53095 Main Road -4 I $10.00 - Residential x P. O. Box 1179 __ ¢ �` $25.00 - Non-Residential Southold, New York 11971 Telephone O �O`j `• ..* (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for • OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. _ Fee $ DATE Aug. 19, 1993 OWNER NAME: The Evangelical Lutheran Church of the Advent OWNER MAILING ADDRESS: 1100 Bayer Road, Mattituck, NY 11952 OWNER PROPERTY ADDRESS: Same OWNER TELEPHONE ,NUMBER: (516) 298-4918 • TAX MAP NO. : Section 107 Block 9 Lot 30 CROSS STREET: Bayer and Mary's Roads. S.W corner - TYPE OF SYSTEM: Septic Tank New Existing S Cesspool x New Existing x Residential x Non-Residential DATE OF PREVIOUS PUMP-OUT:, - 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.) • iL0Tly ignature of AppliLa t S l=oss. h he Cl'vrcLj Co'bwc, L RECEIVED BY: S Town Clerk's Office DATE: S ,— „ , ., , ', ;•,,,1 _ , . • .,.-. . . . , •• - . ,,:i•-•:;,,,,-.- • , ' ' - BAYERROAD . „,.. ..,• N 75° 5( 50'- E 144_30, -,,,z.:,-3,.!:,,::,„:',:.,,- ,' ,,,,'',, ', ...---- 1 \E 9.5' . -•-'-.,..-':;•-", --..'', ,' . - ,'-',...-..,-,'---1-,,',',,„,,:::',;•-,..!--, . Z...- -' N.- \ 'T'T`',`,'• -•"-';': ',•:„=-:'k;4','''; ' , • -40. ' av LA, . - ' -,--,-' -:-,.r;-2 `z WALK r'.)',-:,,, .,i--, ",-, '.-'- v•-f-- - - - ',(5) ' \ E 24' • ', i'•.,:',Z; -..',-J;,,, ,`/$4,-,t•-•,,,,,,', 1,4.r-,,, -'• -,` , • ',; , •,,'",%,"::,-.4'‘1,-',.'••••,,•"';',(1. t .',%, •'‘V';',;.',7-1'{;,;,:•', ' ,` •,' ',;:,.'f.‘,Y'',•'4,?„;,:' ' , =,,,•••':,•,.•"-,fr;:"•'r ,;•-.0.-, . ,..,, 38.5. k._.,) CI 0 4 'STORY RESIDENCE N j- CC _ ,,,,„•, ( ,1- to , • ., , , , ' ,`• , , , , .' . -IV ' • ,, 606' \ . ' t..T\ (51 . 4:51 • II \ * ..., ,„ 0 0 ' c_ -13 „...,,,, , 0 -II (r) , .... • ,,. , -,,- . , ., , ,• cs)\ 0 , , >ft.,. , -,.. Li. -,'-.E ICY . ',,',,-•:-,'•V.,- • ' ,` ' 1 o- OC - ,,,,, ,,,;; ,,,,— , „..- : -,-....:,,,,,s \ 1 ., , 0 'tz:( , . ,„ , , , ',-- r' '" -'.,- ' ‘" ',4.-. , ' ' - t„ ''''-' —,.. .,, ,, c,P, A . , ' ,.:;,:::,Vp LOT -50 : #i L(I T 49 4----aF---,-- o Z • '''.4ki:. 70 2 — • ..„. .._ ..„„ . ., --,,, ,,‘,„'',.'-:.:,, \ _ ' ' '.:,,,,"_ '":-.,,--''' \ E i 8' 9 \ . FOuND 75'' 5 0, 50"W 83 50 . „ .. , . . . LOT 78 • . . . . '';',' ‘.,,:'.-,:';'•• ,,, ' ', - • ' , -'._- FM:No;,-1181,-' . ' , .; ' ,. , ,"0: .' SURVE,Y OF . , SURVEYED 17 DECEMBER 1988 ,FILE6:JUL-Y 24 1935 - . SCALE I ':•*30., 1•.:AF.,,,y'. .,:,;'-",i.,..,',,,, I - •''', ' . ;:! . , COTS ,49 a 50. , , , ,;.,:r.,,,,,,.,..;,,,,,,,,,,,,,, :•;, . ...,- ,,-.,,„":,•.:., ,- .,, - f , • ., . , . .„ .•-:,'TM '7,1,0,00= 107-9-03 J-- ' ' -.2.:':a:-:--..,*1'.--''. -: in ; • • — • 'r ,. . '-'- -AMENDED;MAR7,,OF MATT!TUCK HEIGHTS . . ..„ _•- ,-. ,.. SITUATE MATTITUCK TOWIT'OF SOUTHOLD, SUFFOLK CO N Y „ . SURVEYED FOR , ADVENT LUTHERAN CHURCH , . .. . , . . .. ;GUARANTEED TO , ,, SURVEYED BY . , . , , , ADVENT LUTHERAN CHURCH ,,, ,,,,,,.? , STANLEY J. ISAKSEN, JR. NORTH FORK BANK'Et TRUST CO. '' r'L-.:',- ;.`' , P O. BOX 294 SECUI,i'l.TY-TITLE EirGUARANTEE`. . ,,CO.', .-•,-. .-. -, • - NEW/ SUFFOL • N.Y. 11956 / I' ' . _ . ,..- -,, TOWN OF SOUTHOLD', : ''-,- ‘ .''',‘",':::P4:::,',:H.';' ' ' ' / ,,,!..:',,,,..,,,,,,,:=,,J:,--%.,-: . ”: 7.. . .,,- .,:, ',.:-....-, -.,'-• . if -...., / • i \.4.ailistr. ''' _ LICENSED L ND SURVEYOR Guarantees indicated here on sfiali run -.,, r:'1-:::,-'..1,,r':::v'c',,, - : N.YS Lac. No. 49273 - - '''- ' -,only to the person forwhomthe sorvey , " ',-:--';.C':;');',Copies of this survey map not bearing Js' prepared, on his behalf to the' . ,., 1'." '- the Land Surveyors embossed seal shall Iitle,,Faeppoycovermental.Agency, . ,1=-'----' -...,, ''-: ' ...3: 1-',-, not be considered to be a valid true '`--lendiniAnstitt;tiOn' it'listed,'hereon, :and 2''''t.."- •k,,y,, ','.-, ,, ' ' -- --- ', , ' .-, i,--,..-:.. .,‘,7,74.1.7„-:-''.,5',PY. ,. : ' „ , . ".,to:thm,gesignoesof the lending Institution: Guarantees:Ore. not transferable to' ' ' ;''''',';-'1,.,11;':. ''' - -" ''' l'nauthonzed alteration or addition to this --, 'addilionak institutions or subsequent owners. ,,,--4--,,: rvey is a violation of Section 7209 of = f L ''''''-`,'"the New York State Education Law. ' 88 R 405 , ,