HomeMy WebLinkAboutSilleck, Charles .00
ELIZABETH A. NEVILLE = OGyd; Town Hall, 53095 Main Road
TOWN CLERK - P.O. Box 1179
yy, ; Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �- Q Fax (631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER =y_'flpl �a� ii�, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER r��� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4134-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner SILLECK, CHARLES W.
Mailing Address 1 650 EAGLE NECK COURT
Mailing Address 2
City St Zip LAUREL NY 11948-0000
Property Address 1 650 EAGLE NECK COURT
Property Address 2
City St Zip LAUREL NY 119148-0000
Owner Telephone No. 631-298-8839
Tax Map No. section 127.00 block 9 lot 6.000
Cross Street WHITE EAGLE DRIVE
Issue Date: 3/15/02 --- - - -
/•�' �� � � Jr� ----
outhold Town Clerk
(TOWN SEAL)
4
OFFICE OF THE TOWN CLERK �FFO
TOWN OF SOUTHOLD ��� ��Olj=; Application No. 13
UZABETH A.NEVILLE,TOWN CLERK $10.00 - Residential
P.O.BOX 1179 •
SOUTHOLD,NEWYORK 11971 �/f $25.00 - Non-Residential
Telephone ,e1 i `gees ,./
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATE 03)13)67-
OWNER NAME: e)-1 `RLE s 1.D. S)‘\G-c.v.
OWNER MAILING ADDRESS: ( 5o ESE Ne,T Cvvi-r
J,4vRG�, IL.Y. i)9Ve
OWNER PROPERTY ADDRESS :
OWNER TELEPHONE NUMBER: (43'1) fir('- ' 3.cj
TAX MAP NO. : Section 1 -1 Block Lot (,
CROSS STREET: Lo -z-6 6- ,l,6- -3)12.\\,)6"TYPE OF SYSTEM: Septic Tank New 1// 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.)
_�� A_
Signature of App icant
RECEIVED BY: •
Town Clerk's Office
DATE: C3 /5 V2.-
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SURVEY OF
LOT 6
MAP OF
GOLDEN VIEW -i;STATES
FILE No. 7770 FILED AUGUST 30,19841`
-9,0 SITUATED AT
°-,/ LAUREL
9 TOWN OF SOUTHOLD
°T SUFFOLK COUNTY, NEW YORK
�� S.C. TAX No. 1000- 127-09-06
� �ao �-p°s SCALE 1 "=30'
,o MARCH 13, 2000
oia MARCH 29, 2000 REVISED SURVEY ,4
MAY 10, 2000 ADDED ADDITIONAL WELL & CESSPOOL DATA & REVISED PROP. HOL
AUGUST 2, 2000 ADDED WATER SERVICE & REVISED PROP. HOUSE
0, ) JANUARY 8, 2001 REVISED PROPOSED HOUSE
'� ,dj JUNE 5, 2001 FOUNDATION LOCATION
'C� ,� JANUARY 17, 2002 FINAL SURVEY
�� �� FEBRUARY 7, 2002 ADDED SNOW FENCE
FEBRUARY 23, 2002 UPDATED SEPTIC SYSTEM MEASUREMENTS PER CONTRACTOR
� ftP
i(E S \-Pofo� AREA = 47,816.89 sq. ft.
°�y y Y-� O 1 .098 ac.
v� ��'/ l' \-1-1�i?, NOTES: 4
I O i ,� 1. THIS PROPERTY IS IN FLOOD ZONE X
_I --,..,s,--.. �0 FLOOD INSURANCE RATE MAP No. 36103C0483 G
/ .p °Z S� Q� ZONE X: AREAS DETERMINED TO BE OUTSIDE 500-YEARS FLOODPLAIN
7 < `� O V' 2. S.C.D.H.S. REFERENCE No. R10-00-0083 •
`0��// O i� C.`," 3. SEPTIC SYSTEM MEASUREMENTS PROVIDED BY CONTRACTOR
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��'p� �� CERTIFIED TO:
1.
COMMONWEALTH LAND TITLE INSURANCE COMPANY
G.
WELLS FARGO HOME MORTGAGE, Inc.
J�occ s. CHARLES W. SILLECK
°v> 16 MARY SILLECK
y0
UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STA
Q� �4: A EDUCATION LAW. F
I�� �'�O GOJ £ COPIES OF THIS SURVEY MAP NOT BEA
P. FEV EMBOSSED SEAL SHALLTHE LAND SURVEYOR'S INOTDBEECONSL C
O ( �4 a� SJg�9y TO BE A VALID TRUE COPY
tST�CJ� 1`� `(�* .�10 �of 10 003',3+ s CERTIFICATIONS INDICATED HEREON SHAT
1V O Co
' \� lJONLY TO THE PERSON FOR WHOM THE
ON HIS BEHALF TO z
.03",k , 'C '' PS TITLE IS REPARED,COMPANY,AND
AGENC'
Vof 11 LENDING INSTITUTION LISTED HEREON, A
. .. GF' \9 TO THE ASSIGNEES OF THE LENDING IN =
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Li . TUTION. CERTIFICATIONS ARE NOT TRANS
c\\'' \� O AND/ORSEASEMENTS<J3 THE EXITENCE OFR OF T RECORDA
ANY, NOT SHOWN ARE NOT GUARA
PREPARED IN ACCORDAN WITH THE MINIMUM i_
STANDARDSHELFOR TITLE S RV VE AAESTABLISHED Joseph A. Ingegr 'r
-
FOR
THE L.LA.L.S. AND ''PROVED AND ADOPTED
FOR SUCH NEW YORK STATE LAND
TITLE ...-A N;� -
,�'< Q\AA.IN,c •c 0 -. Land Surveyor
�� IN
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` SAE : Title Surveys — Subdivisions — Site Plans — Constructic
,2t( ` qtr 6 PHONE (631)727-2090 Fax (63?)727
FS OFFICES LOCATED AT MAILING ADORE
N.Y.S. Lic. No. 49668 1380 ROANOKE AVENUE P.O. Box 19:
RIVERHEAD, New York 11901 Riverhead, New York 1 =
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