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Home My WebLink AboutKnabbe, John Io ,OFFO�,�-c ELIZABETH A. NEVILLE ,��_ O% Town Hall, 53095 Main Road TOWN CLERK o P.O. Box 1179 REGISTRAR OF VITAL STATISTICS : i Southold, New York 11971 t.P Fax (631) 765-6145 MARRIAGE OFFICER `. �1 RECORDS MANAGEMENT OFFICER l �. ',,I Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �� southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL operation Permit No. 4187-R Residential x Non-Residential Fee $ 10.00 New x Existing Name of Owner KNABBE, JOHN & MARY Mailing Address 1 3360 CAMP MINEOLA RD Mailing Address 2 City St Zip MATTITUCK NY 11952-0000 Property Address 1 675 GREEN HILL LANE Property Address 2 City St Zip GREENPORT NY 11944-0000 Owner Telephone No. 631-298-9581 Tax Map No. section 33.00 block 2 lot 45.000 Cross Street INLET POND ROAD Issue Date: 1/31/03 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ._..... .. . . ...... OFFICE OF THE TOWN CLERK Q Application No. lJ TOWN OF SOUfHOLD LLIZABETHA.NEVILLE,TOWNCLERK Pp$10.00 - Residential P.O.BOX1179 SOUTHOLD,NEW YORK 11971 i $25.00 - Non-Residential Telephone _O..� * o'' • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ lD64) DATE ) k 5 j Qe)-- OWNER NAME: n01.-30(71/-0 OWNER MAILING ADDRESS: 55 ,0e) Cetn p i v\c rftr ADDRESS : / , l JC- OWNER PROPERTY �. Allk OWNER TELEPHONE NUMBER: (14-) 1.) a -- ci5si TAX MAP NO. : Section 0 3 Block CTC: Lot 04-45 CROSS STREET: -11.n\- - c n elct LV TYPE OF SYSTEM: Septic Tank New Existing Cesspool New Existing Residential ✓ Non-Residential k4-f5 Gov 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: ''' SURVEY' OF LOT * .1260} .- z -- - ------- - - - - _ ...... ....... .. _ :. _. .. .. .. `fix ...:,,,, . ' '"MAP.OF.:SECTION FIVE-EAST RN SHORE51 _w. : - - _ - N x . FII..ED DEG.'3I,`'-10165 5_.# 5234 Pry _ , SITUATES GREENPORT ti 14/ ��- TOINN OF BOUT HOLD ; SUFFOLK GOU1 fl Y, NY �� S SURVEYED 06-25-02 SUFFOLK COUNTY TAX # 1000 - 33 - 2 - 45, , tIF t j I .let• CERTIFIED TO: - (ospholL roodt,:ayi. JJOwH�N KNA3BB ----- --------- — — I TEST HOLE MARY KNAIBE © I Loan • I. SUFF6)LK COUNTY DEPARTMENT OF HEALTH SERVICES 3 i I PERMIT FOR APPROVAL OF CONSTRUCTION FOR A i o NGLE rAMiLY RESIDENCE ONLY DATE.. =0,......s?--HS_„,.a.-__-'._c REF.NO. � 1 - _ _ sem,., APPROVED 4,%�r41-11 - ---- '. "--- 11 :"..)----------: Tavel 4°'-‘ FOR MAXIMUM OF 1--1- BEDR0�. •- EXPIRES THREE YEARS FROM DATE OF APPROVAL W (l» •ll7 '11 1-.)-I r"'is ?4 ` .II./--r J z ii v -� _, 1 VACANT CFJI • 1• 1 1 CD - O.IoSN N69°02110"E 130.00' , — O C. ;l r. — LIQ O m proposed • • I ^O driveway. I' • 0 -) 0 - - - - - -- - --- -- -i C,) .1 ! 1CV U U C 1 L_I U t s z — 4�S' i T ~�=� _ . . r Nr ,� I IM 13 ;t1 C > 0 1��f� l JS \L/ O O 61 ! W W �=mA I =� W 1 ln O N 6 connect to public water : Y Y w 1011 Q� 6 ° � z1 °C 0 �, O I °_� I -.) IZ `� r•-• 1 L__.../I b W 1 pa t o Y ' °If) I ® O N 1 building envelope as per \ test �� A -; Z I pre-existing non- conforming _ q� hole i 4 I . _ ci) . 0 in - m 3 el-25 el 26 1 S69°02' 10"W 130:00', e'= Lot: 144} ? Lot # IOI Lot-# 1125- , VACANT c•+� •�� .atN Y a�11CMr.tl lane eurr.ro t..la:si:r :; DWELLING WITH —" ` m _ I l WATER > I7WELLM.'4AT TH' 4< -PUBLIC i ,.. .r. a oI•OU}ceelfftfrnrt. awlp>n�l of tots ewrret i ' :, ,' m rwf?; y Viz!°ynr g,r - �-IG WATER ' .s..r.ae.etn.1 ortat..l oe ed lava..lIe 0 •s , - t.--.1• -NOTES:-` - "- '' ;-t• - - ;t abaetl s..t 01010111 a t.a.taaw all:v. 1rw tY r;.«':r, ., -.,„_ .., *h.+' ..'» !,''�.- . -''' r- ,.-- - ,°isles .`.4* w i' ',�.t '' ''''''C'`;' •u - �.43gnif ...,«.1“-i ` F „ .. .::-: . :. 440:iti'ei-' '"` : ..L.- .w : 'ri-L .. i/ ..:" 3 - 01 xF g �!. - urin�:� ""- •. ,� ,> _, ,,. o _ .;.•� .-.. -c.r tam taau.e.a p.r.an u er that this ..s . :,, :.�, .�• n 1 "t•''s Y *.. p fi'/�,Y •"G jy/�-, �` .a.,=r.. ,� ,r"y{cry ,5^t '""h.- - t leS 5. onnr.a to accordant*rite en..,- .'.; 2• :. :y. ;^� / Ib ? .� . . r :'.-T' r- ;5i-" '1 l.tii CN..t Staetlea ant tI a lM..z.g.0aa aI r'° *`;w +' f-° ...e. .r-.-°. f :3.. d ,t .::d^` ..,-.:1-;:.:.-,,.4 t 4,�,. -,-,,,,,-,,..4„ Shy,P "' t • Y'tn.Na..7ork-aid Cann!1.time___Shall welt f.,,,,,..;. ;ZIP s-_-.;,'F�,'1yd.,. ,-"'u" � �.. bs_ n.„; >. m.- _ t, ,,,..:,,;..�.�s-t ._-i,:,.,, .. `.#moi �'• u a lAw•+rrtva:.:�rla Cann! aalr 10 r .: - . j ,�' •.. 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