HomeMy WebLinkAboutKelly EA ETH A.NEVILLE � �; Town Hall, 53095 Main Road
TOWN CLERK % •= _- P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(516) 765-1823
MARRIAGE OFFICER ‘' 4* ®�'�� Telephone(516) 765-1800
RECORDS MANAGEMENT OFFICER � ®1 �
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3780-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner KELLY, DR. & MRS. JOHN
Mailing Address 1 680 HALLS CREEK DR.
Mailing Address 2
City St Zip MATTITUCK NY 11952-0000
Property Address 1 680 HALLS CREEK DR.
Property Address 2
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. 516-298-1789
Tax Map No. section 1 .15 block 17 lot 17.022
Cross Street MEADOW BEACH LANE
Issue Date: 3/30/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK c�� f0/A-
T,own of Southold ® `' Application5
Town Clerk
Judith T. Terry, �� ff, ®G ', No.
Town Hall, 53095 Main Road a • .G $10.00 - Residential X
P. Q. Box 1179 �`' $25.00 - Non-Residential
Southold,; New York 11971 ® CI�,
Telephone _ �.( 41r► '�
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 1657R
Fee $ 10
DATE MARCH 26, 1998
OWNER NAME: DR. & MRS. JOHN E. KELLY
OWNER MAILING ADDRESS: 680 HALLS CREEK DRIVE
MATTITUCK, NY 11952
OWNER PROPERTY ADDRESS: 680 HALLS CREEK DRIVE
MATTITUCK, NY 11952
OWNER TELEPHONE NUMBER: 51 6-298-1 789
TAX MAP NO. : Section 115 Block 17 Lot 17 . 22
CROSS STREET: MEADOW BEACH LANE
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool _-�X _ New X Existing
Residential X 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
RECEI1i,'ED BY: 3: Vv'i%'_"
own Clerks Office
DATE: ,3 56/`r
,
SURVEY OF
LOT 36
MAP OF
HARBOR VIEW AT MATTITUCK
FILE No. 8377 FILED AUGUST 21, 1987
SITUATED AT
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
z35°° �� 1:
S.C. TAX No. 1000- 115-17- 17.22
ti
o SCALE 1"=30'
LDT s7 e' tP
NLi, SEPTEMBER 24, 1996
\ SiMARCH 26, 1997 REVISED HOUSE LOCATION
AUGUST 18, 1997 FOUNDATION LOCATION
\ <^ MARCH 2, 1998 FINAL SURVEY
NN) \ \ AREA = 40,906.32 sq. ft.
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et '` \ \ 0.939 ac.
s`\ \ tta°� u \N \o i eo
\ �.go \ \ CERTIFIED T0:
� N 6g5 \ \\ \\ ,,ob JOHN KELLY
• .� \--;.
\ �� FIRST UNION MORTGAGE
• \ \ y \\ COLUMA TITLE AGENCY, INC.
•; p�\ p\ .•� 165 :1: NOTES:
o `6„, \ Qom \% \\ �',N 1. S.C.D.H.S. REFERENCE No. R10-96-0104
LP.\• wo ¢G G. 2�,'' FRp,M G� wa gOt- ,/ 2. SEPTIC SYSTEM MEASUREMENTS
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UNATHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A VIOLATION OF
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BEA VAUD TRUE COPY.
—. ra te,L e9 g/Z�vJe CERTIFICATIONS INDICATED HEREON SHALL RUN
/ , / ONLY TO THE PERSON FOR WHOM THE SURVEY
���/��PhQ/Prl o!/(/� 9��t2 G.OJ- / /�GILQ IS PREPARED,TITLE COMPANY,AND ON HIS BEHALF TO THE
GOVERNMENTAL. AGENCY AND
LENDING INSTITUTION LISTED HEREON, AND
P.O. Box 244 • Wading River, N.Y. 11792 TO THE ASSIGNEES OF THE LENDING INSTI—
(516) 929-3456 Fax(516) 929-4272 TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE.
Directions to Model
LIE Exit 68N(Wm. Floyd Pkwy.)to end(Rt. 25A)bear right
head east 1.5 miles,NE corner Gateway Dr.&Rt. 25A THE EXISTENCE OF RIGHTS OF WAY
Monday-Friday: 9am to 5pm Saturday: 11am to 5pm AND/OR EASEMENTS OF RECORD, IF
Sundays&Evenings by appointment, Closed major holidays ANY, NOT SHOWN ARE NOT GUARANTEED.
Model hours may be subject to change.Please call ahead.
PREPARED IN ACCORDANCE WITH THE MINIMUM
STANDARDS FOR TITLE SURVEYS AS ESTABUSHED
Joseph A.
I n n o
THE Lt.A.LS.,. D APPROVED AND ADOPTEDTED
B'1'
FOR SUCH USE A?' THE NEW YORK STATE LAND
•• • OCIA • ,
5�o AND` r'` Land Surveyor
,`�o��e"41/
,, ;, f 031
I * Title Surveys — Subdivisions — Site Plans — Construction Layout
V v
-- r , PHONE (516)727-2090 Fax (516)722-5093
�qJ, . 9 OQ� OFFICES LOCATED AT MAILING ADDRESS
F ir_ y N.Y.S. Lic. No. 49668 One Union Square P.O. Box 1931
Aquebogue, New York 11931 Riverhead, New York 11901
96-295C