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Home My WebLink AboutMcGunnigle, Thomas sUFFOLat 049 ELIZABETH A.NEVILLE O h y� Town Hall,53095 Main Road TOWN CLERK o - P.O.Box 1179 y Z ; REGISTRAR,OF VITAL STATISTICS �► i Southold,New York 11971 MARRIAGE OFFICER �,f, -��, Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ;_��! 4) . Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER ,�'� southoldtown.northfork.net 1 OFFICE OF THE TOWN CLERK r ?� TOWN OF SOUTHOLD V1 SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL 440253 Operation Permit No. 42530-R Residential x Non-Residential Fee $ 10.00 New X Existing Name Of Owner MCGUNNIGLE, THOMAS Mailing Address 1 P 0 BOX 702 Mailing Address 2 City St Zip ROCKY POINT NY 11741-0000 Property Address 1 2010 MILL ROAD Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 631-744-1039 Tax Map No. section 106.00 block 6 lot 20.001 Cross Street BAY VIEW AVENUE Issue Date: 6/10/04 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) " OFFICE OF THE TOWN CLERKVFFC �� C Application NotV TOWNdF SOUTHOLD 0� IrLIZABETH A.NEVILLE,TOWN CLERK $10.00 - Residential P.O.BOX 1179 SOUTHOLD,NEW YORK 11971 $25.00 - Non-Residential Telephone , Q( jig NZ (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ DATE /lQ/O • /0(/ / OWNER NAME: Y I \(� ✓ \OI rS b Lk C �( Lin i / e, OWNER MAILING ADDRESS:?•U i3c��r- >0 OWNER PROPERTY ADDRESS: �O /Q Khi f/ ,2 .d OWNER TELEPHONE NUMBER: (- rT �(�l -- /02 TAX MAP NO. : Section t © 6 Block Lot a( , ' CROSS STREET: libbCk ' • TYPE OF SYSTEM: Septic Tank New ✓ Existing Cesspool New r/ Existing Residential 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,,,tand� closest road.) jar tame , Signature RECEIVED BY: Town Clerk's Office DATE: F 0 i y h) IL_3 CV ,'.&3 1/NS QF t 3 Y .BLOCK 43t//LL//✓6'S ,3_,iir \ , �oN'�' S``S8 � 570, O1 �.9� �0 .r 1 "2 0 6- 03, 0 13.2 P �s d I fa r32rog,9 w `9cp�sr- w • �,5 \2�' �,P `.S`i O� D wEGL 6 wy',��tJ`. .� �'s_...,�1 0�j R .-1 la.g 45,5 VjtI' � I�- X61 ' X8.74 Q /32 ---- - aR.\1 F` - 2r4p�C/< S'670D 20 E )�- 11' 6"9 \ g7.2 Nr5 5p, . AO e - rS /p, 2¢ 1 sr•� 61,, W q.iJoEcKgr 5,J gEGa� �o�NOER ��-C1 N t U W N c No LOT / 0 NI - Q N 0 i Ni I N O N N • 0 1 h of I- -.52 N 70" 39�40" W 400,00 E�•so LOT 2 ' ir _... SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES • :'' Ai�i;OV"L OF CONSTRUCTED WORKS FOR f A S t'4->i..E I-AW LS'RESIDENCE BA Y Vl EW AVE { � �_� , t► -o �vQ4 H.S.Rei. ha. r 3 �Z� i .-, ir',;,0,? ..' ei CJI} uJti .±! at been _ 1 'i :•i r.. t.` *'•:...1.;'.1 r C _ ({Y 3tEROCMS. t ` x.i � Map of t 1 , .! , .. f-.E. CA "Map of Set—Off Prepared f r Agnes McG '�':-..F.:�'e''''`` ``"`ter Management Situated at ..-- Town of Southold, Suffolk County,New York District 1000 Section 106 Block 6 Lot 20.1 ANTHONY ABRUZZO R.L.S. REGISTERED LAND SURVEYOR Of NE07,-. 1500 Hortons Lane 1 ,l t may:- Southold,New York 11971 4,r ; (631)209-0676 ANY ALTERATION OR ADDITION TO THIS SURVEY ISA VIOLATION OF SECTION 7209 :.* * SURVEYED: May 20, 2004 OF THE NEW YORK STATE EDUCATION LAW.COPIES OF THIS SURVEY MAP NOT < BEARING THE LAND SURVEYOR'S ORIGINAL SIGNATURE AND INKED OR EMBOSSED // 4e,` SEAL SHALL NOT BE CONSIDERED A VALID TRUE COPY. ii'v; THIS PARCEL IS SUBJECT TO ANY EASEMENTS OR RESTRICTIONS OF RECORD. T C I / ELEVATIONS REFER TO AN ASSUMED DATUM. SEPTIC SYSTEM AND WELL LOCATION BY THE CONTRACTOR Scale: 1"= 50'