HomeMy WebLinkAboutKenney (2) �®�UFFOL�
ELIZABETH A.NEVILLE tt ��
a® V ; Town Hall, 53095 Main Road
TOWN CLERK ® „4, P.O. Box 1179
% 2 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS 1.10 � � Fax(516) 765-1823
MARRIAGE OFFICER ‘-..44,
�f✓ ®�'I Telephone(516) 765-1800
RECORDS MANAGEMENT OFFICER ® �� �
FREEDOM OF INFORMATION OFFICER ,����
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3820-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner ROBERT & LINDA KENNEY
Mailing Address 1 125 WILLIS CREEK DRIVE
Mailing Address 2
City St Zip MATTITUCK NY 11952-0000
Property Address 1 125 WILLIS CREEK DRIVE
Property Address 2
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. 516-298-1907
Tax Map No. section 115.00 block 17 lot 17.017
Cross Street MEADOW BEACH LANE
Issue Date: 9/24/98 - Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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OFFICE OF THE TOWN CLERK �FFO
Town of Southold �� �caG,� Application No.
Judith T. Terry, Town Clerk ; ,�`11
Town Hall, 53095 Main Road � I $10.00 - Residential -�
P. O. Box 1179 Ln :} = ��' $25.00 - Non-Residential
Southold, New York 11971 � ��`
Telephone o,( 41 $
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(516) 765-1801
TOWN OF SOUTHOLD
•
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLI CAT ION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. /7 °C271i(
Fee $ IO°°
DATE al8
OWNER NAME: KE.NN1=\ 41
, ®�Cbl,=.KT p�•v\CA 1-11\30•P1OWNER MAILING ADDRESS: 9 ‘a5 Cre2
OWNER PROPERTY ADDRESS : \a,5
1N)4-t� -‘ vC\c Jew 'o ie-.
OWNER TELEPHONE NUMBER: a9� - I QE
TAX MAP NO. : Section a1,5 . OO Block l�1 Lot t7 ` ® 19
CROSS STREET: H'alis%tDpu) �EiNcX'A LN1UE
TYPE OF SYSTEM: Septic Tank , ✓ New x/ Existing
Cesspools t New 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 and closest road.)
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• Signature •.f 7pp icant
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RECEIVED BY:
, Town Clerk's Office -
` DATE:
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SURVEY FOR -
ROBERT B. KENNEY 81 LINDA V. KENNEY SEPT 17,1998
• LOT 20,'t HARBOR VIEW AT MATTITUCK� JAN 5, 199
OCT. 7, 19977
AT MATTITUCK - , DATE AUG. 9, 1988
TOWN OF 'SOUTHOLD SCALE: 1" = 40'
SUFFOLK COUNTY, NEW YORK NO. 88- 1062
M•UNAUTHORIZED ALTERATION OR ADDITION TO THIS _
SURVEY R A VIOLATION OF.SECTION 7209 OF THE ' "�+� "•••
NEW YORK STATE EDUCATION LAW r..• O- - h`' '
•
*COPIES OF THIS SURVEY NOT BEARING THE LAND �• ���� `
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL �i• Q W r
NOT BE CONSIDERED TO BEA VALID TRUE COPY C') r O
K GUARANTEES INDICATED HEREON SHALL RUN ONLY 10 �'' t
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:T-DATA FOR APPR0VAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED U AND 011 HIS-BEHALF TO THE TITLE COMPANY,GOVERN- �C - .• -^ Z
1_,J41.•SECTION 115 BLACK 17 LOT 17.17 HEREON,AND TO THE ASSIGNEES OF THE LENDING iSOURCE OF WATER' PRIMITE_PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED ` , d-• 0
; + *SOURCE
R- •'
,LIMBI WITHIN 100 FEET OF TINS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE r -u--,,.:- ,•, L
4OWN HEREON. TTODOISZONAL INSTITUTIONS OR SUBSEQUENT
40 SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE *DISTANCES SHOWN HEREON FROM PROPERTY LINES ♦ of :,
STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC �3
PURPOSE AND ARE NOT TO BE USED TO ESTABLISH ` ' ;�YI S% /
PROPERTY LINES OR FOR THE ERECTION OF FENCES `S