Loading...
HomeMy WebLinkAboutBuglion, James • ,,� suFFot,��o ELIZABETH A.NEVILLE 0�h`t Town Hall, 53095 Main Road TOWN CLERK ;� p P.O. Box 1179 C/3 Z Southold New York 11971 REGISTRAR OF VITAL STATISTICS v. A� ' MARRIAGE OFFICER : O � $ Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER .y t)*/ Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER ' �,. southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 or Non-Residential @ $25 Application No. 1/2 P`5 Permit No. 3/59A-- Owner Name e5 WyL is Owner Mailing Address �O ('1 -f✓/Eui T S© L-c-m9 A3,y I114/ Owner Property Address Owner Telephone No. Tax Map No: 100° Section 70 Block ( V Lot 17' ( Cross Street T.ri7 S //97vp�� Please check each that applies: New Construction Alteration to Exist" g System Residential Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approxi_ to distance in feet from system to building and closest road. New construction may submitf survey with SCHD approval.) Signature of : _s Icant Date Received by: OA— 1 CxlSUFFOLK COUNTY , 2 o v� 2005 MAY -6 PH12: _ 1 d 'fARyq °/F COFMo►v u) Z N NESSINA ` m FOUND -'°SED P C wA�R COMCC. moN IN GREET) ZZ ^ ^ CLEA ---- .� EIA, WELL A VENT U 1S 81`• 30 E p., gi1 O§ . 1 t 1.06'30" w i g 90.00. 7 �4 DUND W m _.•—i ' - ar p i NI F CO MON. CC ' N ' • W C ` N 1+2.0 ,•i 11.1 8311.1' i iI / N A i ?j?.,51 i • I. WOOD / P a 11 VI y C ; 43.8. ••••11L4 8.0 J 15.4_ 0i lg. • o R 2ND X01+ ,+ %ii lair/. • • SURVEY OF PROPERTY 0 I �a La SITUATED AT PINE NECK c") �` ; / i�T 7 � TOWN OF SOUTHOLD '� 1 I i SUFFOLK COUNTY, NEW YORK Lid /;' - I S.C. TAX No. 1000-70-10-29.1 -z .A.,* IZ / J, SCALE 17=40' / - ' / ' % /' j { FEBRUARY 21. 2001 ✓ % ' I i .� MARCH 20, 2001 REVISED PROPOSED HOUSE T ) F i / ; , 3 MAY 15, 2001 SED ] T !�. • ,y• • . GRADING -VL f 1��11, `� JUN 13 h'11 . T*, 31 .o AUG 20. 2••1 •.'i• 3 N.W. / , /4• NOVEMBER 13. 2001 REVISED PROPOSED WELL LOCATION / ; FLAG JULY 12, 2002 REVISED AS PER LETTER DATED 06/20/02 MARCH 13. 2003 REVISED PROPOSED SEPTIC SYSTEM FLAG /2 ,y '• MAY 6,..'003 REVISED PROPOSED FENCE �� OCTOBER 2. 2003 REVISFO Panora rt\ cccrr -veru, ' Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 06/17/05 Receipt#: 3450 Transaction(s): Reference Subtotal 1 1 Septic Permit- Operation - Resid. 4285 $10.00 Check#: 3450 Total Paid: $10.00 Name: Buglion, Eileen &James 7 Penny Lane St. James, NY 11780 Clerk ID: LINDAC Internal ID:4285