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. JUDITH T.TERRY ��_� yet Town Hall, 53095 Main Road TOWN CLERK % y P.O. Box 1179 � Southold,New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER #4, 0S.op Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER ®dalig `roe.° Telephone (516) 765-1800 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. 3483-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner KOKE, RYCK A. Mailing Address 1 P.O. BOX 711 Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 245 KIMBERLY LANE Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-765-1607 Tax Map No. section 70.00 block 13 lot 20.002 Cross Street PINE NECK ROAD Issue Date: 7/16/96 Judith T. Terry Southold Town Clerk (TOWN SEAL) '11/11114110.11: • + ICE OF THE TOWN CLERK c$FUL - ``�/ Town of Southold % �,, CQG; Application No.3�`e,3 Judith T. Terry, Town Clerk •� ;1'.. ' ;', y ✓ Town Hall, 53095 Main Road $10.00 - Residential P. O. Box 1179 `, `1;7?''`fs, Y` i �' $25.00 - Non-Residential Southold, New York 11971 O` 7'.',• -k.$ Telephone �il at (516) 765-1801 0• TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLI CAT ION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE 6 1 -o /S OWNER NAME: JI G a , 1�- 04 OWNER MAILING ADDRESS: PD 6 X-) i j ____S 614-11441-4, kJ i15-11 ! - - -OWNER PROPERTY ADDRESS: ,-;-`-(' e, ,,-4.6.„.. __ _ s ,0-1,_,-(4 adtg iK) ( OWNER TELEPHONE NUMBER: 51 (p (0 j: /CQ / ) TAX MAP NO. : Section 70 Block )3 Lot 2— CROSS STREET: -P( n `Q Pci-eC IG ed I TYPE OF. SYSTEM: Septic Tank New _Existing ,./ Cesspool New Existing t/ Residential u, 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.) --471-'4-6Cek-e__ Signature of Applicant RECEIVED BY: ' Town Clerk's Office DATE: . . . • , , , . , . , ' 1•111101111111111101840111111N101.411011101010111111114111114000411101141110:04151MIXIIIIINIIIIIIIIIIII* , 111110011111110.11111111111111•11111111111111111. , , ,...• , . . ' , •, ', , ' 01111011110. • • tt '0! '', ',•-. , •, ' , . , . • • , :•','• • , ,,, ' _ . , . t , . ' . • ' . , . PINE NECK ROAD . . .. .. . , .. . .,•. . , • , .,, , . . --.• , ,',, ! . - . - , , -, . - ,, ',,, ., , .,, . , .t , , . - . . . . . ,• , . , t .., 37.87' " „,...., •'.. , ': , , , • ,' ,,, ,,.' ,, , ' .., ,, I' . ' '' /) , , • . , R , tz5 . . - ''', L.a. •0 0 . , ., ,, . , ' i Jell I• , ••t p• . , o , • . ' 1 .4 • '-,.,,,,.: 1',;;; , I , LIRA tNAGE , 288. 8a . ' 59 . . = 5.21 • . . • 9 9.7. 9 j -,0 . . 1 • " N • ' , -,, 'f ' ik. , ; . 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' ' •, . 1 I . , • , • •, • V ', . ,, • •,,, ' ' ."' , t 1 • , .1=f 1 v, ' 4' \ r 14 V, , •, CC \ .• , :'• •' '. •,' ',j r , I 1 . . Ilr IIor, . ' 14$ • • . . v • - . , v ..• • ...... 0 • '- • ,,...40, 'n•ii * : i•' 1 . ' ., • i':::• i ' 4•;',•` ' , , • `t. . ,', : ,. L.7 , , . , . • , .. . , \ . , • 7_ •- • L0 LL1 I ` . 0 \ •. . . 1 , ..._.---..- . 4D 7. 3 ....._. : _,.. _ _ 3°.1. . ' Pi 000'OVr.1% 1 •, , ORICX PATIO ...I . , , 1 /7 , . ' ' 6.a: r,,,,, , .,, ,,,,,.„ , ,,,,•,,,,, .,, , ,,,,, , ..:"..i. „ , ,,..,' . . L., ,.,.• ..a.',a A..'4:,11.1,:' ' ,.' ,' i°"' - *. IWI!°'; , ,..... . , m 1 ? , 5.1 9.41 ___. , , " • ,, , , , , , ,.. , _ ,. ,s, ; / , - . , , 33 8 , \ ' _--.........„ . ,_.,-., 0 6.5 ' .-......... -.... ...,.. ...-- ...- ..--- .--7, , -7... -.., ,, , , . • L . -' L'-' ' ---- , . , ......,,,,......1.4.1of.4.4....*......e......,.. 4.,........./I.:440 ' 1 , . /I" . " . . . 4 ' ' , ' '. '' ''' ,' ' . • 4, , . , . . . • ., ,,., , •, . ,, ....a..V`.At.• , • >cWC2.r..O"... I, 00 r,,dl•r.1I,,,,,,,r.rrTIZZT1/4 ,,.' .,'f‘I,.,,7.'ff'e'''i`.4*1 Ii'‘ C ; . \' • (I..-..U0'0.0N''':\)Jt • .00...." ,' . .. . . , '. "A:..•. ..;.r. 1 WOOD WALLS ' I / \/\ t , . • , i 1 , •. .. . • • .. , .• • l' ' 1 I ' , . • ',, , 0 'i 11 i 1 , iffi • ,i • „ ,, , CC IeumwanumosL. 5.32 \, • , i '-' .(q_ • . . 3; ''' , . ' l sef 0 , . . , , r; 1.57-ree , ::",•-• ' I , ' r` , •• . • , 83 sett. 5.8. u ,1 5.9 , • ' „se,. _ • 3ei 9 4 PK , „ 1 it.47 , 5.18 . ej - , A. S. 89 ° 52 ' 501 W. , 8.15 • 'i • , ,--;, 6 3 ., ' , • . , '' ' 275. 8C , . ,, , AREA = 48,676 sq.ft. , , _ , , , , , . . . , . , LOT 3 , . . ' : . . . -I' '• . . , ' .k .:. , • ,i , • , , , . , , „ . , , . ., .. . - . BOH. 87-SO-148 . . 0 . , . D1OTE, _.... •... , , , , . , • i .Well to be located In well„easement located . ' • , , , ,,, • , - • .. . . . .. on the westerly side of Kknberl Lane as ' • . .•shown on filed map. . , v . • TOPOGRAPHICAL SURVEY OF • '. • ... , 1 • . • • • . . . , LOT 2 -,, ., , „• , - . . . . , .,. ELEVATIONS ARE REFERENCED TO N.G.V.D. Prepared in accordance Nvith the.minimum , ,, ' " •, /9 . DATUM OF 1929. . ' MI 'I M AP OF PARADISE BY THE BAY standards for title surreys as established by , the L.I.A.L.S. and approved and adopted '' '. ' ' . . .• , • • ,i • . for such use by The New York State Land ' ' I . : F,ILEO ' NOV. 4 ) 1976 FILE NO. 6463 AT SOUTHOLD • Title Association. . , f , , . i it-itti TO: ,, . ... , , " TOWN OF SOUTHOLD WA TER LINE' TCOr? 77TLE GUARANTEE' CO. WELL •' ., sOLITHOLD SAVArmS BAAK , -.. i•, SUFFOLK COUNTY , N.Y . ALEXANDER G. KOKE , • .. ,, ' . 1 . .. RYCK KOKE i , . , • , • I 000, - 070 - 13 20.2 • , , , II i • DETAIL OF WATER -SERVICE. LINE , ' S C A LE • 1 = 20 . , ........, . , • .. , ,, ,. JULY 28 , 1987 , , , , I, .,, , SEPT.'29 , 1987 „ , / ,i. OA N. Y. S . LIC . NO . . 49618 . • • , , l' APRIL 14 , 1988 ( FIKAL ) • , • , . . . , MAY 12, 1988 ' , 4 . . , , y . PEet' 0 ..i„, , •„. .SU titi YORS a ENGINEERS , P. C . , . ,.• . . , „ , • . . , 'v."-, , , , ' I P'l.)5 - 2 0 . ,, . , ., ' . `.../ IV 154 7 . . , , _ ,, .. , . , , r-, vs,s.N. ilartrov ' . M A I • -6.44'-' ' , . , , . . . . . , • , , . . r, • i, i . . . . ,. . SOUT HO L D , N. Y . 119 71 , , . 4118011111111111.00.1. 1•11111110111111.11....."""MOR ' 1 , 6111111XEINESNISAMMINWOOMBINCIOMMIIIMONOLOININIIMIPIONOWNF 1 4111011181111MMINIIIMI . 8 6 - 7 5 2 B . . . . ,. , • . •. , • • • • • • • •• . • , . • . , • • •• • • „ . ,. • .• . • . • • • , , _ ._ ......... • ....-... ...._ _