HomeMy WebLinkAboutMcfarland a... -.
AoleistfOLIr
JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK ® i P.O. Box 1179
REGISTRAR OF VITAL STATISTICS 5; rill New York 11971
MARRIAGE OFFICER �� Fax (516) 765-1823
� Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 1767-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner MCFARLAND, JAMES F.
Mailing Address 1 13 MILDRED COURT
Mailing Address 2
City St Zip FLORAL PARK NY 11001-0000
Property Address 1 1130 LITTLE PECONIC BAY ROAD
Property Address 2
City St Zip CUTCHOGUE NY 11935-0000
Owner Telephone No. 516-775-6207
Tax Map No. section 111 .00 block 14 lot 17.000
Cross Street HAYWATERS ROAD
Date Of Last Pump Out 0/00/00
Issue Date: 9/26/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
4- ,
OFFICE OF THE TOWN CLERK - •c,\ FO(,L
Town of Southold � .. e'. --- Application No. /761
Judith T. Terry, Town Clerk % ,_ ,,,d0 c,; r y►
Town Hall, 53095 Main Road §- = -a -4 ) $10.00 - Residential
P. O. Box 1179 tri `{ ry'` i
� �, � � ,,,.t.r ,�z $25.00 - Non-Residential
Southold, New York 11971 Q ® r`'. .0.-1
Telephone _,0 ��
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
•
Fee $ /�. 54
DATE /22 /,,
•
OWNER NAME: (,),e0,4--.5' ®/47 ®'7.13 A"9e 2)
OWNER MAILING ADDRESS: /3 IP4REP
,A2p,R,� ',VAR:, Aii° /,per/
OWNER PROPERTY ADDRESS: -//1949 .4 17-2- ' ftsefee:),e)e /* 0
�e,„ e_ji, 06-66 4 i /1f3
OWNER TELEPHONE NUMBER: /e - 79r5-- ‘-a(0 `9?
TAX MAP NO. : Section /.// Block //&11 Lot /2
CROSS STREET: .4,90,4",0,2 �.E ,S 1)
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool L� '`New Existing
Residential ®✓ Non-Residential
DATE OF PREVIOUS PUMP-OUT: le ,
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.)
& , , ,
L'
Signature of Applicant
_____
RECEIVED BY:
Town Clerk's Office
DATE:
Eco .
\.... FEN�v sA, f*1
Bj^ 59 -PIPE �' r
. Pp4T.„ CURB .
•
' ''/1\0 2 oO0 IRR/%RR \ —4 ,
W IaNE
TaEi� \ rP
CM _ .
\ B
\ �a. ° _ G'
\ \9 �. m•
c \ . \
\
\ \ , LOA .
56
2.
rri \
— 145' \ ROOF OVlR \
ITS BREEZEWAY \
o PROP\ BRICK \ \... E
SHED_ 4.13-
-'1."-.I0-
�STOOP pIP
r .B e, 314`
LOT 238 H•SE
_ H \5
EXISTING q6_ '
_--____- r B3" 1 STY PR eHO'NER
H Ouse se' _-�
11.3
aa1 _ _
87` Q
RATIO •• , ,
4 I7 er 1-31 - -
I N
COHC (� ,
PI ATT' �- - _
.. ;pc., ,.`;r., -t7,.C'_ \.01 �3 ITll n`,�">'
.."v. f
cf yami,,,;i.,,,-- co �v`Iu4y4z?r"<, . , ,' _
O - e0X ..----
..-_,
r=.
O ��-in r5 09 o 9
. a r
Z ° M� �.
GM ,‘OW0°C4'
p9E, 116. rte... H°° _ _. . . ,
03001 ' ? 1 . .
K S e$ ��,C P
500 �C
�� SURVEY OF
WOpD E P°
B° �" , ' LOT ', '237 - . .
AREA = II, 841 SQ.FT, • AMENDED MAP "A" OF
to tie line _ ., 'NASSAU' POINT " ,
FILED AUG. 16, 1922 FILE NO. 166
AT NASSAU POINT
TOWN _ OF SOUTHOLD
. SUFFOLK .COUNTY,, N.Y.
_ Prepared In accordance with the minlmun
ey the ds for IS. surveys as eelabllched - —
1' by the L.I,A,LS,and approved and adopoled 1000III 14 17
for such use by The New York Stole Land Title 1 .
Asioclatlon. SCALE', I" = -201
,,Ci AUG. 23••; -1988
G J.
u -1f���.� 2° N.Y:S. LIC. NO. 49668
e'ECe'/I 7.U- a ORS, P.C.
- Or 6) E5 - -.../e .
2-4 o. laA'.4 !.
SOUTHOLD, N.Y, 11971 - ,