HomeMy WebLinkAboutMckenna oc VOLIre
JUDITH T. TERRY ;,O ` Town Hall, 53095 Main Road
TOWN CLERK ®
Fri
P.O. BOX 1179
REGISTRAR OF VITAL STATISTICS 14.5 Southold, New York 11971
MARRIAGE OFFICER Fax (516) 765-1823
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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. 3085-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner MCKENNA, EDWARD AND FLORENCE
Mailing Address 1 1495 HIGHLAND ROAD
Mailing Address 2
City St Zip CUTCHOGUE NY 11935-0000
Property Address 1 1495 HIGHLAND ROAD
Property Address 2
City St Zip CUTCHOGUE NY 11935-0000
Owner Telephone No. 516-734-7633
Tax Map No. section 102.00 block 8 lot 5.000
Cross Street SPUR ROAD
Date Of Last Pump Out 0/00/00
Issue Date: 8/17/93 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE
' II„
OFFICE OF THE TOWN CLERK �FFO(,r�'-
Town of Southold Application No. 3 0
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road -� $10.00 - Residential
P. O. Box 1179 V"-Alai a s }
to �- �� � �_ �: $25.00 - Non-Residential
Southold, New York 11971 O` O� .*
Telephone :70.41("g°
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(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
DATE F/ / /q3
OWNER NAME: Ea1a., A 2 / Jc e.. -/cj , iA
OWNER MAILING ADDRESS: J y qs- /// ,A 1/9 IO2 /e.,d
. e 0. .3 k e_ y // 93J--
OWNER PROPERTY ADDRESS: 5/9.77 e._
OWNER TELEPHONE NUMBER: 73 9z— 7 3.3
TAX MAP NO. : Section /02 Block 7 Lot
CROSS STREET: 'e,. jet./
TYPE OF SYSTEM: Septic Tank ✓/ - New Existing V.
Cesspool V New Existing
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT:.
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.) --
Signature`le Applicant
RECEIVED BY:
T wn n Clerk's Office
DATE: ' / '
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TITLE NO8308-274694
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SURVEY FOR '
EDWARD McKENNA 8 FLORENCE McKENNA DEC. 5,/983
LOT NO.8, HIGHLAND ESTATES JUNE/0,/985
AT CUTCHOGUE DATE MAY 9,/993
- TOWN OFSOUTHOLD SCALE /„ = 50'
•
SUFFOLK COUNTY, NEW YORK NO 83-236
N UNAUTHORIZ ED ALTERATION OR ADDITION To TNIo GUARANTEED TO
• SURVEY R A VIOLATION OF SECTION 7209 OF THE FOREMOST ABSTRACT
NEW YORK STATE EDUCATION LAW '
*COPIES OF THIS SURVEY NOT BEARING THE LAND - Cr''NEW '-^-,
'-^-,
, SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL
NOT OE CONSIDERED TO BE A VALID TRUE COPY W.
THE
*GUARANTEES
INDICATEDCATHE HEREON
ONS SLP RUN ONLY TO ,Tt so W. Oq.4.. \\
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT RED
AND a HIS BEHALF TO THE TITLE COMPANY,GOVERN- ET v O s t
✓ MENTAL AGENCY AND LENDING INSTITUTION LISTED •�1
N NEAREST TAX MAPI MAIN—MI•SECTION
AL.BLOCKS PRIWTE_PUBLIC_
M SUFF CO TAX DIST IOOO SECTION LOA-EIDCK�LOT 5 HEREON,AND TO THE ASSIGNEES OF THE LENDING - g'�. '�,y^ -
RTHERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE I ' ' - 4
OTHER THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT n ''.•C•9•u� ;` 0
OWNERS , `_. o
N THE WATER SUPPLY ANO SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE t
*DISTANCES SHOWN HEREON FROM PROPERTY LINES q
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC I. O
OF HEALTH SERVICES \. A N a O
APPLICANT, PURPOSE AND ARE NOT TO BE USED TO ESTABLISH fs o• I ZH '�L• /
PROPERTY LINES OR FOR THE ERECTION OF FENCES FK J� _/ 'OMA1 SW°./.
. ADDRESS ,/��aJ I!:":.- .----•
TEL YOUNG a YOUNG RIVERHEADNNEW DER AORKE
NOTE= ■ a MONUMENT 0 a STAKE ALDEN W YOUNG,PROFESSIONAL ENGINEER •
SUBDIV/S/ONMAPF/LEO/NTNEOFF/C£OFTNECLERKOF ANO LAND SURVEYOR N.Y.S LICENSE NO.12845 -
SUFFOLK COUNTY ON APR/L 26,/977ASF/LE NO.6537 -
HOWARD W.YOUNG, LAND SURVEYOR _
*TIE LOCATON OF WELLIWI,SEPTIC TANKISTIBCESSPDOLS(CPI'SHOWN HEREON NY S.LICENSE NO 45893 •
ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS
TOY POST E0494