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HomeMy WebLinkAboutFedun , 0„ , 09 ; JUDITH T.TERRY �� �*1 • Town Hall,53095 Main Road gg TOWN CLERK AA , r P.O.Box 1179 *keg;3`' � 1 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(516)765-1823 MARRIAGE OFFICER N. 1 RECORDS MANAGEMENT OFFICER 04 if* Telephone(516)765-1800 FREEDOM OF INFORMATION OFFICER •• ,�•i� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3383-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner FEDUN, PATRICK Mailing Address 1 159 TROUT BROOK LANE Mailing Address 2 City St Zip RIVERHEAD NY 11901-0000 Property Address 1 4 EAGLE NEST COURT Property Address 2 City St Zip LAUREL NY 11948-0000 Owner Telephone No. 516-734-5875 Tax Map No. section 127.00 block 9 lot 4.000 Cross Street WHITE EAGLE, DRIVE Issue Date: 9/15/95 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK sg1TFOte Town of Southold � • CQG Application No.33 3 Judith T. Terry, Town Clerk .` -4%) Town Hall, 53095 Main Road $10.00 - Residential p. 0. Box 1179 ;' $25.00 - Non-Residential Southold, New York 11971 Telephone Oj * "�� • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 1 S 12 Fee $ O. ,2a (oq `{ z ,""th \ DATE 7//// 76 OWNER NAME: A-71- �►Z'` � Uv7�J OWNER MAILING -ADDRESS: /,s ��_Oca-- 6 ©X-- OWNER PROPERTY ADDRESS ~ �G � S( C�2 - Lr�vP £ L OWNER TELEPHONE NUMBER: 731-1 --!-jTO , ' LI; `1999 TAX MAP NO. : Section I . Block - Lot l-( CROSS STREET: .141.-ti-L. EAGIE" c: - TYPE OF SYSTEM: Septic Tank New l/ Existing Cesspool New L. - 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.) Signature of Applicant .- RECEIVED BY: Leg. -1 "„bea, Town Clerk's Office DATE: 9// 3' , WELL • NP . 4 (c° 9‘.,(Syr, ,,,,.....„....4 , • 7 iN-\•. ,\(.) 05'%- . %\cPs) • 77 C>.) \./ A,N, ... s 7 <S, 7" , ux , - ..\' "t i,c --77 NA a 4,O,� JG p / tee 0 a ° �s� ` -5o• ��° ,9°� y y® Gp 0 xN. ��� / a a Z _c6 I G ` Seo Z G/ ��GS� %' V. r Ls k— �c ws��hoo° dQ�9 ~/ O I���I '°� F4, 0,4i ? ',� r� 1 a i pi '� Il a h 1 Wei , / I,' 11/11140 16101fr I O. tea= 1 ( „0 it li - - ffj1 L3 . 7 8 I; r� LC F t%11, c-1, *. ,../S .s'o�y0 0 I 6 I- t 4y J d UNATHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR COj ' EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN .sd; ol ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE i TITLE COMPANY, GOVERNMENTAL AGENCY AND \Ilt LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. GUARANTEES ARE NOT TRANSFERABLE. .t„ ' THE EXISTANCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD. IF ANY. NOT SHOWN ARE NOT GUARANTEED. - ci Joseph A. Ingegno PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE LI.A.LS. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND Land Surveyor TITLE ASSOCIATION. 'Title ,--j Surveys — Subdivisions — Site Plans — Construction Layout °F Off` PHONE (516)727-2090 Fax (516)722-51 :, jr,;Ir�ifrt• • c= > */ . . OFFICES LOCATED AT MAILING ADDRESS ��►,.�, ,` One Union Square P.O. Box 1931 . Aquebogue, New York 11931 Riverhead, New York 11901 iQ�Ai°43BGS N.Y.S. Lic. No. 49668 , i L4Alp SUR. : - - - - _.r-_ -