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HomeMy WebLinkAboutField //7/iii • ® Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 JUDITH T.TERRY i FAX(516)765-1823 TELEPHONE(516)765-1801 TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 1380-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner FIELD, RICHARD T. & KAREN C. Mailing Address 1 1330 WESTVIEW DRIVE Mailing Address 2 City St Zip MATTITUCK NY 11952-0000 Property Address 1 1330 WESTVIEW DRIVE Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 516-298-5393 Tax Map No. section 107.00 block 7 lot 14.000 Cross Street BROWER ROAD Date Of Last Pump Out 0/00/00 Issue Date: 2/07/90 Judith T. Terry Southold Town Clerk (TOWN SEAL) , • iii - OFFICOF THE TOWN CLERK r 'ci\FFO(,(r" '_ 3�0 Town of Southold Q C'�G- Application No. • Judith T. Terry, Town -Clerk • % -t °`�, 'k.. = / � �''�==' a'�'."� � ��1 $10.00 - Residential // Town Hall, 53095 Main Road 8 s , '':yt' �. p. O. Box 1179 VA ��,L��� �i , $25.00 - Non-Residential Southold, New York 11971 %).4 .7* *0.4-- ' f-• -',` Telephone Y► (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE / 3 O ©_` OWNER NAME: r l'e\c� ich8, c-A I ; pre A.--) C'C . • OWNER MAILING ADDRESS: 1330 W .S - 1e ' Oe . ilA,A itvc IL , Ilie LIork _1J( a- - _-__ ___ --==OWER-PRoJ_ERTY A,DDRFSS =. a ______ ----- - ---- - • OWNER TELEPHONE NUMBER: �((. a G - 5 3 Q ? y TAX MAP NO. : Section Iv-7 Block -2 Lot C CROSS STREET: 1 CO w e r ' TYPE OF SYSTEM: Septic Tank New Existing Cesspool New Existing Residential / Non-Residential DATE OF PREVIOUS PUMP-OUT: \ 1.-.) — q 0 (,\. 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.) ra_..eliNL..)1 Signature of Applicant RECEIVED BY: Town Clerk's Office DATE: 14itt s.):--t,''•71'.:-;..,' ';t''-''"kl' , TITLE NUMBER BUILDER'S NO. 4.1 t l'•'401N .3•1 .-,!...;,•4i,,,,, • • ---...1:44Vitiy..4°V*14,;:,tai•,1 A.,. .y. ,,-••• , -,..I.,,Ly,_.••,_••=rc!,,,•.7..5.4.4,,14,•••,,,r; •',.,- • - -', " -,• e e 1 "t•,,, 1,1 a, , s.C.. •' • -4,.,.,./4,-4:11r0,4,1•,g,iet ,,p-, 11 • 1,. ,.. , ,,.-:*.vkr-P'• '' A' :,ik','-', -..q-•", ., 41"--- /--1- --,4=6,,,-,... - -,,,,•., 0 •,.,•---• ,_ '".4.„,,,,„ .*::,-f-.-^,-,1,11.,r• t.,..`.1.V.4, ....er::,,,.. ,••- ,- '11-,,.1.- n-El---E,VCE I - oft ye' ..• 5'4/0,-, • ea e•-• NI', 't,I.';''.'.,, i'l''• E&---At- ca^.' ' • /o 70/,./ 7,5-00 iv,". ' ,4'4,g: . ,i•`,.1" ,, 1.../ A/ct •..,-..i,q..,,..,,•• r x •,..,-.0t:e•,•A• `..k Ill,, . , Con& 1•:-:_-_,-,--..,•----_.. '1111? 'Aiti'•,.0:: 11'1 .V:,,,, „, ;• . /,70„,, '',.,,. 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(IC APAOMINgioy i.;77.7.--- ,A,^',5 . 1 0,-At'..-e•vioe0-•:.,'..,::°.•lits, li.'W -'' ,-,c,„=_ -,v,...,..._s I 1=- ,e 143 , iaillif*O.'%Vlii. 7,5 ea,• ‘C;'' '1/' ftilt-•,:.t4'. .pq.,),.A,, .4 .q ptttt..,, ,,,Au,ItMIC•elt-,,-..TA,O.'40%.1.',1.. .:1 ' • /7 ,..6:, frt/ .0 - yl.:,441),--6-0,7,- ,,,i,,q.,,;,.: c / w.344.,,,i,..),,,,,,,,,,,,,,t, . frtieSrry ( L,lit.t...41....!L'i. `.-.,14.........1 ' / t.R.P5N1444,3;.l',I'l't.',- --- ------ . - i'' /CW ' 1','4'''I o/sr /000 - , L2/9 7/v 6- 4,•-•'‘,;.''.: / _ ,,'..,,,S..-' SECT. /07 rienY.:7411'.",,,fi,z.,--,.•., 5 c 0 C kr: 7 `44#30Neqs rti ' ' LOT- /4,.•' ;ty1,-,;1,11,--,. . 5OZ../1COLA d 7-A'NX A-14,4, CERTIFIED TO Unauthorized alteration or add lion to a surve1 Certdications indicated i'sreon signily thai this survey was 'V 11 A., ••• f7/45 T A P4ER/C.A/V r/rcE- rnap bearing a licensed land sur,eyor's seal is a prepared in accordance with the existing Code of Practice for violation ol section 7209 sob division 2 of the land Sux.eys adopted Ity the New York State Attociattnn 01 *4,Akiii1;1144ghtliVilt',/i,:',0 //x/sc/R4n/c--co. OE Al y New York State Educallon Law Pm lessional L and Surveois Smd certifications shall run .;T;i1Vri;,0_,tr*ri,,,......,1 '• /AE C RicA/AROT8RF/E-C.0 u.a.s1.4.-A•..--olk,,Irv,- :,, , only to the person for whom tt e survey is prepared and on 4z10,1, ;,! '• (7O7—ACE MO/SA Caplet frOm the original ol this survey map not his behalf to the title company,governmental agency and lend ittk e6-0 'ii.-••,,•-•-:' •'-' ' • marked with an original of the land surveyor's ing institution Itied hereon arid to the assignees of the lend inked seal or his embossed seal shall am be Con iin,nstilutron Certifications are not transferable to addition : 4-*Als-'-''' ' '1,ccvws,AV,It sidered to be a valid true copy' as institutions or subsequent owners 424.,th-'••,,,,,!•'',, ,..i,•,i,:•;• , , sec...„..........\,$)..._....,..I._.__...._._....____...._ N .,11, '• '.11 ' Allasa111.111=0,•11/ 111).12,',140.4,T.I. q:1 SURVEY OF DES C /e6Q ,(,,,c47--y ).4.11;Itt,„)2.1:1;; t'..... $• •-.--„,,,.„,„,:,;-::•;'-„: . -- ,- 0- -eD 3te rea .,.:, Barr ‘11, .;'.. V-, A1,1114 ')1 4%.,p.-t...10;z..0.:..:'_;?:,, _ 11.1;41$ 41%i'1.,,, ' f '6Irvq, ,'10-,, , if-A, , -‘,,, .',,,..,....,,. Lailiziis§'em-ella fin, 14.1n.11 figli. . _.-;,: 400,02,1,t .,:..,•,,.;• V411g1,. ' , . ,' rgMrgv.:(41V'' Cf111,1,It inn r.ntt .nr '''., L ,,,I...,,...0.,,0• 140,41in*r1...,,V1111.1, 1 LOCATED IN MAT/-7 7-Licil-, 7-62 WA/ pic- ,25 ClItifetV4 st REF 1 r2,i,..,1 L 'VP,'irWAP.15,g.4....!'"'• , Se_44.-/c-OZ_/-‹ cc , A/ y • MALVERNE t 4 Y 115t, rui'n, F N Y 11°,1 ,i0 'k,o.7,:. . ,:',, '.._ 15161 SOO I run 15151 .2.1 12141 . 4,,...,,,,.., PLOT PLAN . . Ilk 4f,,•:.•R„t,,1141, o,1^1 FINAL ALIO 9 /9E33 FINAL , , LOCATION SCALE 1 IN r ea F r icJ ti NO7e:'6:-;. t,..i 1,..- • 11'.tlYtt,.a.i.j.,FaperANto REPRODUCTION McaecNo 4,1:ZW4L474, , , 1 Y ';, -'', ••''',.-i " • 4,1•,iik 4...i•.•,,P,.„4 q.v.4-ili:[...y•Sz.-4,i.F3g.:,..,:,-,,L...- :y,......,. 1$ ,.. .4,. ,i,„,,,,6,„,,,,,,tatv,4 ,44,, -iitg$16z1P4:4 liti.sAt.,-litt....wt't .'-`,.11,t1},) ..1 •