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HomeMy WebLinkAboutFinger "IF of 4 ELIZABETH A.NEVILLE ���`Z® y ; Town Hall, 53095 Main Road TOWN CLERK p P.O. Box 1179 4 ca Southold New York 11971 REGISTRAR OF VITAL STATISTICS 411 Fax(516) 765-1823 MARRIAGE OFFICER �= ,�� Telephone(516) 765-1800 RECORDS MANAGEMENT OFFICER _ RI �� 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. 3808-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner FINGER, PAUL AND JEANNE Mailing Address 1 570 COUNTRY CLUB DRIVE Mailing Address 2 City St Zip CUTCHOGUE NY 11935-0000 Property Address 1 570 COUNTRY CLUB DRIVE Property Address 2 City St Zip CUTCHOGUE NY 11935-0000 Owner Telephone No. 516-734-2293 Tax Map No. section 109.00 block 3 lot 2.009 Cross Street LINDEN AVE AKA MOORES LANE Issue Date: 8/21/98 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) SI " \ OFFICE OF Ti E TOWN CLERK 'cgFU Jj TOWN OF SOUTHOLD �� , Application No. .3 O ELIZABETH A.NEVILLE,TOWN CLERK ' } ' "'`' �C $10.00 - Residential P.O.BOX 1179 � " ' .L �' ``'; '= ► ' $25.00 - Non-Residential SOUTHOLD,NEW YORK 11971 z ;� • �,•• Telephone ift (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for OPERATION PERMIT SEPTIC TANK or CESSPOOL MG 1'7\7, Operation Permit No. Fee $ 1029 DATE S f(a/a? OWNER NAME: Pn t \ al-R-A e-ri rI e: J r OWNER MAILING ADDRESS:51M 1M Ccockc,`Fr/ Club �r. C ©1 r- ) y 11935- OWNER <[93OWNER PROPERTY ADDRESS : 5(-1,rc 07) cpvc, , OWNER TELEPHONE NUMBER: rJ3L- w_q3 c TAX MAP NO. : Section 10 9,00 Block 3 Lot e=2,fj®cf CROSS STREET:Li'nkj-i i4 j G\q Mnor e5 TYPE OF SYSTEM: Septic Tank New ,/ Existing Cesspool New )7/ 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.) r�rrrnv�l "ir Signature ofFpictiant r , RECEIVED BY: • own Clerk's Office _ DATE: hK 1 � 0 Young & Young, Land Surveyors 4,...1%.11--===4.% DEPAR•I T OF IMALTH SERVICES 400 Ostrander Avenue, Riverhead, New York 11901 - *rung �t7FFOI. CoUI�TY ���� A 516-727-2303 id3� PERMIT FOR APP AOmaL OF ONS:ISO• i �o i�IIunt� SIIvvI.E gr , ,`i'p jD CEO? "� i„aa Alden W. Young, P.E & L.S. (1908-1994) „EE (� _U o 8 ‘O g Land Surveyor DATE J°! HS REF•I10. • — Howard W. Young, \ I Thomas C. Wotpert, Professional Engineer - may Kenneth F. Abruzzo, Land Surveyor 0 tauaing APPROVED V I��_ \ John Schnurr, Land Surveyor z _ :ne SOF �T?, M .= .i >� s FoR MAxDAUh E $mrn:yiaq EXPIRES TITRES 'EARS FROM DATE OF APPROVAL �` `Z 1 0,) z W \,....o 3 G F 5 NOTES: LP =;x 0'II�\”`\E CESS 0 - 1. • = MONUMENT FOUND, A= STAKE FOUND ] g 1311,2 I \ ESPN\�PR� `N/,- 2 SUFFOLK IOCOUNTY ONN MAP E OCT.D IN 17, 1978'AS E OFFICE FF EE NO.E6736. no . I \ f - gSNN 2 - \ W�3NG ESS of A5d) 266.86 N = `i. s I 0 \N � G I 0 V I \�PR� o W. 5o-< _� < Or dorm `o I 2.542 \\ pin now MuZ\n I N \; o �r�_ ;G \, SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATION so=W seE Mor\'r\ \\1\01\C\ 1 m 2� "I AM FAMIUAR WITH THE STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE o `'\OSLO I fag \\ 1 \ O` SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WILL ABIDE BY THE CONDITIONS ioF¢ q� V / 6�� G \ vOGOn SET FORTH THEREIN AND ON THE PERMIT TO CONSTRUCT.' F El , ., O �O� 20 S T• `\\ �/ / : APPUCANT'S SIGNATURE: H tl _ .— ` 4352 1�ns7 I APPLICANT: i l II ..• eo ' ,, GA230/g W ... S. �S v '' O= 18 46.0.__— STREET ADDRESS: —� 4 0u 7.oe _ a0. a2� ED �°S'f 1 t > Z v... 00 $ PROPOS OF r o CITY: 1 2 v Q STATE: ZIP CODE: r<eb '00. 8 o LOBOUSOEN +� N I J oto$ o O.y o zap GARAGE ,o mo TELEPHONE NUMBER: F.61.5,E 2,-..) vg.0- 4 'z� F.F.E1=245..5 1F 1 F } ?'6 p0• 2.75 1 !1 1 WWO �' y I 1 ' w W SURVEY FOR: ig _"• 4j.3D• tr 0 0 PAUL FINGER & JEANNE FINGER _ 9ti,'' s T.V �1\� R=300!00• N 79 55'1 •• ME :( r � EL 2\° 380.67• Iv — Z LOT NO. 26, "COUNTRY CLUB ESTATES" e i► ' - L.=1 o0.01 • �Io R OONC , e b P. �M�N� \a• , 36 66 �°"� ; At: CUTCHO.GUE Town of: SOUTHOLD OWeOn9 sS. O k, 0 2� �� ‘,jr. s V SPS o DRIVE Suffolk County, New York §6 µ Q > o „aro_ O CP QO 1000 los 3 2.9 =-0 - ‘fi5 y=.. CP• �. G\ Suff. Co. Tax Map: (District (Section (Block ILot v& 0� d7 E�°, 1� Q� CERTIFIED TO: o"m ____________________:____„„rz �y 0� �( PAUL FINGER IsoQ ` JEANNE FINGER R`celved Wr.WF S� FIRST AMERICAN TITLE INSURANCE COMPANY OF–NEW YORK 0 O-\ MARINE MIDLAND BANK NA i SAN 0 7 1993 v; CP oN,S 4 .en�Icss et b ^, 7.,ept.0.� FGI:. F F ` i. ,,,.., f 137\7E— rnt- Of. \�gSi2Vv 8 P E 0 6 ��,/ U :JAN. 5, 1998 eWH (5J� SCALE :1"=50' Zx JOB NO. :97-0879 Eh; 0 SHEET NO. :1 OF 1 P4; "970879.DWG" .O