HomeMy WebLinkAboutFingerle (2) el' Cil
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: 1m . ,`i� Town Hall, 53095 Main Road
'' ;� P.O. Box 1179
®��, .,ED ��® i, Southold, New York 11971
N.JUDITH T.TERRY
�� i��/ FAX(516)765-1823
-.44,-...,,,,,,-"Y TELEPHONE(516)765-1801
TOWN CLERIC
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. 1433-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New X Existing
Name Of Owner FINGERLE, MICHAEL AND CHERIE
Mailing Address 1 P. O. BOX 515
Mailing Address 2
City St Zip GREENPORT NY 11944-0000
Property Address 1 1055 SUTTON PLACE
Property Address 2
City St Zip GREENPORT NY 11944-0000
Owner Telephone No. 516-477-9704
Tax Map No. section 33.00 block 5 lot 1 .000
Cross Street MCCANN LANE
Date Of East Pump Out 0/00/00
_
Issue Date: 4/02/90 JudithT. Tem
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK \\rcFQ(i.
Town of Southold �� , CQG' , Application No. / 3 3
Judith, T. Terry, Town Clerk � . y
Town Hall, 53095 Main Road Residential
P. O. Box 1179 u' 4 �; Non-Residential
Ekkn
Southold, New York 11971 OO..; x' � �`
Telephone .( '�
•
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
DATE 141°-)(76
OWNER NAME: V\A w Qt) 4" akevle
OWNER MAILING ADDRESS: 00 OV. 6/S
G reeve pDYi NV Iigi10-
OWNER PROPERTY ADDRESS: l SU.,- l) Place
&-►v-6eopv— i.(R 4
OWNER TELEPHONE NUMBER:
• TAX MAP NO. : Section � Block 5 - Lot
CROSS STREET: r V l (1 ea f V Vl e
TYPE OF SYSTEM: Septic Tank V New / Existing
Cesspool -71----New V 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 of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
:_
VACANT 1
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CERTIFIED TO :
FIRST AMERICAN TITLE
INSURANCE CO. OF NEW YORK SURVEY OF
TITLE, N0. 121 S 8541
LONG ISLAND MORTGAGE 'CORP . LOT 40
MICHAEL FINGERLE " MAP OF EASTERN SHORES II
CHERT E A. BERGMANN FILED APR. 27 ; 1964' • FILE NO. 4021
SUFFOLK COUNTY-DEPARTMENT OF HEALTH SERVICES
. •
SUFFOLK
GREEN PORT -- -
Ii�1;L Fag DI'aELLlt+G ONLY
VT
So 1a9 TOWN OF SOUTHOLD -
onTE MA . I?EF. 1�0. = SUFFOLK COUNTY , N.Y.
The sewage disposal and —ter supply facilities for this I r 00 – 033 05 – 01
- location have teen inspected ur7 this D�Ca�,-rment and or SCALE III : 30
otheragenc and feud isb,,sat• f5 l -
�?•�--. 24 " MAY 8 , 1987
'of Bureau of lhlastewg er Management AUG. 2 , 1989 ( FOUNDATION')
A" 2/ 1989 u ;? ':, .A..
�" s ' . _ FEB. 9, 1990 (FINAL) , -�
i 1r 1• t' %''O W I 1 S . LIC. N0. 4966 8 , r,„
theL'itinimum �"
�` * Prepared in accordance with u� ;'
n t ►����:` '�' ! s - standards for title surveys as estabit,.;3`,,�+' '/
( 516\ � l 20 the L.).A.L.S. and approved and aiti„,,i::J
for such use by The New York State 1:44P.O. BOX •
Title Association:
MAIN ROAD' - , -
SOUTHOL D , N. Y. 11971 -
- _ 87 . -- 352