HomeMy WebLinkAboutFoote ,� FOFFOLAP
eoi-
JUDITH T.TERRY � � yl Town Hall, 53095 Main Road
TOWN CLERK ; ria P.O.Box 1179
w i Southold,New York 11971
REGISTRAR OF VITAL STATISTICS `®y ��'��� Fax(516) 765-1823
MARRIAGE OFFICER /f'
RECORDS MANAGEMENT OFFICER : .� #001 Fax
(516) 765-1800
FREEDOM OF INFORMATION OFFICER �„ ,.• �
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3515-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner FOOTE, NANCY L.
Mailing Address •1 P. O. BOX 156
Mailing Address 2
City St Zip MATTITUCK NY 11952-0000
Property Address 1 790 WILLIS CREEK ROAD
Property Address 2
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. 516-369-5590
Tax Map No. section 115.00 block 17 lot 17.013
Cross Street MEADOW BEACH LANE
Issue Date: 9/26/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK .c\\VFO1. - "-= �/
Town of Southold CQ �� Application No.
Judith T. Terry, Town Clerk �� O
1
Town Hall, 53095 Main Road 8 �r �,• =4*, $10.00 - Residential
— -
P. 0. Box 1179 (X3 ' f G s; ? �`' $25.00 - Non--Residential
Southold, New York 11971 O *� '••0���'�
Telephone
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ 0
DATE volq„6
OWNER NAME: (Ua t... -D
OWNER MAILING ADDRESS c)a Q-) y, )
OWNER PROPERTY ADDRESS: • 7 / U L,c5 t ///' 6z /C
OWNER TELEPHONE NUMBER: 36)? -S-5-610
TAX MAP NO. : Section //5--- Block / 7 Lot / 7,D/3
CROSS STREET: (Y),_,A,,,,„ C3 c� ✓�-t
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New 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
Sig `tune of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
•
. •
. ,
o
o . .
_,„,.... . ,......„
, . , .
goung
Young
planning ) A
Engineering .u%.,
��
' O
liktrueying ?�
•
61v- y P..
v •Fj s0
y
7Z ti�.�
V_ot 12 \ \ /
\ C.
"CO PRO 0N0 t6 DEEP '-r-L„ --97— 1014'/VE'PY _�
,....co 8111 PR', —' \\ \
`f -'I 1, 1 N \ .
N ; 5„ E I I .�•e�. tP
35 �,W A� 0,11 f cP, 0 \
LS
�� N :7S'�20 366 �I-fro.--
� `, ��11‘.............‘ll Stti%-� �\
69-0 11 t \ r \\ 1, , ,
, \ 6 /1 f PI i�1 I
\ Y • / 1 \G/
Y c' I ` \�S'A o .\m\\ , ,1•1 '?���111 f\��
N �J 1 rn
Lu W Ce z ox �\ �•h SOF \\\ 20 , )/ \1 \O. o� . \o II I
W I wx �.�y• ,'
, \ y'-�� \ o� "'syo \ \0 I t I
U 1,111 Z
O I ~a IoW �0''' V !I_
�� 11\u t'�yo \ �' I N
• I '.ilii ,' 1 8,` \ 11\eo „.A \--WS-- L v
Y' w e \ \ 1 0 IIy,",1 r,,•,1____ 5_0.5'
O I F O m ` Q �II C},��i'CQ<? \� \ \�• 1�m, �IN _'�_— I .
I Aril
U >'F" LOGI
I `tiy4 e0 , `.r .1/2'.'
1,3 19N lo. (10 00' I swum
C,
Z
•• 306•�5 I n1
O 01 Cln 3w�r `�� /14366. �`% / /
WN O oO 3- I CE NAY OG�cONg1RVCj oct ON 7,...__CE 43. /
C9.1-4 ?LAO. 00(ttN
. 1 I �� f6NC 1.24D
I
I `ok. �4
.\ , .
NOTE:
1. ♦= STAKE FOUND '0 = STAKE SET
2. ELEVATIONS SHOWN HEREON ARE FROM ACTUAL SURVEY
AND ARE REFERENCED TO N.G.V.D. (MSL 1929).
3. FIRM ZONE "A4" BASE EL. = 8.0 CONTIGUOUS WITH 8 CONTOUR. ,
4. AREA = 45,744 S.F.
5. SUBDIVISION MAP FILED IN THE OFFICE ,OF THE CLERK OF
SUFFOLK COUNTY ON AUGUST 21, 1987 AS FILE NO. 8377.
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATION SURVEY FOR:
"I AM FAMILIAR WITH THE STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE
SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES AND WILL ABIDE BY THE CONDITIONS NANCY L. FOOTE
SET FORTH THEREIN AND ON THE PERMIT TO CONSTRUCT."
APPLICANT'S SIGNATURE. LOT NO. 13, "HARBOR VIEW AT MATTITUCK"
APPLICANT' At: MATTITUCK Town of: SOUTHOLD
STREET ADDRESS. Suffolk County, New York
CITY: STATE: ZIP CODE'
TELEPHONE NUMBER: Suff. Co. Tax Map : I 1000 1 115 1 17 1 17.13
District Section Block Lot
Young & Young, Land Surveyors '-- ' JULY 10, 1996
400 Ostrander Avenue, Riverhead, New York 11901 -.' '' JUNE 100JUNE 24, 1996, 1996
_
516-727-2303 MAY 29, 1996
J f FEB. 28, 1995
JAN. 18, 1995
- NOV. 22, 1994
Alden W. Young, P.E & L.S. (1908-1994) �� OCT. 11, 1994
_ L ei DATE :JUNE 10, 1994
Howard W. Young, Land Surveyor .'- e / SCALE :1"= 50'
Thomas C. Wolpert, Professional Engineer JOB NO. :94-0305
Kenneth F. Abruzzo, Land Surveyor
John Schnurr, Land Surveyor J - SHEET NO. :1 OF 1
O� y (F0960467.DWG) OO d
e
UNAUTHORIZED ALTERATION OR COPIES OF THIS SURVEY MAP NOT BEARING DISTANCES SHOWN HEREON FROM PROPERTY UNES CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY THE LOCATION OF WELLS(W),SEPTIC
ADDITION TO THIS SURVEY IS A THE LAND SURVEYORS INKED SEAL OR TO EIOSTING STRUCTURES ARE FOR A SPECIFIC O IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING o TANKS(Si)a CESSPOOLS(CP)SHOWN
VIOLATION OF SECTION 7209 OF THE O EMBOSSED SEAL SHALL NOT BE CONSIDERED O PURPOSE AND ARE NOT TO BE USED TO ESTABUSH INS117U1ION USTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTITUTION HEREON ARE FROM FIELD OBSERVATIONS y
NEW YORK STATE EDUCATION LAW TO BE A VAUD TRUE COPY PROPERTY UNES OR FOR ERECTION OF FENCES CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS AND OR DATA OBTAINED FROM OTHERS