HomeMy WebLinkAboutFriedberg (2) 01 omit -
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ELIZABETH A.NEVILLE hyo Town Hall, 53095 Main Road
TOWN CLERK c -� P.O. Box 1179
t 0, 2 Southold,New York 11971
REGISTRAR OF VITAL STATISTICS *-�'�� Fax (516) 765-1823
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER 4
?i 0 ®� �� Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER 4i
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3829-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner FRIEDBERG, F. PAUL
Mailing Address 1 C/O GENDOT
Mailing Address 2 P.O. BOX 847
City St Zip WADING RIVER NY 11792-0000
Property Address 1 250 SELAH LANE
Property Address 2
City St Zip MATTTIUCK NY 11952-0000
Owner Telephone No. 516-929-4310
Tax Map No. section 106.00 block 9 lot 4.006
Cross Street COX NECK ROAD
Issue Date: 11/27/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
i
o
OFFICE OF THE TOWN CLERK ilFFO ' C
TOWN OF SOUTHOLD c COG Application No. 0 ��
ELIZABETH A.NEVILLE;TOWN CLERK ' .i
, ; $10.00 - Residential
P.O.BOX 1179 ��
SOUTHOLD,NEWYORK 11971 '�� $25.00 - Non-Residential
Telephoneejilit `j►�'; �'
(51 6) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION '
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
DATE &D &g, ir
OWNER NAME: Fi.
�ta..-& / /'
OWNER MAILING ADDRESS: 6 d*ef,40.
A 00)4.e t 7 tea- 4ell,91R.
OWNER PROPERTY ADDRESS: .2,D /!e�',l;o�.4)p .0-
OWNER TELEPHONE NUMBER: th —9 U -- .3/1
J TAX MAP NO. : Section /d6i Block ! Lot 1' 6
CROSS STREET: £/.i7ud_'£ ,'L
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.)
•
,,,„
Signature of Apr cant
A
RECEIVED BY:
Town Clerk's Office
DATE:
V
1
_ , • - 98-297
LOT AREA = 3- 8;523 sq.lt. ' , • '98=4 91
jGREEK CHURL H
• WELL
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porch ; 2 - 9.4
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- cesspool
as_��$ 76,
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septic ". /
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c-� L_ .-' ,9 / i -
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00 X91 s) OND
5.19°00'00"W '•(42.0)
151.2 0 td. pipe
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0.3"W.
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LOCATIONS BY OTHERS
COX NECK ROAD .
The existence of right of ways and or easements .
9-21 - 199 8 FINAL SURVEY of record, if any, not shown are not guaranteed ,
6- 11 --19 9-8- FOUNDATION LOCATION - -
,e OFFSETS (U OIMtrJSIONs) vu JOB NO. 98- 154 FILE NO: WEST MILL
r1OWN HEREON FROM THE SHALL RUN ONLY TO The PERSOn,
.TP.UCTURES TO THE PROPERTY FOR WHOM THE SURVEY IS PRE- SURVEYED FOR
INES ARE FOR A SPECIFIC PUR- PARED, AND ON HIS DEHALF TO
'OST AND USF AND THEREPORE 1HE TITLE COMPANY, GOVERNMEN LOT NO. 4
IRE NOT IFFETE DED TO (,VIDE THE TAL AGSNCY ANT) LENDING INSTI-
REF TION OF FENCES, RETAINING TUT{ON LISTED I,EI;EON, AND IC
NAILS, POOLS, P4TI0T, PLANTING THE AS'ONEES Cr THE LEADING MAP OF WEST MILL SUBDIVISION
AREAS, ADDITION TO BUILDINGS INSTITUTIIYN GUARANTEES ARE
'IRA .OTr t=MNS RU TION NOT 7;,,Akn,F.7_,ELT TO LADi T IONAL
INS I1TUTIONS OR SUBSEQUENT SITUATED AT MATTI TUCK .
.1NAUTH RIZED ALTERATION OR OV,KR:J.
\DomoN THIS SURVEY IS A TOWN OF SOUT-HOLD: SUFFOLK COUNTY N.Y. '
'IOLATiON SECTION 7430 OF CC '_S OP THOS SURVEY MAP NOT
HE NEW YOTK,STATE EDUCATION BEARING THE LAND SURVEYOR, SCALE 1" = 40' DATE 3 -25..1998
AW. - r SHINALLED SEALTOR EMBOSSED SF L
SHALL NOT BE C04SIDERED O ®F
OS" P+`�� FILED MAP NO.9539 DATE 7- 20'- 1994
GUARANTEED ON 5's.1� .-4":;;,-.\:;.
�„�� TAX MAP NO. 1000-106-9-4.6 (REF. ONLY) DISK180`
t , a Rq� �� >h
CHRISTOP Cts• ®HEATf '°11�JU PHY HAROLD F. TRANCHON JR. P.C. •
Y L; Y.
NOR`T'H' ®FSC;1,..-vP,,,4 - LAND SURVEYOR , ` ' ,
FIDEL • N A'EION'. T, t1.,E 1 NS. CO.
vi"'"
_ - �.�` �J 1866 WADING RIV.ER�MANOR Rb. WADING RIVER,
�F� ° pES`� t NEW YORK,- 1 .1792 . _
!`""" ( ¢�` ��D ,IN.Y: Lac. 0. 'oa89sz 516.-.929-.4695`
HARQ• f[I F. TRANCHON . ----- ---PENN: LIC. •NO. 21115-E - - - - .- . . -