HomeMy WebLinkAboutRowe 1 # =
JUDITH T. TERRY ��
Town Hall, 53095 Main Road
P.O. Box 1179
TOWN CLERK • it • 2
REGISTRAR OF VITAL STATISTICS '� Southold, New York 11971
:�
Fax (516) 765-1823
• MARRIAGE OFFICER t "§ ; s N. e!' Telephone (516) 765-1801
1-1/31 l(Wipoe
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 1720-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner ROWE, ELWOOD AND PATRICIA
Mailing Address 1 1795 ELIJAH'S LANE
Mailing Address 2
City St Zip MATTITUCK NY 11952-0000
Property Address 1 1795 ELIJAH'S LANE
Property Address 2
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. 516-298-5847
Tax Map No. section 108.00 block 4 lot 7.010
Cross Street ROUTE 25/ROUTE 48
Date Of Last Pump Out 0/00/00
Issue Date: 7/03/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK �FFO
Town of Southold ���;-,. COG' Application No. /7
Judith T. Terry, Town Clerk p
Town Hall, 53095 Main Road $10.00 - Residential
P. O. Box 1179 ® ,
$25.00 - Non-Residential
Southold, New York 11971 . ��
Telephone �.( N�0 ��
•
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ /6 0 0
DATE 6/3/q/
OWNER NAME: E. / LoOo rI ROL.r `2
OWNER MAILING ADDRESS: 17 q'5' J ( i j'Q,' s )-aJi P
114irti 'ruck_ y .(J f1 Cg's_"'
OWNER rrcurtR T`Y" ADDRESS: 17 g3--- Il ,J ,c Let h sd
OWNER TELEPHONE NUMBER: Ste/(, L11 7
TAX MAP NO. : Section /OS' Block Lot 7 , i 0
CROSS STREET: (51/7-1) qL/er
TYPE OF SYSTEM: Septic Tank ✓' New Existing
Cesspool i/ New Existing
Residential -I,/ Non-Residential
DATE OF PREVIOUS PUMP-OUT: ( /'7`//
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: bS-
- o ,, 'Clerk's Office
DATE: JUL 03 Int
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NOTE
r=MONUMENT
SUBD/V/S/ON MAP F/LED/N THE OFF/CE
OF THE CLERK OFSUFFOLK COUNTY ON
FEB./4,1974 AS MAP NO.6065. ,
THE LOCATION OF WELLS AND CESSPOOLS
SHOWN HEREIN ARE FROM FIELD O$SERVATIONS
AND/OR FROM DATA OBTAINED FROM OTHERS - - -- -- - -
REVISIONS YOUNG & YOUNG
400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
ALDEN W. YOUNG HOWARD W.YOUNG
PROFESSIONAL ENGINEER AND LAND SURVEYOR
LAND SURVEYOR, N.Y.S. LIC. NO, 12043 N.Y.S. LIC. NO. 43493
SURVEY FOR:
UNAUTHORIZED ALTERATION OR ADDITION TO ELWOOD V. ROWE 8 PATRICIA A.ROW lc,O Ya
THIS SURVEY IS A VIOLATION OF SECTION
f N Eby
7209 OF THE NEW YORK STATE EDUCATION LOT NO 7 "EL/JAN'S LANE ESTATE, CtYiA 01.4-
• I
LAW /,
-rc' 0
COPIES OF THIS SURVEY MAP NOT BEARING - -- .-_ -"- e / G
THE LAND SURVEYORS INKED SEAL OR -_,_ _ ,--fit Y
EMBOSSED SEAL SHALL NOT BE CONSIDERED ------------- - W
TO BE A VALID TRUE COPY • AT GUARAI�, EE• .c; i , jr o
MATT/TUCK SOUTHO• SA ti 4! ?.f',,;:, co
GUARANTEES INDICATED HEREON SHALL RUN HOME E•!!,'�i ,040:-. H/ 4
ONLY TO THE PERSON FOR WHOM THE TOWN OF TITLE C 0, etSURVEY IS PREPARED,AND ON HIS BEHALF SOUTNOLD .r ^, • 6
TO THE TITLE COMPANY,GOVERNMENTAL - - - - -- Fil'� o• I . -- 'a�
AGENCY AND LENDING INSTITUTION LISTED BY g,N, ,/,i,„
HEREON,AND TO THE ASSIGNEES OF THE • SUFFOLK CO., N.Y. /��- meg E/ J, j-
LENDING INSTITUTION GUARANTEES ARE - --- - — ''''"'"''-^—•_ � �
_
INSTITUT ONS OR 9UB9e 0 ENTTIOWNERS. �I T TRANSFERABLE TO ADDIONALSCALE: /N�' S0' DATE: MAY2/� /975 X75- 284
K&E 17 5153 5-73 40588.