Loading...
HomeMy WebLinkAboutSabat . OFFICE OF THE TOWN CLERK .c.FFOUrl,O Town of Southold , Judith T. Terry, Town Clerk a, � rtit;' Town Hall, 53095 Main Road P. O. Box 1179 `cn Southold, New York 11971 O ®- : �- •� Telephone 40 ace (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 312 Residential X Fee $ 10.00 Non-Residential Septic Cesspool X NAME OF OWNER: Mark P. Sabat OWNER MAILING ADDRESS: 755 Strohson Road Cutchogue, New York 11935 OWNER PROPERTY ADDRESS: Corner of Mark Road and Pat Lane Mattituck, New York OWNER TELEPHONE NUMBER: 516-734-6665 Work - 516-323-2500 Ext. 241 TAX MAP NO. : Section 114 Block 10 Lot 9 CROSS STREET: Corner of Mark Road and Pat Lane TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New X Existing Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: N/A Ju ith T. Terry Southold Town CI rk DATE: June 23, 1987 (TOWN SEAL) L 'J ti II Ili OFFICE OF THE TOWN CLERK SOW''- Town of Southold CQG' Application No. Judith T. Terry, Town Clerk Town Hall, 53095 Main Roada '"'' '.4c‘) Residential P. 0. Box 1179 cr's `` -'` ��' Non-Residential Southold, New York 11971 O ri *-,` Telephone 19°.( (516) 765-1801 TOWN OF SOUTHOLD JUN 10 1987 SOUTHOLD WASTEWATER DISPOSAL DISTRICT Town Clerk Southold APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3//c Fee $ ) 0. 917 DATE Mal cQ.q OWNER NAME: Mek_r k, ` • ��-� 0.H OWNER MAILING ADDRESS: '755 ,S+rohsoh R©ckicL to ok)-e0 \-10 k— //935— OWNER /9 6OWNER PROPERTY ADDRESS: Co1rr er O- - lea - k_ Rood od f)aA- game . OWNER TELEPHONE NUMBER: `73q-606,65-- 3o2.3-t.25?0 eA f / TAX MAP NO. : Section I f '4 Block /0 Lot CROSS STREET: Corner C'� Mark__ �od- anc pa_ ,�rnr�. TYPE OF SYSTEM: Septic Tank New Existing Cesspool :X New X Existing Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: iv bo, 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.) iliGtik PS014- Signature of Applicant RECEIVED BY: -14e ±� 74, own r Ierk' Office DATE: g/ 9 _ C.:- 4' _ ei well ; _ y _ VI = _� CP A" ti. - ( DWELLIN0 ) I� DWELLING well 1 2`a ®I I �_ LOT I 0 N ` c�r,rrode e°Dv _7 nd. en, c2 162 69' �� 4, N. 45°05' 011E. ` '- 136 001 gl do•i• l DWELLING ) A 2F3.23 4 259 ` 0 r 26 9-� IT NP�oP l9 ^�12-0 a• dd t LL _ CP CP _ co to cr LOT 9 N LOT 8 al Z , 4, L ( DWELLING ) • 4ts1 .....1 ?hop dwCILinry ?1 w - so' --> ( DWELLING ) F'"" • ! I 0— fir,/' i • �y s r a. Lo ' 7- 74, won a• C e ,7 ref cL6� St i CA 2. 25.0 1 26 3 /4 71 24 34 *._ 46_ P, 30' 6 G lvaon S. 45° 05' 2 010 W . 136 . 00 3 _1 m co nI 4 2IG A R K R 0 AD - ~ w CP co CP�� / n/ .,4._— (/(/ 25 60 CP.ti ` �v �`� /`y _ CP ( DWELLING ) ( DWELLING ) , f-eV/ ( IS EELLIN6 ) ( DWELLING ) CP SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ThoFOR APPROVAL OF CONSTRUCTION ONLY 10m water i Ie r Iy o viII diepooal alto. toms for this maiden-co will conform to the sten.lards of tho Suffolk Come�ly/��/O . DATE ?HS %' NO. r it* (0 iambi:. .®alth .�C.ir,�Je P. it i \�� APPROVED _.,,a / P. / S _/'. V E V O F L 0 T CERTI F1ED TO.. 0 Ilitc7 II MAP OF DEER PARK II MARK P. SABAT t 14,0 FILED J., ,„ '=25 , I960 FILE NO. 3204 YVONNE M . SABAT • f2?, *l ®a a *Jowl.,ZOO fA, `° M A TT 1 TUC K 7SSS o6�So�J l,,J Ve i5VA TOWN OF SOUTHOLD C v-/i(a9a WW1 SUFFOLK CO.UNTY , N.Y. o- 73`e- /97 '/ 36 1000 - 1 1 4 - 10 - O9 Prepared in accordance with the minimum S C A L E 111 . 3 O 1 ;'A•1 �',;' standards for title surveys as established by FEB . 27 , 1987 ' � , rv , ,-1,.., ).. the L.I.A.L S. and approved and adopted ,,. ' ;. for such use by The New York State Land 4".• Title Association. -- ✓i , .. _, SINGLE FA' 1LY WELLING ONLY • s, , --5� , . 9 li,,LAN® �, ;�?, SES TSO YEARS FROM DATE ®F APPROVAr% �� _ el : j I, '.4I\,, O'6"p '`'_ S . LIC C. N 0. 496 1 B _ `Fe,rr p/, ,! � h�' � ! THE LOCATION OF WELLS AND c. PES �? IC , 1;,;,fit. EYIr a ENGINEERS , P. C. Ap 5 .�,?Itr G6 CESSPOOLS SHOWN HEREON ARE FRONT \ r, e, 5'' ft FILED OBSERVATIONS AND OR FROM �� ' DATA OBTAINED FROM OTHERS . P. 0 '44,,, °9449► 40 MAIN , a' N SOUTHOL 1 ' V. 11971 , 87 - 158 �...,.... ,..,,....,.......�.......,,rM�,uxe w.stn....a..,,.. .. .�..,.- ........ _a._ ,.—. _