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HomeMy WebLinkAboutScheider • JUDITH T. TERRY ,, ® Town Hall, 53095 Main Road TOWN CLERK • ® ; am P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS � Fax (516) 765-1823 MARRIAGE OFFICER -.,`® ® �� Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER -_ 1 , I FREEDOM OF INFORMATION OFFICER ��� pi`�, OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3224-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner SCHEIDER, RALPH AND ELIZABETH Mailing Address 1 300 INDIAN NECK LANE Mailing Address 2 City St Zip PECONIC NY 11958-0000 Property Address 1 300 INDIAN NECK LANE Property Address 2 City St Zip PECONIC NY 11958-0000 Owner Telephone No. 516-734-7044 Tax Map No. section 86.00 block 4 lot 1 .006 Cross Street ROUTE 25 Issue Date: 7/21/94 Judith T. Terry Southold Town Clerk (TOWN SEAL) • OFFICE OF „THE TOWN CLERK �FFO Town of Southold ��� , �_ CQ Application No. 3�,22, Judith T. Terry, Town Clerk �_ � ►�' Town Hall, 53095 Main Road ��=. -'� $10.00 - Residential P. O. Box 1179 $25.00 - Non-Residential Southold, New York 11971 O ° yo � Telephone j (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ /64-6 DATE OWNER NAME: f'1(.Gejn v EI/Z1 be 7 &J2e/c/e/; OWNER MAILING ADDRESS: BOO c_AYyliard 4,/ k LA( Aron N '/ 11 q5-, OWNER PROPERTY ADDRESS: /YLQ L1, a OWNER TELEPHONE NUMBER: 73 4— 70c/x TAX MAP NO. : Section g94 Block 21 Lot ` CROSS STREET: ,jeiicJv TYPE OF SYSTEM: Septic Tank New Existing Cesspool New Existing X Residential X 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.) �e�12 Signature of Applicant • - RECEIVED BY: �/ i oowwn5,ClerR's Office DATE: JUL 1 2 1994 Southold Town Clerk e(eva4rorts t^ j -/o fires tr-r Se-6 jevei -rte - . • NI° s "> SUS FOLK CO. HEALTH DEPT. APPROVAL • da fum f+^ort! Suff• Co. U.P.Vel creria(. —�� '® H. S. NO.S5- 5D-. 1_Z5 ls . // '1 :. , R°Pk° ..._._.>---------. ' / ' _ —� S I . MAP 4F X')RC; .-- '7' "- ' (S �� _' 1 SUR,ice-)-'--p FOR STATEMENT OF INTENT rJi THE WATER SUPPLY AND SEWAGE DISPOSAL. /A • 1 . PALP17' / `� , SYSTEMS ' FOR THIS RESIDENCE WILL ��/�D�,--`‘- ' CONFORM TO THE STANDARDS OF THE {I ��NQ SUFFOLK CO. DEPT. OF HEALTH SERVICES. ! L- /1 /ZA %'/ !H \.....�r� �i- 5,.= ' (S) APPLICANT I • ---r ; ' ! ! ` '� / SUFFOLK COUNTY DEPT. OF HEALTH _----- ! ( • ✓ � � }/ SERVICES - FOR . APPROVAL , OF '� CC.-VV/`,f y' ` ' CONSTRUCTION ONLY Al ; / DATE. , Qi 1. H. S. REF. NO.. -85-- SO.'- 12� N. NI APPROVED: CJI , r n / `-'C-tint' ,rte,, -r-.(...) =1~ J a it%l `r#i s' `'y-r" at • �� �f'G fir' 5 � SUFFOLK CO. TAX MAP DESIGNATION. �}�ry / DIST. SECT. BLOCK PCL 1 ®I t / 1000 08h 1 1.6 Lc ///0 OWf RS ADDRESS: Y � / / `-+. 1 VG�e�: LOT' l9Gr IN bcrr : 5/70 re•7 ""r _ r� r k } / �• 231 .Corrsrri-- MI-. 5rticii 4...d. I \; i 70 Mafi 0i' PeCO sf'1= r' -F/ Cove / CDr2�rrt, N. Y. ((T ' i ! I / /�'/�//fry f e �) TTS/�- ,":::45;:..(174/ °'�x' I 4 ! i `•. o f yce 1- c . ere(.698-4,•-I�3,-e) • V; I g ./ 6/r'%r'( 0,<` "Ka,'p Liz',/;.-70,,, ,,,,/061 : /:5.7410 DEED: L. N/a P. Ly ' /O00, Ste'/,' 96 5, h 4 .Z.-0 /- 7 $ TEST HOLE STAMP n Ai i G g-` 0 0 66"s-. .....?-1••% 0 •,o `sl,, `L° _ - - I c \Gr—, 7/`71/` An'e/;7t _•"-Y' 1 /.za5" 4.7....Z: - j1 j / ^1 �._� I ' `•t,',a•.•hrriT�•'ei'orafit+n r- e,�'6!irv3 (7.1 �° C!T P M CV� ny IS i.'vtolation of S mac.inn :�^,of the Nev.!YoE'x : Eduenti.:n L . In , y ' Sftte 1 N. ! ' Cot,* thin sutygy mt9 t i .� • tils lent' eyee i-duxd sett er - • eeviceci .../t Pie 17, /98 ,--� smbosse.:ser,!sh*i;not beo®rta3 Cf HAG II • t e \' to be valid trim ccr_•y. I. i ,`+ o , ) ReViSe-6 / ! • II! re-6rr(iirEJ :�� /r^'la I Guarantees ink arta hare=L+lse?1 rain �2_ i only to the pe:xon for whom the=may ��/ k r, .•i7 ` h 70' • MAY ! I q 8b :Ti t is ore srsd,end on hia bshelff t©tho s I gg• k-1 title comv2ny,governments!avenay nal `'?Q 6--- /. :c' set ," - - r N v to tdha a<a�greh�s af the landing inad- �� II h -la'' cwelr C5 c_ / / / / / – i tutinn.Cusrantoes aro not trFansfarabi6 ‘,4C4'.... C� I • 6ceen o/e,t-r'f - /..D`l q /r/4. t'r e t �y a v ,,,?..5 --t- eo eee;:iorvl cnati?u'tiss:►s er u b q,Iont ;d ! Q c�::"3 SEAL L77' T CG'r CQldC Q 1 ! '-:1- 4.. I WALLS- . c. L_ 1 _ aI"r�7 r ' .C:C)e. 7i'T/e �.i_iat'Lf�,:/7f Ti' `� t 9 r� • . L Qi91,061? / ,:,% — !•/r v c_''_r c7 Ma -f , ;A it ) 1 f rr 'i 1 f _ i ' — RODEIICK VAN TUYL, P.C. •e•••••••,....- e.d .2 rk; - _ .LICENSED LAND SURVEYORS GREENPORT NEW YORK 1