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HomeMy WebLinkAboutPappas (2) OFFICE OF THE TOWN CLERK • icAf Town of Southold 4 cf Judith T. Terry, Town Clerk � t. Town Hall, 53095 Main Road o , ' �" . P. 0. Box 1179 c� ,x Southold, New York 11971 � gb ��- •• Telephone : Od ep • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT • OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 275 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X NAME OF OWNER: JOhn Pappas OWNER MAILING ADDRESS: 270 Stanley Road Mattituck, New York 11952 OWNER PROPERTY ADDRESS: 270 Stanley Road Mattituck, New York 11952 OWNER TELEPHONE NUMBER: 516-298-8161 TAX MAP NO. : Section 106 Block 7 Lot 36 CROSS STREET: Dogwood Lane TYPE OF SYSTEM: Septic Tank • New Existing Cesspool X New Existing X Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: February 12, 1987 Judith T. Terry Southold Town Clerk DATE: April 13, 1987 (TOWN SEAL) u • T' , r , Of L.0. ' OFFICE OF THE TOWN CLERK PFFD C' Application No. r i Town of Southold �� sem. OG', J Judith T. Terry, Town Clerk a:``� `l Residential Town Hall, 53095 Main Road o t__ ==r = P. O. Box 1179 � Non-Residential Southold, New York 11971 O ® > , '„$ Telephone 1 igt •P, " (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. - Fee $ /O DATE /f g 7 OWNER NAME: J D}i-A ?P-FP.r5 OWNER MAILING ADDRESS: 9270 ,4 ✓ eif go /4' á/Zre ivy //9J`Z— OWNER PROPERTY ADDRESS: c\dez4oe OWNER TELEPHONE NUMBER: 516 '" 99, g/ (J TAX MAP NO. : Section /,7K- Block 7 Lot 3'6 CROSS STREET: TYPE OF SYSTEM: Septic Tank >4 New Existing X Cesspool >[ New Existing X Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: #2--/le-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.) 04 _et,/ Signature of ,. .plicant RECEIVED BY: - REcErviewn Clerk's Office DATE: APR 13 9 Town C;erk Southold V . . . , . ::., .. . . , , r ; . , . ,, ..„ , , . ... , , , . • r . . a. . . ,, „, . _ . . .„,I a E ,;i!'r I HoU , ---....N............ . 3 . : :,;,' , „ . ,I., dd Estates _ _ Captain Kidd suhdi vision FILE NO. l6 CUFF CO. F • Pi°�� _ter , Uzi 77 '."'ll' N81°2524„E 661 I -- _� F�: ; ' , fat 3 • o • 0 O I \ - I \ I , I \N M \ 7- 1 O N ` - . �I \ --I \ I ` 25 ° I U O :0\ ' A CI NSG• iq' _ v' l.1 ��, • / // ( ttt 0 I,r t!t .�` q.5 - ' t ° f • ( \\o . N -y,,,, ,,,,%%,0,,,,,, t` �G'T\•\ /V" A' \\ . I. ,� . t .6...e.„•3 \v to a �-- , (. -- -- , . • - - \ — n-- .......__ 0 z p , b� "yil/ L`58 6 77...>___ VIA �`%_. °i920 E • /II' / 44 ER MQ1N� D Q �', E 235.Oa / 6 R , 20 O 039 13 N 11 EL:6 S o . • Z I, i r ti4= r(1 4( COIJNTy NI.,;f::7i14 DRs IZTIZ,'v'7. SURVEY FOR STAMATA CHARALAMBOUS a ANDREAS CHARALAMBOUS v�V-__:.______.i, 2 1980 Ta. �. ?(E e % . 7J' LOT 3 " SUNSET KNOLLS, SECTION TWO" SEPT. 10, 1980 2149 >yo1�! a ;1 v�,;s�:7 nnd 7ater SST p1p AT MATTITUCK DATE MAY 16, 1979 T, TOWN OF SOUTHOLD " ►idtli 0 Ee .:''..Jrbis lcc•Et i-n have been SCALE• I = 40' - a tint e3 11? c,!.."'dciDa I,:r.lt a:1d fount; SUFFOLK COUNTY, NEW YORK NO. 79-269 ,"Yi art''i" F vrr4 1 5rat :•: —6.1.e`� .A N UNAUTHORIZED 'ALTERATION OR ADDITION TO THIS . V'ifl'_. y y ,, h." y ti .1fa SURVEY IS A VIOLATION OF SECTION 7209 OF THE �� OF M�{y r�o NEW YORK STATE EDUCATION LAW 'Oh '; 'l+; t,Y>9i "�`1 r�,. eral Zugitat)ii"r+i3_g Of COPIES OF THIS SURVEY NOT BEARING THE LAND - - 0 �4. " Se v1 aea SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL se'� Y 'I¢ - .. NOT BE CONSIDEREOTOBEAVALID TRUE COPY Q 0 • 4 'U•• •}• XGUARANTEES INDICATED HEREON SHALL RUN ONLY TO h�etL .2` THE PERSON FOR OFT THE SURVEY IS PREPARED T 6D ' HEALTH DCr:-PTMENT-DATA FOR APPROVAL TO CONSTRUCT �, '�' AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- � t I N NEAREST WATER !CAIN MI '- N SOURCE OF WATER PRIVATE PUBLIC✓ MENTAL AGENCY AND LENDING INSTITUTION LISTED arl%�iy`,+ 0 SUFF CO TAX MAP DIST!''�" SECTION /0e• BLOCK�_LOT 36 HEREON, AND TO THE ASSIGNEES OF THE LENDING \r%,'+ )E THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE Jn / , y, OTHER THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS �p • ' N THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE !t' X0/5 A A '` • WILL CONFORM TO THE S1ANDARDS OF THE SUFFOLK COUNTY DEPARTMENT #DISTANCES SHOWN HEREON FROM PROPERTY LINES / A4./r4�., - 0 OF HEALTH SERVICES --/- TO EXISTING STRUCTURES ARE FOR A SPECIFIC • t( , , t�4i,A ; PURPOSE AND ARE NOT TO BE USED TO ESTABLISH • APPLICANT, PROPERTY LINES OR FOR THE ERECTION Of FENCES , . i . Allii TEL ! ¢�` YOUNG �®fir° G R RHEAD400 N NE�+VDER Y R PC AVENUE NOTE ® = MONUMENT '.-'- , }tv, ,I , ,.. 42 SUBDIVISION MAP FILE IN THE OFFICE OF THE CLERK OF .e4N „ ,+, ALDEN W YOUNG,PROFESSIONAL ENGINES `` ill \',1 SUFFOLK COUNTY ON APRIL 9, 1970 AS FILE NO. 5448. iuw fi -•`,1( AND LAND SURVEYOR N YS UCENSE NO 1284 HOWARD W YOUNG, LAND SURVEYOR . 34'ME LOCATION OF WELL(W),SEPTIC TANK(ST)15 CESSPOOLS(CP)SHOWN HEREON \ NYS LICENSE NO 45893 ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS