HomeMy WebLinkAboutQuarty JUDITH T. TERRY \', , Town Hall, 53095 Main Road
TOWN CLERK 'a P.O Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER � _rte _ �> � Fax (516) 765-1823
eF+ Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 1613-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New X Existing
Name Of Owner QUARTY, RICHARD
Mailing Address 1 P. O. BOX 269
Mailing Address 2
City St Zip SOUTHOLD NY 11971-0000
Property Address 1 H I GHPOI NT MEADOWS, LOT 19
Property Address 2 TUTHILL ROAD EXTENSION
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 000-000-0000
Tax Map No. section 55.00 block 6 lot 15.001
Cross Street ORIOLE DRIVE
Date Of Last Pump Out 0/00/00
Issue Date: 1/17/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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SURVEY FOR
RICHARD QUARTY 1 JENNIFER QUARTYII DEC. 13,1990
LOT NO.19, �'HIGHPOINT MEADOWS, SECTION TWO OCT. 10, 1990
AT SOUTHOLD - DATE . AUG. I5,1990
TOWN OF SOUTHOLD SCALE: 1": 40'
SUFFOLK COUNTY, NEW YORK NO 90-0609
*UNAUTHORIZED ALTERATION ORAODITION TO THIS GUARANTEED
SURVEY 6 A VIOLATION OF SECTION 7209 OF THE RICHARD •.l#tR40I NE4,
MEW YORK STATE EDUCATION LAW JENNI- R • �' -
N COPIES OF THIS SURVEY NOT SEARING THE LAND • . ► BANK ;
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL SUF'ILK YNIJA •
NOT SE CONSIDERED TO SE A VALID TRUE COPY TI IR A GUARAiOD=, 0 PANYr
ISGUARANTEES INDICATED HEREON SMALL RUN ONLY TO �T •- RD. - !�
THE PERSON FOR WHOM THE SURVEY IS PREPARED
w.HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT ANO ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- D. OMP T. - O
M NEAREST WATER MAIN_MI 4 *SOURCE OF WATER PRIVATE_PUBLIC— MENTAL AGENCY AND LENDING INSTITUTION LISTED - 3 *'
HEREON,AND TO THE ASSIGNEES OF THE LENDING �j'�
N�F CO TM MAP 01ST 1000 SECTION_SS_BLOCK_fi—LOT pl_g S•I INSTITUTION TO THE
SI NEE NOT TRANSFERABLE GIE
OTHERARE NO DI SHOW f WITHIN 100 FEET OF THIS PROPERTY TO AOOITIONAL INSTITUTIONS OR SUBSEQUENT �j O 4g��
OTHER THAN THOSE SHOWN HEREON OWNERS
0 THE WATER SUPPLY AMID SEW ( DISPOSAL SYSTEM FOR THIS RCII DENCE *OI STANCES SHOYIN HEREON FROM ►IIOIERTr UN[S �'
WILLCObYFORM TO Tot sum:mos OF THE SUFFOLK COUNTY DEPARTMENT TO ExISTIMG STRUCTURES ARE FOR A SPECIFIC D S I �� ,
OF WEALTH f0lNIC[S_. -- - - _ , - : PURPOSE'-ANO ARE HOT`TO SE USED TO ESTABLISH I''
A1*LICANTA _
- PROPERTY,,LINES'OR_„FOR THE ERECTION OF FENCESy4"
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RIVERHEAD,,NEW YORK
—— t,; ALDEN W YOUNG,PROFESSIONAL ENGINEER! r
NOTE: o o STAKE O=PIPS! �(,r,•
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF :�f 4 AND LAND SURVEYOR N Y_S.LICENSE NC I baa
SUFFOLK COUNTY Ori MAR.I9, 1990 AS FILE NO.8911• I HOWARD *YOUNG, LAND SU `n:' f'
m *THE LOUT;al::%WE'L.L(M4SE!'TIC TANKISTIN C[SfPOOLS(0)SHOWN MUNY.S.LICENSE NO.45893[OM Il z S.
v ARE PROM FIELD OSIER1fITIOMS AND OR DATA OSTAINED FROM OTHERS J
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