HomeMy WebLinkAboutMetz JUDITH T. TERRY i Town Hall, 53095 Main Road
TOWN CLERK �� _''' 2z P.O. Box 1179
q "'= �° t; Southold, New York 11971
REGISTRAR OF VITAL STATISTICS .��
MARRIAGE OFFICER r' Fax (516) 765-1823
-_° ;0° 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. 1752-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New X Existing
Name Of Owner METZ, KEVIN
Mailing Address 1 P. O. BOX 67
Mailing Address 2
City St Zip PECONIC NY 11958-0000
Property Address 1 ORIOLE DRIVE
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 516-765-2446
Tax Map No. section 55.00 block 6 lot 15.029
Cross Street TUTH I LL ROAD EXT.
Date Of Last Pump Out 0/00/00
Issue Date: 9/16/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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OFFICE OF THE TOWN CLERK • \\VFULA' '• �''�
Town of Southold � ,.. CQ ' Application No. r
Judith T. Terry, Town Clerk %, $10.00 - Residential
Town Hall, 53095 Main Road a
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P. 0. Box 1179 O
ta
$25.00 - Non-Residential
Southold, New York 11971
Telephone- -- : 1 4 '1 •
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(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ , 0<00
DATE 6/0/9J
OWNER NAME: gEVi, mac.i
OWNER MAILING ADDRESS: Po ( ®7t o
/J-8
OWNER PROPERTY ADDRESS: C,,2 Ic LE "b a_rug
So 0TwoLI, p/ 11 97/
OWNER TELEPHONE NUMBER: 7`,3- Z 9L/
TAX MAP NO. : Section Block 6 Lot /.5-, 9
CROSS STREET: 7 F//L-c_ 2o,9 )(7-
TYPE
TTYPE OF SYSTEM: Septic Tank ,PC New X. Existing
Cesspool New Existing
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT:
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
ToK.v Jt h✓R//fh�
RECEIVED BY:
Town Clerk's Office
DATE:
1-U_I6-29-199i 10:58 FROM Li'HCH HOMES Inc TO E.H. Lurici•, F.0t3
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_� �_ WATER MAIN 5.67°5830 w •RS 0�0
R=809,071 L-105.911 R=809.07 " 132371 • 9g4,• G
L=303.61'
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Lot 35 3_ .. C v 190'
Lot 37
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Area = 20887 s.f. I 0
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N.89°541I011W. 129.45'
now or formerly Carl a_ Anthony Codan a Another
SURVEY FOR •
KEVIN METZ a SUSAN METZ
LOT NO. 36, "HIGHPOINT MEADOWS ,SECTION TWO11 MAY 7, 1991
JAN 1991
AT SOUTHOLD DATE OCT. 26, 1990
TOWN OF SOUTHOLDSCALE.: I ': 40'
SUFFOLK COUNTY, NEW YORK NO 90 -0840
0 UNAUTHORIZED ALTERATION OR ADDITION TO THIS CERTI`-,= DoTIONEw
- SURVEY 4 )(
A VIOLATION OF SECTION 7209 OF THE. , l kill J- '
NEW YORK STATE EDUCATION LAW O ,
M COPIES OF THIS SURVEY NOT BEARING THE LAND .•U`3 , • :•cTSI. 'P
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL FIR- ' FOLK -TG. GE CORP
NOT BE CONSIDERED TO BE A VALID TRUE COPY
111 GUARANTEES INDICATED HEREON SHALL RUN ONLY TO a" �• 0 I
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT TME PERSON FOR WHOM THE SURVEY IS PREPARED yy
AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN- ♦. \ T
M NEAREST WATER MAIN_MI • *SOURCE OF WATER PRI'ATE_PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED .�
,:i
M SIF CO TAX MAP DIST 1000 SECTION 55 BLOCK 6 LOT 215.1 HEREON, AND TO THE ASSIGNEES OF THE LENDING L\�.
*THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE MOT TRANSFERABLE ,
OTHER THAN THOSE SHOWN HEREON To ADOISIONAL INSTITUTIONS OR SUBSEQUENT a NO 45895
OWER
N THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE *DISTANCES SHOWN HEREON FROM PROPERTY LIMES 44.
WILL.CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC
OF HEALTH SERVICES PURPOSE AND ARE NOT TO BE USED TO ESTABLISH r S U
APPLICANT, PROPERTY LINES OR FOR THE ERECTION OF FENCES
ADDRESS -
TEL YOUNG a YOUNG 400 RIVOSTRA NEWAYORNK E
NOTE: II=MONUMENT LS=STAKE
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W YOUNG,PROFESSIONAL ENGINEER
SUFFOLK COUNTY ON MAR.19,1990 AS FILE NO.8911. AND LAND SURVEYOR N YS UCENSE NO 12845
o, HOWARD W YOUNG, LAND SURVEYOR
ODTH
ME LOCATION OF WELL(WI,SEPTIC TANK(ST)B CESSPOOLS(CP)SHOWN HEREON N Y.S.LICENSE NO 45893
a ARE FROM FIELD OBSERVATIONS ANO OR DATA OBTAINED FROM OTHERS
_ . Z.B.
BRANDIS & SONS INC.