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HomeMy WebLinkAboutMurdock ."0 JUDITH JUDITH T.TERRY ��� y�t Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 :141 ). nt Southold,New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER 4) ,�� Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER = ®.{ ...0;0•0 Fax (516) 765-1800 FREEDOM OF INFORMATION OFFICER •• ,s•' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3622-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner MURDOCK Mailing Address 1 C/O ELE DEVELOPMENT CORP. Mailing Address 2 P. O. BOX 1143 • City St Zip CUTCHOGUE NY 11935-0000 Property Address 1 2370 GABRIELLA COURT Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 000-000-0000 Tax Map No. section 108.00 block 4 lot 7.049 Cross Street ELIJAH'S LANE Issue Date: 4/30/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) Lf03 OFFICE OF THE TOWN CLERKCOMA' Town of Southold � e, Application Application No. Judith T. Terry, Town Clerk .��.wz: {• y 1 Town Hall, 53095 Main Road• :•C I $10.00 - Residential P. O. Box 1179 '' ' iii `' $25.00 - Non-Residential Southold, New York 11971 Telephone ' OI �•� '� (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE OWNER NAME: NAL, rCI O c.IL OWNER MAILING ADDRESS: 237 o C--) a br I C t ( 0. C 1— M i c < , N.' 52_ OWNER PROPERTY ADDRESS: Vi-n-1 C. • OWNER TELEPHONE NUMBER: TAX MAP NO. : Section I O *6 Block Li Lot 1 CROSS STREET: el L c_ • TYPE OF SYSTEM: Septic Tank New Existing Cesspool New 1/ Existing Residential 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.) 7 Sign.: fe of Applicant RECEIVED BY: Town Clerk's Office DATE: u. ,,,!:,-, -: ,..z..,,,,,A-,),,, ,----- rip-1-4,w&vprizs---4-4- -v----Azeh-4,9,15.:-7-------- : - , eo 1 IN -. - ' -1:- '','-'-- :-1-- 0 a--_1/41--( 7, e -•-- II 10,6 Cii Z ,, 0 t v ��Cl*` SURVEY OF 3 � LOT 3 <�� �� ao o OZ�-y "EL/JAHS LANE ESTATES, SECT. . E FILED OCT 87996 FIE NO. 9912 �2, ,i © AT MATTITUCK 14. Iss o „ TOWN OF OUTHOLD COUNTY N Y. • • 1000— 108- 04 —P/07.1 �U \ -�w Scale: 1"- 40''V Ps4Mh/' . 60�° Dec. 4, 1996 ull O ti 2 11. Z R � 50.00 �' �� _ � s. V. z� 5.1".3:1:2,POLAmiTK COMiTYport A2.077sravA2::1; N NO, 77 m ?IvP' �-`y v ! DATE siNGLE HS . APPROVED i R 25.0 . 21"°3' O FOR MA1UM — _ 4 2 L Ac3,?,0' O 41. EXPIRES T�IItBE YEARS FRrC3: u% 52 OP Ic 111. X ` AO e® •c'�o. ,t1,-‘t OF NF� e 4 ,sci S ��T.Mpsj �� xo 3P S. M el AREA = 40,827 sq.ft. G - d "� 4910 - vANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATpN ' ` 1 `1` OF SECTION 7209 OF THE NEW YORK STATE EDUC4770N LAM I am familiar C7 the STANDARDS FOR APPROVAL The /ocot/ons o/ wells and cesspools EXCEPT AS PER SECTAON 7209-SUBDIVISION/2 ALL C£RTILACA'TIONS AND CONSTRUCTION OF SUBSURFACE SEWAGE shown hereon are tram /le/d observel/ORS HEREON ARE VALID FOR THIS-MAP AND COPES THEREOF ONCY F DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and or from data obtained from others: :._,.. �: I t,J�cZ�'�' SAID MAP OR COPES BEAR THE IMPRESSED SEAL OF THE SURVEYOR and will abide by the conditions set forth /herein and on the ,OR WHOSE SIGNATURE APPEARS HEREON. permit to construct. - `tl a ADDITIONALLY TO COMPLY WITH SAD LAW THE TERM ALTERED BY' __-�. r_• MUST BE USED 8Y ANY AND ALL SURVEYORS U _' ._ -P..Q� '909 TL74SP A CppY ELEVATIONS ARE l4EFI71F7MCFID g Kx /pJ�D sTRAVELER $ iim OF ANOTHER SURVEYORS MAP. TERMS SUCM AS 7NSPECTID'AND M! BROUGHT--TO-DAT£'ARE NOT N COMPLIANCE N7TH THE LAN: TO AN ASSL ED LbITLK =£ r`§ '' ,. 3 ,V4-t.::E� ] A 'IKI: I. ir ,' r ' s $ n4 - - - . aT�z.� "'" "" s.F ter,-t '�,;,�;�:.i�...;.�'-� ''-.....�.,-:�_ Z yew, � "°"