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Home My WebLink AboutViola ELIZABETH A.NEVILLE �,�•� � • Town Hall, 53095 Main Road TOWN CLERK i ® • P.O.Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS , ' pry ct- �,� Fax(516) 765-1823 MARRIAGE OFFICER : �I RECORDS MANAGEMENT OFFICER : ® I� . Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER _ �� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3793-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner VIOLA, EDWARD J. Mailing Address 1 P.O. BOX 420 Mailing Address 2 City St Zip MATTITUCK NY 11952-0000 Property Address 1 2850 DEEP HOLE DRIVE Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 516-298-8380 Tax Map No. section 123.00 block 4 lot 13.000 Cross Street DONNA & THERESA DRIVES Issue Date: 6/10/98 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 9 OFFICE,OF THE TOWN CLERK %IFNI( • TOWN OFSOUTHOLD O�� Vii, -_� Application No. -37 9i ELIZABETH A.NEVILLE,TOWN CLERK ` ''` za � $10.00 - Residential its' P.O.BOX 1179 tri ; lt,+ ,rteA, SOUTHOLD,NEW YORK 11971 � ® w,,G± $25.00 - Non-Residential • �•* Telephone - * %t0� (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. �� Fee $ DATE , ' ' mir h)11(11ftb � . OWNER NAME: OWNER MAILING ADDRESS: Po ,of f- ey4 OWNER PROPERTY ADDRESS : 2' , - - jn,CZ OWNER TELEPHONE NUMBER: 21g 0 TAX MAP NO. : Section 6 Q3 Block Lit Lot CROSS STREET: 2.5x4447` 77PAP- -AL21R/( 6.5 TYPE OF SYSTEM: Septic Tank New Existing V Cesspool New Existing Residential DC 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.) 410 Si.n: •e of A pplicant RECEIVED BY: Town Clerk's Office DATE: 1 , -.•.;;.' ,••9;'s ,, . s• • . •.,: ,.11z-,-;,,',.., •.. _ v.,1'.-V,---.;Vs-',..1*. 4•--...,•--s,:,-*4 - ,v,,14(''r.' ' -"''',)''.•'4'''','-'''•-.-", ''•'-'--1-1•1 • - ' '--7 --444 1.1-4-1. i,;:,4*4-;-'14',..1'.:',..•'-',-;k't'''• ,", .,4-•o'-'•41c:r?;4''1-•_-,4..•I',-?',t'f' 1 -..4'.q•-%11.•,":, -. - • q`s•-•V'1"-*• ". .. •;•;• . ..', A'-,1.-.•:`q-Z-i 1„•':'"-J. ‘7,Zfr'i,I.; .','F;.-A t ;;;: •,. .,'.',,!•..k.,V.,',••'•'.' ;• - ,Ii•Je4,1-,-1,-,' ' . . - : ,, - /'-'.•-' 1‘'..-,''• .--- -- - N.,444 .' - . • ,V'-';1:,r-7111 .'-'`•1 *!'-'• ., .1. ,''''''''''N.r,4"::',,i• -: .,).,-...-,,•-;'°:'.:'3--r.'',.Y,, , if 8 7-2. . . , - - SUFFOLK CO.HEALTH DEPT.APPROVAL 1,,',.. . in Flood ZrQns A--4(el.8) , . . .H.S NO. 12'50"118- 4.-.5--4 , • . . 04, El.- 1.--- • .. . now or-f-orn e.:E:10\r" i3v.vd-ronz rit--..r - •-k. &woe; so tevci. .-.'..- " ' - • . . . - - 1441. \ ' ' ' , ' . -. -. • \ tvtoL3..es) ._L / . 1 , . ' ;. . . STATEMENT OF INTENT . C9- , i "i .i. 1' i"--ay.:4'. 8.66'10.E: 44- 2C:r. ' .7— ' - . ' - \ ' , . . . THE WATER SUIPLY AND SEWAGE DISPOSAL `ii/- . --:.0 r'.$ e,. re: , SYSTEMS FOR THIS RESIDENCE WILL ' ,..0 0••• • \ . •--,-, ••-• fill . _ bA,.. • . / ' C..I ;LI s'..'''''..,.--,1.7... • it . ' . , , CONFORM TO THE STANDARDS OF HE ..,i 0 - -/ -I-t e .-I, . e-sic, A; is' ‘ 45.4-floor'elev.-E 1.2' 1 ;- . . - - SUFFOLK'COI DF.PT,OF HEALTH SERVICES. - , - , 1).., \ •,••"" $ 7' „ - ....-- .. - - -- , . , _ '-- APPLICANT - • .......--- , Sr o. t........‘ . • . ' _ ------ r;t;11' , .„---- \Irk°17/ . C SUFFOLK COUNTY DEPT. OF HEALTH . . , •"-', - N. '.---\ $ER VACES — FOR APPROVAL OF '..,- Ot" %-':"'T.c...,...t:„....,..,.........„..,..,.....„..,.....,......,,,,s4 0 . \ CONSTRUCTION ONLY DATE: . V: __....- ) SUFFOLK CO.TAX MAP DESIGNATION: DIST. ' SECT. ' iC)00 .1215 st.ock PCL. % e-------, ,.....>„,............,, \ . .-1: OWNERS ADDRES3: (-: ,...- -..„. , ck., ..,,..) '34' - F.ta- Sr. - PO.6..o?‹-130 , Net -r-ri-n....ic ,N.Y: (1952 ' ..: \\ , trot.2ss-9s1eporei !` - \\\ - DEED.L M' E.3 P.SO4 (6...W.) @IN ...ea wOull.03. IP. , TEST HOLE 1 STAM P MAP OF= Pi2OPE-G-TY St-J2VeVEC>FOC' - . .. \ I ' to TM SLIAUINGNItusfM IS A VIOLATION Of FICTION 7209 Of TIN KEW WIC<STATI . ... ' t . --"\- LrCOvSc—.ATSnOf45sMLsfrAA'VLSwISTSVOAXRVLSL TMNMOTAD PfaTNECWAOL TC0C2UIS SIINM. G . : vvn2I _H177IN/F \viC1 . .. _ , , P - _ - ,. . \, - to0,ist vAtra TT:1a CO AT ST IViit1-ri-rucf.,.... . . - ,, - ., CUMATITTB=CATE:,tr-TrON TN=SUN ONLY TO III2 M50,1 TOS WINNA THZ SIJIVT. HIRAM.AND ON its CalAIT TO TR 76VVN 0 .504..fri-'101..-0,N.Y. . _ ..,„„icoois„,,,,,,00V0.../ColTAL MIVOC•.-. A trielndeci Nov.2,1023 \ --- ' —.nr-viis.--.1...-.72- .. Tu..CUP611.0.grEE5 ASLS tap WM.- - TO AtICSTIONAL ITZ,NNIN'',..-na fa. .S 1. - ,_:, ........ , rind SEAL. • - ... -------- .. Sc ale.;=X)'=(" - , - I. ' Gi.rz..r-&Fsrit-s2ed-1-e.+ha, : , ... r •,=4ecg -1,000 scr,f{-. . ._Cliit.:=50'Ti4-:er.Ine"...,,nemns,Cot-l-rvai . , _ ta =to-Etzt-turrtmni . --1 . - s a) =imt. loipe , ' Surv•zitr- Cc+. Pg.19gS.. RODERIC1C VAN TY.Y1...P. - . wcr4r, I., /0. . - . . . . rt, V- . LICENSED LAND SURVEYORS . . ___ ... . - - . GREENPORT NEW YORK ., . 9 ...• . .