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Home My WebLink AboutBarry , r ��,i%SUFFO fr -- JUDITH T.TERRY /�' 'P'1 Town Hall, 53095 Main Road TOWN CLERK % h % P.O. Box 1179 V6' Southold,New York 11971 REGISTRAR OF VITAL STATISTICS V O 4S �� 1 Fax(516) 765-1823 MARRIAGE OFFICER �y� ��1 RECORDS MANAGEMENT OFFICER Q( * Aa �i� Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER s,,4° � OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3648-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner BARRY, WILLIAM AND BETTY ANN Mailing Address 1 P. 0. BOX 357 Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 500 HILL ROAD Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-765-2370 Tax Map No. section 70.00 block 4 lot 35.000 Cross Street MIDFARM ROAD Issue Date: 6/20/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK • `�/ Town of Southold � FQ 1 �� Application No.`" 7 Judith T. Terry, Town Clerk r ." Town Hall, 53095 Main Road g -� $10.00 - Residential P. O. Box 1179 . - ' i � $25.00 - Non-Residential Southold, New York 11971Or/ �` Telephone (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT acta SEPTIC TANK or CESSPOOL 1 �J Operation Permit No. • Fee $ Iv"CU DATE ki ��7 OWNER NAME: an e4-n5 L f-� 1 � 2A P429 OWNER MAILING ADDRESS: ?-10 - 11)-)0Y-- 3S 7 0 u-ti-to , ct 1 I OWNER PROPERTY ADDRESS : OO 1+I LL. ) 'PO my 1 l cl —fl OWNER TELEPHONE NUMBER: St l - L 3 7 0 TAX MAP NO. : Section 7 0 Block Lot 3 CROSS STREET: M /0 r'r)!?11-+ cset3AD TYPE OF SYSTEM: Septic Tank 1r New .X' Existing Cesspool New Existing Residential X 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.) Adi Air I •i.nature of Applic: + t RECEIVED B Y: A4rf\-C--\10-2--J Town Clerk's Office \,1 DATE: La If- '\cn 1 .,. - v --;,--`,-,-_•-•-;:-:,,T.--,'..'•-•-•- _ }_1:]I_H_ _ rIa- ..Y• -RS.yi-. :. _ - _ r iw'tY - - -_ _ " i fi . _ •w .;ter ,t�,• h,:.; , Z:-.7.z.1:, :�' _ S :7 7a», } r _ ``1 SUFFOLK CO. HEALTH DEPT. .r.? AI'PROIiA �:1 ,. - H. S. No. f210-9E, r. tJtC . RESIQ �JES MAP OF PROPERTY • SUf2VEYED PO 4. ____ _ __ _ __----_ _ 3TY AKN . .„_ BILL BARRY ' 1:9• Z r�35'00"E ' � � r POLE U T Q I3 2b� ,2 150. 3 • TOWN ,Y ` OF SOLITHOLV , N in 9'. u1 ap ,� I~ 01 3 '\----- ,\ _ - 1 aTOt2Y c a if) a. r _____53J�:_ 00.4C44 �-—a. - =_sa SUFFOLK CO. TAX MAP DESIGNATION \ �/• ,Q / `� Z i\\ . 01ST. SECT. BLOCK PCL. © ��J �QfZ- eau \'•\ IOQO 070 4` ti ; OWNERS ADDRESS: r �-> 1 SCALE-50:1 - 7P4°°,..6:16041-1-XL .t� t�r0 . \ \ A r2EA 227000 S,E 501./T1-101,1)1,4N.1 r 97 4 , 4t13 s� �.�u! -ft; '':14) e POOLS MUi��#Eh1TL.?CS-27{7_ I •.,r )►e - - : MAL"�_.ttzEa'-jam DEED: L.£�o3i P. j ;, i • � . TEST HOLE tIo - v� ....---.0.0A0 +fid• ; t _ O STT , _ "'/ AT Al • 1 { ..' �•,...t._ �4 .+l ti, • �"'—_- — - - ..,_,,, -r Y,4 I I k"„<swvwy s n dation p{ - _ � _ 1 �';, .. `�—'r •`_<o-on 12C9 of the Newyork The -� - - ......--t—... ....._._ - .?�, - ��x:�Q r t:,;;chon Law. - f4 \ yi C -1s. �-1AY >�T? 4:r,�s of this survey map not bearing - . IZ- DEK, 5' a QL andsurveyofsGCaedsealor :r. ,k,,,• r r ossed seal shag not be considered :'t*,s��k, ;r`. I ^ I ^a valid true copy, - -'','rh7�3� - - - - - `.Y>- C. -anteesIndicated/lemonSh ___ 5 ` - • - ` AMEN G8 7 i �}''.v c...' Blw l r M the person for whom the survey a, Fee-28 r $»+T! f : ,.,•. sred,end on hs behalf LOAMY CLAY - as gov Ja oth3 _ - E 6, i997 (-F NAL-` 1� Y._. entme �_cy1 • L.0 Iscd 0c�W;and I •NOTES _ - _ -.,,,,tit ._. to a dd...,.,,. .. ...nu-of tea Gr. �l(4, 5 RE�Et�• � `t: r _ : BROWN v ' �. Pte.$lZQlntt� c 1, &9 FINE TO �� ` i,�® o� tJEIG �3i1 MOUS �QN.Pt38 #4 Rr�rc S'JP�LY COARSE SA WD I CQA 5 �iD f t. ®A 5U2V 1� _ NOV. t9 - 15,3 ' '' 'r te,." �' WATER 11`1 ' x' ' T: „14. =hAS RaD icrc ANT L. P C. II PALE - I V 4 :.-.-,--)i 'l „ -,-KIT. ^ l LICENSED LAND SURVEYORS LAND W I _ - • ,fit I 17 �� , r;; " t GREENPORT NEW YORK F T�#PS!n , Pied",. F'� x- , '; !4l�iN Y® ,'