HomeMy WebLinkAboutBasani ,,
r I��,o�0SVFFOUr0
G �
JUDITH T.TERRY /,�� ;4: Town Hall, 53095 Main Road
TOWN CLERK ; y Z P.O. Box 1179
�t
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
� �
MARRIAGE OFFICER `‘%y ,, Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER = .� `�►�o/ 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. 3542-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner BASANI AND H I NSCH
Mailing Address 1 P. O. BOX 321
Mailing Address 2
City St Zip EAST MARION NY 11939-0000
Property Address 1 1672 ROCKY POINT ROAD
Property Address 2
City St Zip EAST MARION NY 11939-0000
Owner Telephone No. 516-1177-2007
Tax Map No. section 31 .00 block 2 lot 10.002
Cross Street NORTH ROAD
Issue Date: 11/13/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
• „ ..3
OFFICE OF THE TOWN CLERKo
Town of Southold 05�FF�U1`'
Judith T. Terry, Town Clerk �� • Application No3c �oZ-
Town Hall, 53095 Main Road g !C $10.00 - Residential
P. O. Box 1179 cn ' ' $25.00 - Non-Residential
Southold, New York 11971 0 - 1•1
�
iTelephone "o! AN 0);/�
(516) 765-1801 - �'
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
•
DATE /du/9 `E'
J•OS Eek- st3-s
OWNER NAME: V(PaftWil- 7'Q,..g111)5C,f-f.
OWNER MAILING ADDRESS: PO £U)( 3 a
OWNER PROPERTY ADDRESS: • /(p 7� RcO o Ld Rd `R
ociAQ—
P Ori
OWNER TELEPHONE NUMBER: '177 - 02007
/00O
TAX MAP NO. : Section 3/ Block Q A Lot / /D.. 2
CROSS STREET: 111D(2, Roan cCDUA-4 lq/UU
TYPE OF SYSTEM: Septic Tank ✓ New ✓ Existing
Cesspool ✓ New ✓ 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.)
aLlgerx4et) g- 911C11A2e74)
gnature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
•
•
tt' --i� _ - - -ifs'°,,t,',...,,;.?.: -'' 'a - - - "_,''''A-..;''- ..,t.- --,, ,,i.ky r^v..,' _s" '? , :.- _,- u.r✓*.: "-fi' - T St:>l r
r`
,-:-...;4,..--
� - - "C, _ _ - ---i �'- - - til-- - -
- - ;� -�SCI�HS-' Ref:`#,- SRI-O-,.95 O - - - - - -- - . _ - z _ . - _ , ..,. .: _ . . " .
Si . 1
/
. ST Q t ?
a 9
vacon/ ) -
- (dweti,i79l - -
L OT I we// iso,
N/0/ f N/0/F .
rl1,n�) KfMON RETKlMON R,ET
•
we ll �°`�'�Knov"�.rG WOODENE RETIOS OS $ 8 w00DENE RETZOS S
N� 0/ F sef
ZAROS 4/k S. 82035'40.,E I LOT 2
LA as ..
TAN A50� 4`.4 79.69•, • . : 214.64' '
eAO 11 /33.00•' E 42.5
I 41 a _ SC
ar I olf
1
r•
shc6L ",n • f n I
_ M. I i:).sr 15 .
fri23 nf) 41
- I ►-
��'""'c'..`
aPe•• �-. 77.7'
Fk. a/ deck r , e w 0- y Q 0 i--
Ca
Q
tu
7.1
�GEoRGE S \ `
J® ME7ROPOLOL • T - 3 v
-
LL ^ �o� •
.1ki
LLI 0 W 3 k
ar `\ o o ��3 /jorM 9
Z \ 3 2 0 0
Z w —� _• a \ we// 3 _ L flung u
O e rR..,e o of p 3•
> stir°
O Q O mss% D 0 N O - /oan, •
a o 1 d1 e'1" 9) 0 • -`�' _ 2
z �" l • kb N x Sant
_� 0D N /0/ F Z ;I c \ _ - •4
' YU) �� ~
•
I 2 grave/
U j. METROPOULOS 45' if 05
Q G.P.a� l _ heavy -•
ap.,
I ,I • 9rc.ve/
98,__4_-------1 4i.o —=•p .-.
welt • ,..de sed
�� .137.00' �°" 85 0 33�„ W 125.00 r/r. -�8 '
-----7
�� S E 4p_ie
g. 4 ..,A' RIGHT OF WA
Y