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SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4369-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner CAROL HYDELL
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Mailing Address 1 150 HENRYS LANE
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Mailing Address 2
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City St Zip PECONIC NY 11958-0000
Property Address 1 SAME AS ABOVE
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Property Address 2
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City St Zip 00000-0000
Owner Telephone No. 631-765-8461
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Tax Map No. section 74.00 block 2 lot 3.720
Cross Street ROUTE 48
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---------------------------------R
Issue Date: 2/06/08 Elizabeth A. Neville
------ Southold Town Clerk
(TOWN SEAL)
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LIZABETH A.NEVILLE Town Hall,53095 Main Road
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER AL Fax(631) 765-6145
0
RECORDS MANAGEMENT OFFICER �l Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
OPERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential $10 /or Non-Residential $25 Application No�
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Permit No. 15 Lt 4
Owner Name Qtr o 4d /
Owner Mailing Address ISO
Owner Property Address
Owner Telephone No. .3 1 —1 Q 6 T
Tax Map No: Section -7 Block 0 Lot 37
Cross Street
Please check each that applies: New Construction
Alteration to Exis ' System
Residential Non-Residential
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate
building and system; give north arrow and approximate distance in feet from system to building
and closest road. New construction may submit copy of survey with SCHD approval.)
0-'M'�j -(,z/svo
Signature of Applicant Date
Received by:izL4LAQQ '?
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1541 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name CAROL HYDELL
i
Address 1: 32125 ROUTE 48
City St Zip PECONIC NY 11958
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-96-83
Name Of Owner HYDELL, CAROL
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Mailing Address 1 32125 ROUTE 48
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City St Zip PECONIC NY 11958
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Property Address 1 HENRY'S LANE
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City St Zip PECONIC. NY 11958
Tax Map No. section 74.00 block 2 lot 37.001
Cross Street ROUTE 48
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Building Permit Number Cross Reference:
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Issue Date: 9/17/96 Elizabeth A. Neville
-------- Southold Town Clerk
(TOWN SEAL)
SURVEY OF
LOT 1
MAP OF
PECONIC HOMES
FILE No. 4181 FILED OCTOBER 14, 1964
S SITUATED AT
PECONIC
00. ���� TOWN OF SOUTHOLD
0,, co SUFFOLK COUNTY, NEW YORK
el S.C. TAX No. 1000-74-02-37.2
.0.
SCALE 1"=30'
`oy o LOT ONOVEMBER 13, 2002
MARCH 5, 2003 ADDED SURROUNDING PROPERTIES WELLS do CESSPOOLS
MAY 12, 2004 UPDATE SURVEY
DECEMBER 28, 2005 FINAL SURVEY
AUGUST 10, 2007 SHOW SHED REMOVED
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0pQ` AJC AREA = 20,160.00 sq. ft.
p4�, \ O' 0.463 ac.
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' "' c9��c�F '�o• CERTIFIED TO:
,,� 'fie• �` \ FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK
ULSTER SAVINGS BANK, ITS ASSIGNS AND/OR SUCCESSORS
_ ti0 \�• CHARLES HYDELL
CAROL HYDELL
\� O PREPARED IN ACCORDANCE WITH THE MINIMUM
�• STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
BY THE LIAL.S. AND APPROVED AND ADOPTED
FOR SUCH USE BY TITLE ASSOCIATION. THE NEW YORK STATE LAND
/ 47 y� :R'r NEly 1-
�O �•�P�jpFT CO,Q
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SWN.Y.S. Lic. No. 50467
UNAUTHORIZED ALTERATION OR ADDITION
Ta THIS SURVEY IS A VIOLATION NEWYO aF Nathan Taft Corwin III
SECTION 7209 OF THE NEW YORK STATE
EDUCATION LAW.
COPIES THIS SURVEY MAP NOT BEARING Land Surveyor
THE LANDD SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY.
CERTIFICATIONS INDICATED HEREON SHALL RUN
it ONLY TO THE PERSON FOR WHOM THE SURVEY
J �O IS PREPARED. AND ON HIS BEHALF TO THE Title Surveys — Subdivisions — Site Plans — Construction Layout
so TITLE COMPANY. GOVERNMENTAL AGENCY AND
LENDING INSTITUTION LISTED HEREON, AND
N 82'42'00" W TO THE ASSIGNEES OF THE LENDING INSTI— PHONE (631)727-2090 Fax (631)727-1727
34.40' ^�Y �l TUITION. CERTIFICATIONS ARE NOT TRANSFERABLE
THE EXISTENCE OF RIGHTS OF WAY OFFICES LOCATED AT MAILING ADDRESS
`G. AND/OR EASEMENTS OF RECORD, IF 322 Roanoke Avenue P.O. Box 1931
ANY, NOT SHOWN ARE NOT GUARANTEED. Riverhead, New York 11901 Riverhead, New York 11901-0965