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Home My WebLink AboutKunen • eo ELIZABETH A.NEVILLE % Town Hall, 53095 Main Road TOWN CLERK P.O.Box 1179 g% g REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER WA?,_ O � Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER = e/� ��22,, v� i�� Telephone (631) 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. 4011-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner KUNEN, BARBARA Mailing Address 1 P. O. BOX 103 Mailing Address 2 City St Zip PECONIC NY 11958-0000 Property Address 1 105 2ND AVENUE Property Address 2 City St Zip PECONIC NY 11958-0000 Owner Telephone No. 516-765-6665 Tax Map No. section 67.00 block 2 lot 17.000 Cross Street Issue Date: 1/28/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) MICE OF THE TOWN CLERK C.3\lfFOU' TOWN OF SOUTHOLD & cVz. Application No. VO // , ELIZABETH A.NEVIJI.F,TOWN CLERK $10.00 - Residential L/� P.O,BOX 1179 SOUTHOLD,NEWYORK11971 *-$ $25.00 - Non-Residential • -- Telephone • ®/ .41 'N.4)- ( * Y► i' (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ (6: © c, DATE 1/14V(3° /14/pa OWNER NAME: (C.e ' cur-ct_ KV vie v OWNER MAILING ADDRESS: P C) 'vim Pe c B v, &N-( OWNER PROPERTY ADDRESS: 1.0 S �.. - Quid_ OWNER TELEPHONE NUMBER: 5 i,10 TAX MAP NO. : Section C7 Block C, Lot / 7 CROSS STREET: TYPE OF SYSTEM: Septic Tank V New Existing Cesspool New Existing Residential iV- 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 andclosest road.) Foidoetitc,_ Signature of Applicant • • RECEIVED BY: AL / Town Clerk's Office DATE: / ��G "— ALf c FOtxCOUNTYDE°Ar tni O • ` d:'L "D�rSiiFon 6✓,G• " - it °FfYRil a.()F C.1 ';' Y' ," . , a /c:vernt a � 4'Ss �,T, 2E: ( � 2 c �� iLPS\0� ✓ 3, n r`' b FJ'' -- Sitag.Nc• lsl3zMiV t i i7Oi'15.... _ --- , - t'c,:.!'^ t•tv't nbbrCnto , oG plr UHttee ',c7'' Jn2"F'ur;r-!Otat ,+}rrfcncic�o.ou ,..¢n,�N4.,- .42GvN ;i, ..,:i4-.VAand;ro^ri;x(1P ;D=tJrv:O: - -AiDwy),4. 36,owc. 0YylEM ,...;ncto:SFG.'i; . ' 1 1 Oft=of Water. a x or.:', da-'e"ata tern:!af nt I ELLS /y ,�,eo'7.J' x;_,v.ee.oc7. • �. -lea.�, OO l/R.eps C.SyfG , :S:r•VX GE7gpzL O /-g" a" 3' [Gca'y.4taae_. �a I .PTS4f6/.f/G )49er_ OG�l*jaoa N1/vaye Note:Subsurface sewage disposal system , .,design by: /.5 Joseph Flschetti,PE Hobart Road Southold.NY 11971 50,0 516-765-2954 F/•6,8 .54443 '30NE E/.s./ �A If /:7.4 0:47.41,47;94.y.(7%/7-‘4, 0444, n\ 95.5,4oL644 /� �c7e nrt rrkuc�, 3yI 0 O •T-BO..v„rz'vcEvlE,vcyor+,,- l 00 : Q 3Z Norarr O N Sr IA s;y f j / �/, . , , / v ,. , Ei w -.e iIi '//0/' ' r • N V s' n• s IA NI V -4.---:---j . • A/l.00/V. ° 44" E/3.Z I��itlUGc .(— , . v...74:04,„ ( , TAT/,fx, �1G Lb sca7tveac'/E.t - z, 8. 8. „me g,„y td6.r! .vslwo/Cray et gD LA ego `�'z' �a O @ � 4.js2hp/N1J tww r�YJQ✓BY e4 •• ��'� �I•LE►t• `9` 1 C9t'D1'CI�y GG Lor• ,p3/e00,,4'Ag .0✓0 lee /4 '0Z de //".0,0,0"-.0ee o - � p - / / r >u1 A Miyaa/✓Asks LoGs+T��t/ rhava= JryCiO/✓• . * ~ '*'f (r activA/AwE72, en/ e' �j Z awassre,51140 i{n/vcZxgr/avoera►/ a4i,ipfi, %��,f votX/c!aa-67-oz=/7 PuvG�4pc,y ✓,W,f/f'yy , iVr l a, /f//�it/GtPlf/4!'i .-em"..v /z yJ of r sw Y ci /a' i4, NY//97/ F.6,Qa v.F re//y9B `neoN:3r...x,;nv.,y;ar,-vevn;nr;:n-.+.,.•,•'d n;;n,....-., „-:, ,.�..rn,n.,,.. .,- vr.N;..w,..,x+ >.- a, ,w..w,nso;rw�ti.,. ..q.S„�..w , ,. ,-. -„.,,• ..�.„-..........,-.,.,..�.-. .-.....,.......,..