The URL can be used to link to this page

Home My WebLink AboutDawson (2) • OFFICE OF THE TOWN CLERK '� FFO(,(-`;' Town of Southold �� . �G Judith T. Terry, Town Clerk _�:: �`4 Town Hall, 53095 Main Road c =� P. O. Box 1179 � cn � Southold, New York 11971 4 • _'i • Telephone =01 * ' • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 76 Residential xx Non-Residential Fee $ 10.00 Septic Cesspool xx NAME OF OWNER: Michael Dawson. OWNER MAILING ADDRESS: P.O. Box 1207 Southold, New York 11971- OWNER PROPERTY ADDRESS: 1735 Brigantine Drive Southold, New YOrk OWNER TELEPHONE NUMBER: 516-765-2713 TAX MAP NO. : Section 79 Block 4 Lot 59 CROSS STREET: North Bayview TYPE OF SYSTEM: Septic Tank New Existing Cesspool xx New Existing xx Residential XX Non-Residential DATE OF PREVIOUS PUMP-OUT: August 31, 1986 • Judith T. Terr� Southold Town Clerk DATE: October 1, 1986 (TOWN SEAL) - OFFICE OF THE TOWN CLERKPFFair Town of Southold ��.- Application No. ' Judith T. Terry, Town Clerk � 1.t• l A Residential Town Hall, 53095 Main Road c 7 LJtot4,P. O. Box 1179 � ; . Non-Residential Southold, New York 11971 0"/ Telephone .( (516) 765-1801 TOWN OF SOUTHOLD RFCEIVED SOUTHOLD WASTEWATER DISPOSAL DISTRICT CT 01 1996 Mom Ctrk Southold APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 76. Fee $ F DATE 7 /5rc OWNER NAME: Iii/CIV/'ML J74�✓$'U�'`' OWNER MAILING ADDRESS: no. uopy1.4'7 5OV '7 I.,p det/, y. 1/9 2 / OWNER PROPERTY ADDRESS: /7 35 /31c,-/i."1,-77A.."/2.-.7. per c/777411--P OWNER TELEPHONE NUMBER: N 5-4.27/ ,j TAXr MAPuNO. : Section ,�� 7 9 Block T Lot �5�'' , J , I 7 CROSS STREET: 4'4'7 /- *,,4 y TYPE OF SYSTEM: Septic Tank Pc New Existing D( Cesspool ,x New Existing k Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: F/3/ f 8' , 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.) Signature of Applicant RECEIVED BY: Town Clerk's ('office DATE: /, /S`f-6 •••• . _ .., ..- _.... . .,._ . . . _ . ...., .",:. .. .1- iPrIVkL i 1-4.S. NC.. .....„,.,.... ' - f . - ,. 1". 1..1'1:. Di?I'Vil",..1.1.;•1 T :I -',-;P. t,t's4 V CF. syt \\)0 k )A „- . . ,-terf----j•-•4-1978,.... ri. Do !<_EF, :If.41:34_,L•IST: ' , :., ., v 1 he sewage' ci.11•3;dosP-.:1 Prld w.....rt,•r ril ly''"''''' '' ffivgxcoir,tN,' („ 1S44 , 43, , '.', ..• • ;,, '' ',.•-• ' - • •.'11`), , ". 1 47,7-I'..5,38 : aci2.1.t1v.0 f or 1:114 0 1 - ' ' -'. PP '' ' Arnigi; 37,396 '.aii.p.. , ... . 1 43pooted by ti-li.,, , - -,), a'XI4Tri..thori t. •17-, 1 4+ • ''' , i,,,Ct .besatisf aci - ',0” (.-•, ,.0 Lind . . , „, ,,.., : ; .. i . .a 1.'3 ro • " 7° 1 ^- ' . .„ , • 0.4 '' ; ' . 00g4i'A;114 : . . . • '• ',.....e' ,: e ..— ,--Le„,., iva•,, , ,... ..:.0,4,4244,L , • ,. • ......• , ; ..", . Servi004, ..,, -..,...... ,,,r,:.. ...i;•,,..t,: . L.",,. es, . :442.' N,I,. ' ' ..•-• „,...., . g, • ,- ,..,, . . , . , , •. , „,„- ,-1 .:: . , • ' 1,' • ''ti, • r:;.•4_,,:-4,,,,FA,Ii 1 0'.„i''ti.itte- '''ec):'.,,,,'',,';,ittsg , , - ''' • .. .:.1.. ...,„,..- -,0,,,,p ..,,,,,,„„,r4,„ • 110' , • - ,,„ ,,,,,, ...: • ' .; , '::'';',4., '-! .. , ” '''' .• ke'. ' ,,Q;, .k ,,,- : .,„..-.,,, .. • , ,. , ..4.:,. .,,,'.• 1ref';, _,ii; - kAtel~,,..,44,;„• '-::.':,,.':.,•_:,:,,,• .,0,4....„5.7.•;•,4;,,,7•-•---- ;; ;,,n-i-' ze;=i,-;.:1'.0-1;.,,i•;,..' ;-.;.:q,"":ii-,--?-6,-4— .-..• --:.0.•,;,.,•.:-..:".-s'1-'44;."-:::"-:''''"'''''',---t---''''; '''''" ' !''--j-2.''‘' c tR'I'L',,•'-`45•-• .., .,"k;if"':-..-.' , t: ., P.,' r: I": . , . .., .z• r- •"Cf)„ ' '" . ,. , ''-y)., .,.6„,/,4,-;" ".• 0\';;„,"=" ..:. 17•,'.„.', .,i4,:•:;,•;-1 0._, ,-'1,.i.T.-".! .4,-- ' -,,,-• - •.: --s,.... ..,•,', y--oft A -. ';',-.. '.;',.' %; Wr.,,".. . '-)-c,, , . ?.._ ., ,. ,r, , "k".14`;';':), ,"t.',;-Y.,'',.'-'; ,':,1., ',,-,'.1'' .',7..4 :.,,,,...,,,•.,..z.:,. , .i,f -0-, • '... ' • , , ..,‘'',"'';',' ' .' ' ''' .' - ' .. j...1,,,it''',: ' - ,... l'i 4? - kiefic.,*.p-, , , .',, ' 499- . • . .;;:QP-:.: -,4`il-','•i. ,'' - , ',1% (I:, ,...:-,,.... /.,14;-1"%i' '-,2% ••• , . . . . . ,y..,d, ,.,'',:',',,,r-''. ;,.-..--.,:,-.,,-;-.. • - ' , '•:.-ii,‘„,:,e .`:‘. le,' kko'.. ,)*, ( .90- ' ', .,-,1•,,•: •• ??,.. , ' ,,"t ,,,'..„A e, ...„---. : ., , , . „ . . , ook.,..,,' ,. c 4.,)-'4"-• . , ,', ;,. 0; • . „.,,,- ,c''''-- - i ••, 4, • , ';;,, ,,,,t, .,0.",,i ,,,„• ., ....,-, le " ,.....4-' .. oi .. e-....'- , „ l .''..:."'• , „ '.: ,,,. ' ; ' ,---- .-1 '-:, , 'tot,, ,:-: ' • . ! il , i „,<1.6 f ,i. ..•, ,.,. , „, .• .”. ,.. L‘.•. '' -.• ''': 47--, -..\,. .jt ,•/ '47:.,:.,),,,.., / 1.,., . '..4..(c, ,.....• • , ' • • .1 11 tp' . , ' t, la, \ . /()) ,, , I 41/' r / 1 SCALE::......!.;,7'''' . , , , , , (3', . ,..)t% _••ili-"-- , ( . , 141 11 ; -. , a , •. / . . ey , ... • „ :-, • .. i 1 .!. ( Fir:1"1-:...77.1)ALIERAII-OK oa or:1;76m ." i .1 ' • (0 Mit. St;:tYCV 15 A VICL/CNON 01 .,,.\ '/ SECTiON 72C9 HE.OF Tl',a.s.V Tit STATE ' ,., \ = • CDUCA1101,1 LAW. ,,,.. . / , 1 3-, liti• '') . - - CONE .,s , i 'S Oi LIS SURVFY MAP NOT CLAItItA '.. ' /1,1,/ TI-IC 1.A:••0 Sti.'V_Y:...h-.1. 1NV..D:,.:AL OR ''. , ,. ,.: , i „ , ,.._/ fi.mso.5..s.D:,IAL f Fi, •.L I'.f .., C.:IN:AC(12ED; - Is', 140 CE A 'AI. I:115 C'..',-Y. ' • . ¢ g•P , , 4,', 13UA'A:Tr:r. ;?Ii..::,:hT,I.: 8;r "..,f,1 :.liA1.1 WIN r , 4, , 3...,, , : ? fONLY TC.. 1:.: ' 5)4 TO, %., .:.,N4 Ilk SURVEY (4 , FITLPEktr:GA't,i'ri-;',':.Y.,:"C,:f.'..0:'-'1.•••;`,..ei.;..•Ail!AT at':Al cn Y2 ANG . -., -.,— , 11•;!„.r..1.3.c.14 usrz.b. 1.-FECN, AND . , , , l ........................................—r......................................... *„. iT.0 THE ASSIGNLLS OF DiE kl.t.tDING INSTI., ,„. camir. j iilliTI,ONI: GUARANTEES ARE t..,,,,.............- ' 1 ,..S. . T3 Alb!TIONAL It:ISITTUTI9t4S QR.51JaSE • • . .,,..,:‘ N04, . . 4 A4 or: I,,..,.o-r .f.g.,;.= 4-3 i ,-...•.„ x:,-,,,,-(y)fill-v•Lid rr, . • - 0 , 1 T.X,•/,..? 7',-:,,-.',..? ,.."-",, 0•-•:it;•;C-,..r. ":3•Or41gsttill ki-tiAZ%ttZ t,...14:11-er!,, .r.: :::, r,,,, 77E:3 — 5F.c,-, :-% , s — ' i t: i-l-le- .,--,;.•:..,r.,-,,,,.-.:, vasy5_.e , • - ,.. ‹r ";;., 1: ;977." , -,. ...... ... . , t• • „i ,., ,•14 { i 4:4, .-.S..sk•,,,d,4.7_, , „ .. , _1 " P Ar RoZ.E2R-IcK VAN TinelL. P. C. - ... 0 1 .. .- ..,..-:-..... .‘,,/ 4...crirz o4Y1/4 5.174/1/ If 545174r44P-'' '4.-;*•27711:::14.;f:Z, '''..;14''TF::------ --i -TS a*:-.C.-.1XiblirdWiti;i3ig.Vigil--P -ter,' a,...-.....L ,.. . , „2.... :„...,,,,,tat,,,.,, ?:'..:.!,;'' 4.::: `,... ;,...,,, ..,.,.•55 :.:):.,.."-:.., ,, .:,`.., : .7 ,.:,„X.,,t1 2-":9„. ", . :::e.: Sk.WV. CO. t.:.724Fer.OF ii•i fr:A LT'?i ME.:,.'RV1C1 .1, i WrieMMIEN'T ori=itb417---""--""—li ' ,ZiezEjoak* ' -____.-...-...7-,---. ___.-______--........-- .1.......,_,..........i............-..,............ b 1. 5 ' ' 'FOR APL,141.0V1U,. OF CO11-zUCtiorl ONLY f , , . - ..1. - (i , , . • -3 .:,7, , , . , i I THE: WATIR ESLIPPLY /440 13EW4GIE • , ' ...I pelf m).,:, ,; •A, f•• : iSL. tf.fralSTEMPOR S ' 'THIS ROM- DATE: , . . OPOSA P ' ' ', '•••- ',', , ORINCIE WILL. ' CONFORM '70 ,THE .. , . . -... . , . . •• 444' . ; '' 1 14.,,iS,4 tiVEM Od'• ' '......•....."`".. : erriitiNtY"OP .$010:0 VA CO, Dffjpr,, , I \ OP HITALTH. SMRIFICACS. 4 IS - -• ' - , • , . . • • , \ ,.• . 4' . APPROyr.,.0: '' , „..,„..._ , , . . . , ,1; .....: ,, , . . . • , le) ............................ ' .'- , ..r..... APPLICANT levrtommima• . ..e ,' •.;,'• ''• .. , 421M011.1•0111Mr./1/.1.••••••01.........•11.,11,, , ,.41.1.5.4L••••••.. • • .j'.. a . e...•••••••••••••••••• • • . , ... . v.f...L....-•ay,... ... ................. -.......31. - ,. '