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HomeMy WebLinkAboutDrobet OFFICE OF THE TOWN CLERK 6 .qWFOUri Town of SoutholdA Judith T. Terry, Town Clerk , 6, Town Hall, 53095 Main Road '' y. Q 4lMf� {� h.ce� . P. O. Box 1179 . Southold, New York 11971 p� •~4 i/l Telephone _ t (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL • Operation. Permit No. 594 Residential X Fee $ 10.00 . Non-Residential Septic Cesspool X NAME OF OWNER: Jack and Dorothy Drobet OWNER MAILING ADDRESS: Box 965, Lupton Point Mattituck, New York 11952 OWNER PROPERTY ADDRESS: Lupton Point , Mattituck, New York OWNER TELEPHONE NUMBER: 516-298-8331 TAX MAP NO. : Section 115 Block" 11 Lot 4 CROSS STREET: Marratooka Road TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New Existing X Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: October 1987 _ f5 . er - Southold Town Jerk • DATE: February •10.. 1988 • (TOWN SEAL) Its .., — OFFICE OF THE TOWN CLERK �cOFRep"' Town of Southold \� .• . CQ Application Nth...S19 IV' Judith T. Terry, Town Clerk Town Hall, 53095 Main Road o L,.: Residential P. O. Box 1179 E' �. Non-Residential Southold, New York 11971 OiA `'ot -_ -.. • Telephone -./..0 r (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. !i Fee $ 40, 01) DATE a/ll/ft OWNER NAME: `) C/( 4 D6A-0 ,Y/ DUB o B 7 OWNER MAILING ADDRESS: g&g ?6 ( L_ 0 p a' i,' pg:- / /97�-�% , 4/.f ` OWNER PROPERTY ADDRESS: OWNER TELEPHONE NUMBER: 2 F— ?33/ TAX MAP NO. : Section l IS Block // Lotit • CROSS STREET: i'?") TYPE OF SYSTEM: Septic Tank New Existing Cesspool 7 New Existing Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: rad- / 17 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.) i ..- - 41 , # , ifSignature of Applicant RECEIVED BY: -.14144, 4,100 i . ,/, / 75 , n C '-rk's Office DATE: 6 4 .1,1:,:! f , _ • % ,,mss; I : 40/ '\ • r.r • '77,9 _.:-.4• 1 \ , ,1 • ,i,1 0... \ • <kr\ \ ' ' • J - L- vim. " ,,......„ % • - ' • - 4,Y.26`.^` 4 _ \- {�/\�� , • \I _ F igri _ r-Jim.;.':. •• - ~ w i - 46 .- - ':- �`if-i. . - • .. - - , ..---14+.1%"'P' `--^• - ��f' ` x- -r= _ Nc - --' _.:. -__sem ; 1 r5 �' .. ,,r„�„� ,7,1 . _ ..... V - ,"h am. r _ - _ _. •. _ - -_ ^ ' -•:-_'"?..-- -'',-----.V.1.3- i�o-1 0. '- . . Y i' " :gam .r"3�£►�. :I. =+,3-�1.N�wq/ .� •..-��M1�o-�{ffi�y� NO�i�.�O/9_ e/, �:{' ,�`,,1 ". .. - - r^ _ _ _ __ - .9- ..'`y?��t __ • - .s tll Y. - -�S `, '-e_ _ - - _ - -`i- - .1. ✓ a%.Sf ,i S.. R --3 > : - _' - 4';'- 71 -.1'•y.. _. 3:~•.:;"- �,r'ti r _ _ ..g4-.5-,,,,,....,-:;;.}` - i - - - - ,.• ,r T ta`Q-``r ,-,^':q •,% _ ' - - .Y.. f." fiY. n ` �` f^�•^tr"�+��.:+' ji7 •.' =Q�. _"V-��oP.:,-:, +Jyr"t r•".� �� _ __ _ _C_ 'T<-.. `•li r - rr - - _ _ _ +s:•r 1. �Y �' - -- _ •'.4,Jen,,-,•tt`4� f-' -1, ` ,-- - --�' 7_,.,---,-..,:,!--4> +4' •':"'---5.,:V--*-. - _ '^ • c,7 '` O�j_ r-_ - - . ?. - --, - ~�-y�l - -,, i-f - - .3.�„? -