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HomeMy WebLinkAboutEckhardt ULAlp JUDITH T. TERRY vc,, Town Hall, 53095 Main Road TOWN CLERK ® P.O. Box 1179 REGISTRAR OF VITAL STATISTICS �` Southold, New York 11971 MARRIAGE OFFICER ® 'i�, Fax (516) 765-1823 ® ! Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 1896-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner ECKHARDT, GLORIA Mailing Address 1 P. O. BOX 1091 Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 ORCHARD LANE Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-765-5535 Tax Map No. section 90.00 block 4 lot 15.000 Cross Street BAYVIEW AVENUE Date Of Last Pump Out 0/00/75 Issue Date: 5/11/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) 4 • •.. OFFICE OF THE TOWN CLERK cl\VFO(,r Town of Southold �o CQ ' Application No. / - , Judith T. Terry, Town Clerk �� ycsG7 `') $10.00 - Residentialy Town Hall, 53095 Main Road �„t p. O. Box 1179 cn % $25.00 - Non-Residential 190 Southold, New York 11971 O 0�1v` Telephone (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No./S--90- Fee o./ 0- Fee $/6 f DATE ' l l L MP-- OWNER P—OWNER NAME: ,L.'- _ & ciA OWNER MAILING ADDRESS: RQ,ety ic)9 u,L�iv�2� � . 1/97/ OWNER PROPERTY ADDRESS: 0/1430.J-14. � /; ,,�, '� /1171 OWNER TELEPHONE NUMBER: eV/ -765--6-6 3s" TAX MAP NO. : Section p Block i/ Lot 16 CROSS STREET: 0_ TYPE OF SYSTEM: Septic Tank 9Q New Existing '>< Cesspool New Existing Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: I Y 7 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.) ilk/ LoL__-&LP)clAd7f- Signature of Applicant RECEIVED BY: 24./ • / 4-e . Town Clerk's Office DATE: 67 � le....- rTh‘, it..\‘. . . ' o 4110, ' -,,,,--•-••••rm.,... ....4, , orxrzeumapozz' "Lti.,,._.:1,,L,!?; qic_fit-.„!-..,,t`2:`:— , ', 0 .-0 1-- . '..! '.4 '- -\\-7,17, ?N , , 6 •,;.1 ,"),,,,, ,,' 0.• . ,.......... .i.) , ......, 07-vcr2(..- 22 • _- k(-2,. . - -% • it —7---.-1-7—___,_._.-- ,p,,,,,,,,,-------"" i . , . ,-,,,:,,:,,,,/ . 15, 6‘ I , .' , ,- ,-. •-,4 N t I .Try.:Pk. }.--;---1 --- i - '''''VP'2, .,.. _ - -- , 0 1 CPP4Gtii?G.' '--/ -.hi r'') 1 i ---.4., ''Ns `If ' .-...7' hi ..''' 0 n\ •,1 A ., r-- Z 111 +.-_ ••',.._). ,,, .„.", ,, k--..------ , , i . • '-'4 . . Jic •,.7 9 -- t :; , •"'A:..:4 l'..}4, o W ...1. - i i-',-"• ..., ----------__ ' ?4,4 0 ' .1444 •i. '', , .. . ' 1 ..',:- ,....,-- -i .=,-P', .,, /I ...............,„„,......r..... ........ - 1 17:•il} 0 .. .•••••' ‘,..... P •••' ,p• 4 3 •'• ••••''' , tiV r. •%... 4,..., l'. C i 0 r ........" ./..' $, 'I ...**. 9 5.0 - • 4r/G ct-4 C0 • • ".1i-'r7T.-,','Ci,‘:4.;i„"."'4,•'.!'t'Ij ,1 11 wr -- ' . , .. ....„./- -, • ---. r.)1;2' S'' ' . ,. . . ' •' • ',''',.'4.1,....,:ek-,...,, ..... , '' ' • ', . • / 4,,C,‘-'1, -- „ ,,.... -. , ,._• . , ''4,!•-•8., `.. -.'-' , . . 1 ... . .....,..-. 1 ...,..,,_ .. ,,„.,........ • .,,........ . . _ , „ . -_ • ..... . ,_ . . ,.. . --.- - . , . . --- _.•. , . ,.• . -:.....,..„.;:- ,.,, . • , , r- „T - • it3.•,-.1,7: p.,-.,w:.1.1,.'-:-. .._•., .....-2.:._ '7...2 __. _ • I : • _ . _ ___ --_--_ ' ., ' ' - '- ' ";.:. ,-'.. - :' t,”',.';';'‘...,:1",.-,;.; '4:„ . - '•,-; -.::: ).• '.-'.,-7,,i2:c';',)1.,I1.1 ...'‘,4-,.:,:.,..,.>';',,,..:.,:- '`.":,-;.'',...‘,,....,.. ' ' ' -;:-.7— - . ,-•••-.., , ,- . „v;;,: , ,'-' ,r , .-- '‘,:-. ' • -:-.`::;•,..,...".:,::::.?::‘•:.-',-,s',--7?.....:::;'?,..'e:170',;...- -",:.-1-41-;, ),4::"2;-.).:z"f..':.:4'tir'il?.-:INIS;--SHIr,`:, .:,;•.''..• ..- -•'• ' - • , ;-,-0 ..•.... , ,.. ‘...1-.5.1.,3'.11..4.r;S 7,' ,,, .,?,,,,i,P.-vt,,-7..-.'.,..n,..'''‘•; , , , ,.c.,-. '.`'-!'•, ,irE ” '," `.. ''.-,-.1---`,:',..' r. '' .,, . -- --•• ".,,,,,....,,j,::..,,et r.,.,L.,,..:-::y• :,,i;.,,,' r.1,,..-.; _.-!,:j-i',i;",....A:i.r. ,..'2,..-C'',.2,',.; -...;',X;e''.',....-f.7-A';, r. ...1 .. „. .. . , '..-'.',0 '—''N••'',‘ = *).-‘.'1 i'•:''V,..'"'-r-Pr,.',I-; .,. .3. `.,„s L.', , .. . - ., , - —. — —----