HomeMy WebLinkAboutHarris (2) 1
/011p/I//ii,,,.,
.0IFOLAit.%
Town Hall, 53095 Main Road
�® '�� P.O. Box 1179
� .... Southold, New York 11971
r.
JUDITH T.TERRY „���i<��� TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 720-R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
New Existing X
Name Of Owner HARRIS,WILLIAM M.
Mailing Address 1 P.O. BOX 820
Mailing Address 2
City St Zip MATTITUCK NY 11952-0000
Property Address 1 195 BREAKWATER ROAD
Property Address 2
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. 516-298-4238
Tax Map No. section 106. 00 block 5 lot 2. 000
Cross Street RUTH ROAD,
Date Of Last Pump Out 0/00/00
Issue Date: 5/31/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
r
Y
OFFICE OF THE TOWN CLERK .0�FFO
S Ur."
Town of Southold �� r 4a Application
Judith T. Terry, Town Clerk �� '
IF
Town Hall 53095 Main Road ,te Residential
'fit aPd
P. O. Box 1179 r-71 ; Non-Residential
Southold, New York 11971 O '® '`" rte'{ •kc$
Telephone : 1
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
DATE r° vii F '
OWNER NAME: /,�-j�-/!ifiLakfiele/-5
�f
OWNER MAILING ADDRESS: 43160 N. J3-0
OWNER PROPERTY ADDRESS: /94-Aek-At 4/ 4- I�
"4-7r`/T ve--1 4711 (C 9 (�
OWNER TELEPHONE NUMBER: )1 -7(
TAX MAP NO. : Section / 0 6 Block 627 Lot O 4 "V, ® ®
CROSS STREET: Wu. i`' 49
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool V New Existing
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT:
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:
MAY 3119
Tom CIS Sedleti
/ 1
A A.,,,,,,,,
C,4PTA/N K/DD DR/ Vs �' raj.!
J _________n_
3 = oo , ® d
( . ,-
250 � � b '
Lot /g c I
f
4
. ig.t± •
rn I oti
I aha
NOTE
S.86°00 30'E ti� �\ Q =MONUMEN T
-- , ,— -- _,-_ __-_ /29 40 _ l (�Q 3UBD/V/S/ON MAP FILED/N THE OFFICE
0 O s'o/'f rail r.„, 5 (3 OF THE CLERK OF SUFFOLK COUNTY ON
v OI q JAN /9,/949 AS MAP NO. /672.
•
zki r j'..--. '-
Lot /9 If'.: ,'1O ,•::::..:Z r�
h
0
h I j CO
(v� REVISIONS YOUNG & YOUNG
2 ` ` 's' c �`� 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
I I I"
_ V ALDEN W. YOUNG HOWARD W. ti JNG
1//.� r../- / (•
Ng6'o0'3a'w PROFESSIONAL ENGINEER AND LAND SURVEYOR
//O OO '
v, - LAND SURVEYOR, N,Y.9 LIC NO 12845 N.Y.U. LIC. NO. •9S9]
SURVEY FOR:
i formerly S S/eYziesk/ - WILLIAM M HARRIS & MARIE A. HARRIS
LOT 195, BLOCK 15 "CAPTAIN KIDD ESTATES 11
..
.
AT - GUARANTEED TO: - --
MATT ITUC K ETY OVENSBRAK TY CRVERHEASAGAH
TOWN OF SOUTHOLD
BY
. SUFFOLK CO., N.Y.
SCALE I I1 _ 30 DATE: DEC. 10, 19 71 • 71- 7 9