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HomeMy WebLinkAboutHorton OFFICE OF THE TOWN CLERK ' ' FO Town of Southold ���-;• cr Judith T. Terry, Town Clerk ��0 `� Town Hall, 53095 Main Road r ns P. O. Box 1179 Southold, New York 11971 Telephone 0� it i (516) 765-1801 _ TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 121 Residential x Non-Residential Fee $ 10.00 Septic x Cesspool x NAME OF OWNER: Gerry L. Horton OWNER MAILING ADDRESS: P.O. Box 1008 Mattituck, New York 11952 OWNER PROPERTY ADDRESS: 600 Eastward Court Mattituck, New York OWNER TELEPHONE NUMBER: 516-298-58822 TAX MAP NO. : Section 115 Block 7 Lot 5 CROSS STREET: Route 25 TYPE OF SYSTEM: Septic Tank x New Existing x Cesspool x New Existing x Residential x Non-Residential DATE OF PREVIOUS PUMP-OUT: June 1986 Judith T. Terr - Southold Town Clerk DATE: November 3, 1986 (TOWN SEAL) - II Ili OFFICE OF THE TOWN CLERK ���FF�(i. = Town of Southold �� x CQG Application No. /021/1 Judith T. Terry, Town Clerk �► Town Hall, 53095 Main Road :T ` Residential P. O. Box 1179 crz V 3 Non-Residential Southold, New -York 11971 O 0�,� Telephone 0I �+�'; ' (516) 765-1801 TOWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE k® d-4, 0 OWNER NAME: G5eg\j )40 OWNER MAILING ADDRESS: ?• 0 . r&A, IOC-32) (psi' 1—r-L.A K._ 1 L) . 1. OWNER PROPERTY ADDRESS: ,OO E-Pc1� ekeb ekeCo Ge 04.\ TU C a� NI • Yo OWNER TELEPHONE NUMBER: TAX MAP NO. : Section 15 Block Lot 5 CROSS STREET: TYPE OF SYSTEM: Septic Tank New Existing _ ✓ Cesspool V New Existing ✓ Residential ✓ Non-Residential DATE OF PREVIOUS PUMP-OUT: 6 eC:7 LOCATION MAP: Must be attached hereto before permit may be issued. 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D.ki.E______---- —- , -- - ' - - ---p-1,•-.' :-.:-::-.•'. --,A1..-47.4•1',-.44.11;•• ' • _-; - .1:4' '-',(.'--.' ‘,.'''',.-'': -'',.--":=-----'1. - - -.1 ....t.,:f.icl., ,,- , - i..-.-.7 11 ,.. - f a C-: 1-.-"- . - .,-- _- - ''' -: '-''? _, . . .• . . . „ '--- ., ,-"Y•'7.:'-'," . . ..., ,...,,:..7,el .!..• .4--,^ ' t.-- --- to •,'-• 0....-v-2.....LA Unauthorised alteration or addition to this survey is a violation of .. ,--;,, -,r.-,--'1, -1,-.1gi--'s : - ,''''''";,;.----:•-•-..-'-'::: '-'4'.1-- . . snclion 7209 of the New York Store Education Law. ri,,b 1 e f 0 I- '-'-:, , ,_.:,-,- -..: • - • ,----;,!-':',=.".. . Copies of this survey mop not becning the land surveyor's inked . ..,_ , .;.---:-:•... ---' ,•11--;,',-_',.:,,-:':-..1%;',-S , '' , .. --'''';','-',7 ;:`,.,;;;:' seal or embossed seal shall not be considered to be o valid copy. . • - , . ticanons meicate.1 he:con shall run only to ther •-€4•..,-41-'-;-:''''` . . , .. .e.: •-,.: ,.l.,. - t',e survey is prep3red,and on his behalf to the ''''''' . , t '-'---ia ,le. com r,t:,,f, governmental agency and lending institution listed . . - ..:fs:5r-';',, , ' , - ,-,'.!.,•;,;,-:--",..--fi':‹V.' hereon,or d'to the assignees of the lending institution. Guarantees - -t-' • :," - -3 ,7.::r.4;.'4:":- . or certifications ore not transferable to additional institutions or '.., i.-t.,_, . ; subsequent owners. . • . , , .,-.. .- ' ,-"-,.ie•i'i.:5,-,,9-5..'.:":1,, - • . . . - ' --. .-- --. - •':c,.-,,-,,-. z----;•,:e .. . ., , ' " SURVEY FOR REFERENCE: - OF NEW' - -- .. •. , . . - - , IV1/0 EASTW, , t ' • — 0 ' , ..• .P ' GERRY HOP TON FILED JUN,- 2, -,.. RT A. --- - -, ,,.,-,. MAP Na 5 i:06 •R-- -1.15 .. . ,..._ . • :,-",...,,-- AT MA TT!TUCK • , TOWN OF SOUTHOLD . - i GUARANI'.-4 Lit -0: ,i..;...' ,..11, . . * ..-%-•.4..--;',`,..,''..: SUFFOLIC COUNTY, N.Y. it,...W . • , ,-,,,,..-1,,,,...,-, "r-,-.1 '.;fr.. A"<". . : ::',f:- -•-•,--: e-1- 1 7 SCALE : 1It= 50t . o 44, . co 2872. . -3:'' •' , „ ' 415, (to,.r MAIY 3, 1976 ' . *-0 • - •-.:-, -,y.-,----„-„,-,. • 1,-,-;,-....:?! •_.._ ,••rt , - 4t'L' _-,t/Seatt7fr---,''-,'.'---•"-'''r• -;''-',"-' -Ik'''`'-' .„.„,.i.,i,, .,,;. . -1--;._';',-.74.',7:;_,:4---4,, ,k's7-t,-_.-,2";•-•;,',JA - 0,;‘1'7..; LAND SURVEYOR:-.:....:,.. :-;;_iff -7,.,--•:,;-:-.o!.`i-..,, - ALYS:LiC.NA29725,'-,; ':',V- - - ' - ' ,.7,---- '-'-^•• " •''''•••';''.-' '--,'- '• ,-,::::•••••$,..•'‘..... g•T"I".0,',"':!....•:d••-=`-'14"ft•-,14: ' „_ • .-