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Home My WebLink AboutHubbard �0I®c I U 81� .04 gra Town Hall, 53095 Main Road v'® �•�� P.O. Box 1179 ___ ® ®�� Southold, New York 11971 JUDITH T.TERRY � 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. 690-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner HUBBARD, ARTHUR T. Mailing Address 1 805 PRIVATE ROAD NO. 21 Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 805 PRIVATE ROAD NO. 21 Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-765-4074 Tax Map No. section 78. 00 block 9 lot 36.000 Cross Street N. BAYVIEW EXT. Date Of Last Pump Out 0/00/00 Issue Date: 5/03/88 Judith T. Terry Southold Town Clerk (TOWN SEAL) nv' OFFICE OF THE TOWN CLERK Town of Southold �� Q _ Application No.' 6 Judith T. Terry, -Town Clerk � , Residential Town Hall, 53095 Main Road a ,r , P. O. Box 1179 �' 1 Non-Residential Southold, New York 11971 L:4, '— dtv4 `a�� Telephone _ ( Y► (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT RECEIAPPLICATION APR 2 51988 for - Town Clerk South'old OPERAT ION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ o DATE /f2``'4? OWNER NAME: gf?/,w1i / / liCieIen40 OWNER MAILING ADDRESS: EO f/ /!//1-j6 6z. O Soc.G%7'oGi©, /U}- //7/ OWNER PROPERTY ADDRESS: SWA/v OWNER TELEPHONE NUMBER: 76 q 0 7y TAX MAP NO. : Section 07 Block Lot 3 CROSS STREET: /1/- £4 l//gam/ EA-7- TYPE OF SYSTEM: Septic Tank ' New Existing Cesspool New Existing Residential V/ Non-Residential DATE OF PREVIOUS PUMP-OUT: / ZC/ 101 /9E7 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: 0Y02-�- EC V wn sCO3-fV119-4-3 fi e DATE: MAY 03 1988 Town Clerk Southold (-) 1 - L..r: 0 ' ''''— ‘../ .7"-t-__1,12. . Ecuic-,.) . vi-i - Lif, . 'I li .. . , , , ______. _ _______ _____ , • r , (S)...y4 FRF v0 Li cK1 - . r cfl 1 i ; f I IS) -1 , CONSTRL 0. tpl. , i - 3bkf q9 0 • I i ! - -,t - t---• ' 110e/ . a ,,,, ,---- i , . i . ,., , ,,_ _ • ..._ AO . c _t--) .. .C.D ',-- . ._ ; 1 :•.,`,L)1 < , CIO H. S. REF _,- , , . . -e-: _ — - . , • ,....___________\ - ' H- APPROVE 49.01 , t:0 " 9 -- i ,, ' , SINGLE . --•,-, , . '- ;-• 1 . • \ C-1.' \tA,jelej —.-- I . - i 1 (1......, • ' .. LL -, . _ ' . SUF FO . S' 146 rti . _ „ i..• - - -7 , - DIST. " ' - . ' - '• el . 11) . - -_'.Efl,! f 1 I \14 % . 0.rips ,- . : ''... ! 11111 S , , -.\ 1 1 1 - . :di • ..,-,-, \ ---1-7,1-A.L r-7.- 4-.."-) . I . I .,„\\ , , • ' '- 411 • - ' -CI \ l• • '(..2, 1 1 •.,_,:,----.. —7 - :,t ' _ -i..-- . A, t 1 •-- I. > - ----I. ' - .. ,...._ . 4,,,i4S" , ig14--------.43' ii- g' - • ,2.- 1 :-;_::i- , ,\ -7:K2 FEN... ‘E-Fi'46LS.. .,E-. ;I j . - Lir?: 1 . ' -e-) ,...- 1 ' s --• 1 - -•-,, . a .....-- ---- • , ...) .../... .., , \ . , ',•:, : ..;. . ' .. ... ,-,,, \ , . ' DEED: 1. .--..: .. ' ,....-i •; -' .--,,. 100 ..:14. . \ ',..':' 7= •. . . `....i N 11 ..1 ,0 - • ‘ 415--0‘-''.:,l'i.-, - . . , . .. ..,_. 0 , •.. .. (-) iI - .N.,„.„, - 'fia.---;•-cd•Pr: ,. • , . 3...- •, '7,-;,.:' . _ , ...2 Li Lt. -.1> 1 , • _ . . = , . • I , 8-Li 1 f7, i„.1; . , • , - 3 ••.• i- ill: , , '1`40.17E: , , .A. • ' . ,, 10 ,"c-" ! ...................:,., ' 1 r;:4 COUETTO(..)121r2ErEf2.:TrJ M ertkc .4.--S-7,..EA:. . . .., !--1-'7 , ,,, 2 -------- ---- - &.,...r - , II•r? . . - - - - - -- - 1 ( 1 1--- I .. , .., _ ,- , - •-- , - ::-.:,":::;•,-S,,4 , . ,r---.1)- --- '- _ 1•4.(3'.:3 f 1 ,....>,-.; \,,,/, ; ; . . I.78 7. \ ,. - _ - A . . , 16=nurao , .,-.- ...-• ' , .,,-,--,-_-7 L-:.- =-, !c,,:'..-.,r_-, . 1A-2,-. . . „ „ - rk• - - RODER ICK VAN TUY L.,-P.C. , .„. , k , . ' ... - -- <- ,i, _.-.......__.„ , . . . , ,...,. - , - ,_,..._ r, ; , ..,:. LICENSED LAND SURVEYORS - . , 2 . , . GREEiNPORT NEW YORK . . . 7-,.. .