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HomeMy WebLinkAboutJaeger OFFICE OF THE TOWN CLERKD[/�`; Town of Southold Q , 0� 0 . � . Judith T. Terry, Town Clerk Town Hall, 53095 Main Road Z ' riSt P. O. Box 1179 C1 n _ �. Southold, New York 11971 � •� Telephone O (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 416 - Residential X Non-Residential Fee $ 10.00 Septic Cesspool X - NAME OF OWNER: Frank and Alberta Jaeger OWNER MAILING ADDRESS: P.O. Box 261 Cutchogue, New York 11935 OWNER PROPERTY ADDRESS: Billard Road Cutchogue, New York OWNER TELEPHONE NUMBER: 516-734-5264 TAX MAP NO. : Section 98 Block 1 Lot 7,9 CROSS STREET: Pine Tree Road TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New , Existing X Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: December 1984 - Judith T. Tarry Southold Town Clerk DATE: August 28, 1987" (TOWN SEAL) c_' , - -q ',a • 7 ii iii OFFICE OF THE TOWN CLERK �c3�1FF�(,( - ' Town of Southold - �% >; CQG-_ Application No. /<� _ Judith T. Terry, Town Clerk �% `. y Town Hall, 53095 Main Road o IV# 4 7 Residential P. O. Box 1179 t: ���` Non-Residential Southold, New York 11971 O _ 4 \�••• Telephone -170 (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for - OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. , Fee $ !t. ' DATE 0 '/ 7OWNER NAME: /9 /Ja 4 A,6eta Ni e,9e/ OWNER MAILING ADDRESS: "'O. at CLTcrv®p6'e 4// //93s OWNER PROPERTY ADDRESS: /44,.3' /�, • , Ca-c1'070t• it , //P3� OWNER TELEPHONE NUMBER: 23 V- N(01,65/ TAX MAP NO. : Section Block / Lot i2` CROSS STREET: 4, d,59e... 1(7. 4 i1_......„-- TYPE TYPE OF SYSTEM: Septic Tank New Existing 1 Cesspool / New Existing Residential ..------ Non-Residential DATE OF PREVIOUS PUMP-OUT: /d// 02 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.) 4,,,,, s), ,,,,,,) Sign r f pplicant //' RECEIVED BY: :4. %!', /I , ! .wn 7e 's Office DATE: X77 , . ''---4-----" _ - -• - -_-'' '- .-- -'I- -‘-- -' c :: • '-- • , ' : ; ;':;',' ---:: '---:1": ".' -.' --,-..,' - - Us,( ii ' :': -V,''-- ''''.1'''•--, •' ,' • - ,.''- • - ' '''.- '•• .., .„.,..7,.„- e,..--_, • , - -, ,- ,- , , 7,, '-'," ''-f ' '-'---,'- =',-,,-__--„ ..:-_,-.- '!;.-,-:-..!-.--,,:,--/-'. :.-- --.' s----,;--,_,..,TL--'( - .:.,,,,,.-,, .„ . .-,11..,,7 .,•-__ - -.1, -- • •-, ',, , -.1,:i-, ; .,-11.-: -'-•:7 -_-3, .,-, 44_,---7.--1.-t,„5:----,t.:1,-fIct,v---, :.- . . sr.,...,, ,.:.; :j_,, -,-.!. ' ,-.,--7:•::: ,, " -oc",.„."7ii.,--: c:_it:4.-'-sff---`-".i%i'---rz"----!•./..--,-liTT:: ..`1•." 4-.` • ; . 4.W..--t-,* , - -` 'T.') -- SUFFOLK COUNTY HEALTH , DEPARTMENTI - - -; . ' _ . "• ,'1 - -- -_ .*-- •- - ---:-."..,-,- 2- A- . -••,..---, --•, •,_-,- - A .r'..C.,-..1 .,z., , :"':-,--;_-•, -'.----,;`,:-i-f...-. ', :--:..- . , q.,,-.,: ••— , „ :/4..'---.----,--4.:, DATENOV 2 7 1974 H. D. REF' # SD ._ , 7 0, e, „, '-' 1 i'i 't: " LI 9 _t . , ., . , . . . . The sewage disi-r•Dsal ald water supply , - - .-- , , • ,.. i.„. , facilities for this 1atio.f. hx,,e, been c , , .--,- ..••• . ,- ...._ , „ • inspected by this department and found , - -,-- - , -,-. - , : . _ •, • • ,- . - - . _ , . - .., . • o _bp. 6atisfactory. . , ‘ " - ' • , 1 .,'•/ • ,, ,, _ a. / -_ --r-c)-4-1.7- .../`/.:,1° Lf - bit. - . - . . . . . .. / -...',. Chi 64 ;;Rnek&ineering ' - - ---- • , , ' —__,..................„1 --- Services ' - .. , . .. -, -----r..-- - / , . ... , .•_. -‘---.'.."---...__________.„............. .0-..r. ..., i 0 -7-,4 i -,- ., , , • . , . ,,,•. , . . e...., ci • . , ,, , - _ „ _ . „ _ I_ . ' •';'‘I , ..1.--• , ... / „,..-- , . ., , ibi • •$, ' -- ...••••... '''Z.,•:›d I - -tr ':7 1:-,.•,-,-3. _ a t. 1 '''...--'.....--...."'.. 1 ' l' — - - - •1‘. - . ' I • 1 I ‘` -------,--- 5'3 r± —_A4 .s: ----- — -2- i 1 PT'41 AC i ' .,,,,-' Cal • - ' •--''',- *r-tktZtl;t 1.:- -- ''' Z i -. ::'-•-,1,- ' I I • , ,..i . -... . 1 . • : _ ...,. . 1 • -4., ,,, 1 v) -,:...•- _ = , __ ._„. . ,... ,4.--, . . .....a ; - -‘ - C---- - - - :- , • ' ' i----1 , . Va tit I 1 , _ . 1 ,— • a .')/7. 7.1 ..- /• c..2:22 ( CII 7 , Z , . I 0 , .., N biacgc .p-r.) • 1 f) . . . . ____ -,..- , ./ , • . - 7,24 d.-/,..-4, _. . _ toi. ' - - i - - , , . . ' , affi. v) ' -_-:'---• 1 I C.) c-_)--- . 1 , , • , --7:- 641-'3/ f . , i • , 1 "4 . . --, 1 . ,• --,,, . _ 1 f 1 ' . . , . --- • ! ' I • .. ' 12-71 L-7- , ' C7-7--_,..-a---/.,,,,,t7 t I,//......,f___ . I -,-,--- • '',I -' . I , - - -' .. .. , i - . _ i ' i I • , . . , -''--- • '' • ,1 . . , ..) _ . . '' I A