HomeMy WebLinkAboutKehl o
JUDITH T. TERRY Town Hall, 53095 Main Road
TOWN CLERK : v rTi P.O. Box 1179
tt� � Southold, New York 11971
REGISTRAR OF VITAL STATISTICS V®=' Fax (516) 765-1823
MARRIAGE OFFICER 140 11.E Telephone (516) 765-1801
RECORDS MANAGEMENT OFFICER : ,l 4j
FREEDOM OF INFORMATION OFFICER +� �ii<00
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3209-R Residential X Non-Residential
Fee $ 10.00 New Existing X
Name Of Owner KEHL, BRETT D.
Mailing Address 1 5130 MAIN BAYVIEW ROAD
Mailing Address 2
City St Zip SOUTHOLD NY 11971-0000
Property Address 1 5130 MAIN BAYVIEW ROAD
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 516-765-9290
Tax Map No. section 78.00 block 4 lot 32.000
Cross Street SMITH DRIVE SOUTH
Issue Date: 5/19/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
i
•
OFFICE OF THE TOWN CLERK •cvFFOCr #'
Town of Southold � 'CQ Application No.
Judith T. Terry, Town Clerk
Town Hall,, 53095 Main Road - $10.00 - Residential
v
P. O. Box 1179 ' VA;;Z
�� ,� $25.00 - Non-Residential
Southold, New York 11971 -• ••
Telephone 1 4-
•
(516) 765-1801
TOWN OF SOUTHOLD •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ /O.0
DATE /✓2- y
OWNER NAME: N , Kao�
OWNER MAILING ADDRESS: S( MkaA.1 ' ,) WJ RO
• .1S lice/11
vi -II
OWNER PROPERTY ADDRESS:
OWNER TELEPHONE NUMBER: 516 — F765- ® 970
TAX MAP NO. : Section Q°-1 S . Block t--1 Lot 0 57_
CROSS STREET: .
TYPE OF SYSTEM: Septic Tank New Existing V
Cesspool E/ New Existing V
Residential E/ Non-Residential
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.)
Signa �r , of Applicant
RECEIVED BY: AL-,
Town Clerk's Office
DATE: 57j (1/9 /
•
t%%5 11, �'3�40.t •4y' ,n•,.:,c+e-t��-'40..yn �+:%.','"; ;.1 -'.- ' •' 4�•;•••-,s- C • *. ,s...T'+-•v";',.; •^?•z
•
•
` ;#t.r` t i; ye.L•+ i+.a .'f' •r- , ?icy:414'4 • - •�y.s.• "°'. _ • ,`3 V.: •.'4,-, '•fir ••••!•':'
:
erN•, r `-:TSI', `'tom•f.7... .'t. - ;y� . t -I:.. _ .- ..
-!ti r'.'�*f:: y. z � .,� �,tia? ;f.t o• •�.:;y - � - _ �. • t. _ ...., -,�` =� r' .V -. Y�
t t1
Y,•S, r ,• .:�.•:..%,�Y• { �!rVY� � � - .Y _ •`,;f "i . _ _ ,�•,_•.
,✓: y • •
.x'• • . ;t�- - - "l � .G. _ _ �. -- .._,123.44,_=,_v-- ;,-,
i I ; •
,
•
•
i , f (. E ..
• �' •• { / •
•;r 1 • !
iCO
C j ;!:
..P - - • _ .
....... . , ,. . ." .
._„..,..... 7, '' • ••••'---• -, .' ' 0- i
., •• , .• • - ._.,v....±:_______ tn . ' . .
• r••f ` t ._-.r�� w • , -I� Y - - ,r le '.'.${AFI 2Y-• -
q,.•° - 2;r5TORY t ,1..'.} GA SE..
._ , _ tato( J t r- 1- • Z. H
•
^:e .:rte. i . s , .•
yy
`� '-
a ic • • I � L CC �rl '
'•t ' _ / • .
>.e.:4T .
• • 0 1,
11
: . ��• f
I 4;� .
YL1 • .•../�, Imo' ,
rl . f rl
' •'Ys. ' t Y
,.
•
.- f`•, • 4,•� •/ 1.,'
-.1
a �' j"
6t_5r• %%?: '• '•. - .•'i-: - :.A ...!0`. ' - .. , . - ..., .••, ,Ji y{f. •1r :itiP.r$ ; lff•=r:'•a:
'>` '+.f'9 %E?_l. ,.':f lf:i:d.;?t - .• . ` , •T •N3 " Y . y• '° A ._� , :� r . • ,(7.1.;•:•:;"• 1' .: °••- s `,'r•V± Y. -?z.