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HomeMy WebLinkAboutKoster OFFICE OF THE TOWN CLERK s 4\ F�t'.1(e- Town of Southold 00 � Judith T. Terry, Town Clerk Z 1 r. .� Town P . Box Mn Road i = ` ' ' �u , Southold, New York 11971 Telephone Ol a (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 497 Residential X Non-Residential Fee $ 10.00 Septic Cesspool x NAME OF OWNER: Edward F. Koster OWNER MAILING ADDRESS: 3685 Pine Neck Road Southold. New YOrk 11971 OWNER PROPERTY ADDRESS: 3685 Pine Neck Road Southold, New York OWNER TELEPHONE NUMBER: 516-765-2307 TAX MAP NO. : Section 70 Block 6 Lot ?q CROSS STREET: Oaklawn Avenue TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New Existing X Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: Unknown Judith T. Te ry Southold Town Clerk DATE: November 25, -1987 • (TOWN SEAL) OFFICE OF THE TOWN CLERK 'cOFIV( Town of Southold CSG'_ Application No.�1�7 Judith T. Terry, Town Clerk Town Hall, 53095 Main Roadf.,744 :'� Residential P. 0. Box 1179 k g : Non-Residential Southold, New York 11971 ._ Telephone 01 s (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ DATE i/'o93I, 7 OWNER NAME: F.clwcu- F. WoifpY OWNER MAILING ADDRESS: 3(6'S eine Wed Ed . Sou.. o 1 Al\ 19'7/ OWNER PROPERTY ADDRESS: 3(4 .0 OI h etea-- ed , so,/,,,O/c[ OWNER TELEPHONE NUMBER: `?(,5-G2 3 D TAX MAP NO. : Section 7b Block (p Lot Q3 CROSS STREET: C-a,s4- ©4.f41 -- A — TYPE OF SYSTEM: Septic Tank New Existing Cesspool +� New Existing L Residential // Non-Residential DATE OF PREVIOUS PUMP-OUT: /C66 f`&' 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.) KV.&("< e-d 9,2r,(3.76; Signature of Applicant RECEIVED BY:� � _ _,,-_!� own `' lerk's 0 ice DATE: e? < 3 - Docks _ r"' L.4 , V Ord i ku - - , _1 N.87� �.' wd��r ►t,csric - - - - - . 1 + 0 `j 0 Q MMAP CE LAND ' Et., -7Y5.: F0IZ l i 41 EDW. Fs. L AURAA . KOSTEP.' i AT { ' ' SOU`;'r-•{31_..i - i r __f_____, `T CWN OF i.' t.:O�.,D 1 `f. j i[ ' --it _ .„.., L I cl- • 1 I —„ ,liw.� SCALE: SO. - 1.” _ i r !U,idr-ccr�:s�ru�1`it' v __ ire,- rips - 1 • 1 K. ct ,i - 1 I, .,, 0 cel • t 1 , : N , ______ .e___T__..i.-\-----) i 130,c)1 g� { - 5.82'29're-w — 1_ ------ ___ i i j i P` 1 Welts �t , y , r , - .11 1 -0, ; ! 14 i Gucreryti$Ced to -Ike Sot,+t60(01 Say-11144; BaKk* - TT , gu:rrar,tced tc' +he Gvarr�r:t<,Ld Ti! i.;:vi: ,�t: (• ' ! - Aracriccin Title: ;r:Pw'rance: Ce..-:. _l-: s-e.r•.'eiecl IA-7 i` .�1 z t l \/AN _�..T"...) \...-'L 1u S3 1 :; I 1 I f'sl L6;.c:,_ecla 5ert.i r� { 20' ti+le n�. 07- 4 4a r „- -'- _ --- -•--- .— ID 1 . L ,, �. - ' ' - - -