HomeMy WebLinkAboutKron OFFICE OF THE TOWN CLERK
Town of Southold
Judith T. Terry, Town Clerk- G
Town Hall, 53095 Main Road c
P. 0. Box 1179
Southold, New York 11971
Telephone(
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 286 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool X
NAME OF OWNER: Gary R Kron
OWNER MAILING ADDRESS: 950 New Suffolk Avenue
Mattituck, New York 11952
OWNER PROPERTY ADDRESS: 950 New Suffolk Avenue
Mattituck, New York 11952
OWNER TELEPHONE NUMBER: 516-298-9519
TAX MAP NO. : Section 114 Block 12 Lot 9
CROSS STREET: Main Road
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing X
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: Unknown
Judith T. Terry
Southold Town Clerk
DATE: April 22, 1987
(TOWN SEAL)
OFFICE OF THE TOWN CLERK
Town of Southold ��� CQG Application No. �
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road Residential
P. 0. Box 1179 v' Non-Residential
Southold, New York 11971 O
Telephoned �.a0
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ /D
DATE
OWNER NAME: Gary R. /iron
OWNER MAILING ADDRESS: q60 /fpm f- IK. Ave
m a e czi � Lf• I!qSa
OWNER PROPERTY ADDRESS: 60/-)m La o Ca.,bcz j
OWNER TELEPHONE NUMBER: co-9g- 9519
TAX MAP NO. : Section ' 0 Block Lot
CROSS STREET: kpw-
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool XZ NewExisting
Residential v/ Non-Residential
DATE OF PREVIOUS PUMP-OUT: ?
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.)
SignatuMe of Applicant
RECEIVED BY:
�. m brown Clerk's Office
DATE: APR 22 1987
fi V
Town Clark Southold
NEW. SUFFOLK AVEN y►w
317458 T
OLEJULANE
5' ' I� - I fQ.35• 1, ,. ;. '�. F '1•, ',{ i. ry ail., y:xlf ll,.t; i
Ell
PQRGH „_ 1,
„ C II f -,,'1 , r
> • ' f.
AT
.r ���}y. y�+� ATYr}TUCK,,',
` }�,L.�
,.4Y'�:, n�•:y� .7.7� .I•A '.1sw�^,f^",`]',:{. v.•,II,,�.ri l.j.�,':' �:,f l,� *�w,,r<,.^;Itt'�'?:,,r ?);>
-• � '�I V yy �I •1. Y,..�w�►.w—v.�r.a.�,,y.�,�.w�.,w,�rr,,,.,1'+�h 1, � i '"r,'� r.4',. :,.
Fyv1.• ' 4'
• � i reLo�ry�c�Tl�IS '•If � , � ,;� d,I,Y, ;13,j I .,, ,
1 v , •�, i„+', -,1J ^fit,'.,�„ ,+, A
, I t � I . V• , `'ill ' '
' I f JNAUTI.19MED ALTERATION OR ADDITIOrs',f,
TO TI;IS7UF.1'Er IS VIOLAT;O`i
SECTION,71C9 S:F TU:NEW YL"'.
EDUCA110rl L-1%V.
I � i,' Gf 11',i�',. Iv.'I .'A?"t:^T cSA.",I�r;• ++
, � I 1� I, 1 f ,` L"fL:,_s['S',1'I:' ''�1•• `tj� '�
• _I I I� 1 ., -ry 'I:J C: A l,A. ,k.I.'-w r. '11.,{,.:' y^,
I I i I- _ ;,I ,i' , - '� � •r+, "t::8.'1 r - � -" ',�'' „ .•IIStt 'I',;Y.IN'—IS
. ( ,
�I
TO iNCyA
lil TUT}v,v. U,.A.,...,r�S�A LE
L' "y TO AD i TIG vAL ILSi l a f.. uI(L•fU�NT
'� 1 II: OWNERS.
AQSURVEYED ; `
I I ---(�--- MAY tf
W ,
�b
xl c" i' iC N "1 D(:
r
U E1,45 ED,LAND SU RVEYCA, R'r EA4PtiQT,N,Y.