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HomeMy WebLinkAboutLevien (2) °'� Town Hall, 53095 Main Road ~ �r� P.O. Box 1179 to� Southold, New York 11971 JUDITH T.TERRY i �r�• 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. 717-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New X Existing Name Of Owner LEVIEN, JOHN Mailing Address 1 BEEBE DRIVE Mailing Address 2 City St Zip CUTCHOGUE NY 11935-0000 Property Address 1 BEEBE DRIVE Property Address 2 City St Zip CUTCHOGUE NY 11935-0000 Owner Telephone No. 516-734-5445 Tax Map No. section 97. 00 block 7 lot 10.000 Cross Street ANTLER LANE Date Of Last Pump Out 0/00/00 Issue Date: 5/31/88 Judith T. Terry Southold Town Clerk (TOWN SEAL) 47- sl OFFICE OF THE TOWN CLERK c0FUUr - Town of Southold . , CQG' , Application No. 7/ 2 Judith T. Terry, Town Clerk , � �`� Residential i v Town Hall, 53095 Main Road 'r „ <. - P. O. Box 1179 ' i z Non-Residential Southold, New York 11971 ‘C-•,•• Telephone Telephone .( "PT � (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No.3-(3 R Fee $ /0000 DATE .. "j31 1 OWNER NAME: , lQen OWNER MAILING ADDRESS: a e€ fp Give- k Cur (T33 OWNER PROPERTY ADDRESS: 5R iv 04(4 (vn") OWNER TELEPHONE NUMBER: 739`5-yy TAX MAP NO. : Section O`17 Block 7 Lot 16 CROSS STREET: Arkter LIQ (r\ear-64) TYPE OF SYSTEM: Septic Tank New Existing Cesspool New l/ Existing Residential 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.) / Sign a o Applicant RECEIVED BY: Town Clerk's Office DATE: - SUFFOLK CO, I-:EAL7ii DEPT. F,PPRO AL 4 -,,-:\ • t �;. NO. j.. z- • • -t !I I" j,-;::.:i.-1",_s ; STATEMENT "= i_ - p. t 1 rt " te '�-" .a2 , THE WATER SUPPLY AND SEWAGE DISPOSAL ..4 - -,4••••.;•-..-•-•-,,•.: -.,-...-.,,-,...r,- SYSTEMS ...FOR, THIS RESIDENCE • 1 `i H S RESIDEWELL n' • f -FC -:� ,t ..� r t ` _ • 1 : CONFORM -.TO THE STANDARDS' OFYt� ,is _ ▪�!',t-^,3 .,'Di T'�7'~t L� r` - i • irL�J•,oL/-L. .4;.,.._r..,'t' S`-, ,_" f Lt'v'�f''.' L:,�>/'r , - cA-°' -ta _ , _ - - !i DS' . THE {•E - .. - - ' - r•f�, ;I'• '` 't >% - • '§ fit s�_� .4,,E sr"i''Y'} i �'i;.e - - :_a�, , - 'Cj �' f ?L' _ - ----+a: ° �Ai 5MSN. _<�s 3 _� t . U FOLK CO_ 3_PT.""LSF HEALTH SERVICES. , _ _ _ - - PP " _ r---/''...' L ICA NT _ .'` 4 -� z _t -i1-�`L%w `r(Y' ^7 -----7.:',7 e - n .., M1xA i`i+ - - - '2 - �. 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