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Home My WebLink AboutMcgurn ,I#'`#'N, f Ddb JUDITH T. TERRY 0,, r"; Town Hall, 53095 Main Road TOWN CLERK P.O.11 ® Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER ® ® � Fax (516) 765-1823 V / Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 1920-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New X Existing Name Of Owner MCGURN, EDWARD AND ADELAIDE Mailing Address 1 550 GROVE DRIVE Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 OAK DRIVE Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-765-2047 Tax Map No. section 80.00 block 1 lot 30.000 Cross Street REYDON DRIVE Date Of Last Pump Out 0/00/00 Issue Date: 6/12/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) • V. OFFICE OF THE TOWN CLERK SI MA' Town of Southold Application No. / 7;"- Judith T. Terry, Town Clerk '"4''. "� �►� r " 7 $10.00 - Residential Town Hall, 53095 Main Road cn\ ` P. O. Box 1179 �` $25.00 - Non-Residential � '• .. Southold, New York 11971 Telephone 190 4 �� (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ /D."oo DATE OWNER NAME: wAd-1 •4-7 `Gur2s) OWNER MAILING ADDRESS: 3'v Ggou'E- Ji Sova-/ec-b , " ,/ 115'7I OWNER PROPERTY ADDRESS: 6.4/4 ' 1)a(Zivc OWNER TELEPHONE NUMBER: 7( f - 2_06/7 TAX MAP NO. : Section 6.90 Block ) Lot 3 c' CROSS STREET: RE/, oN -bag TYPE,OF SYSTEM: Septic Tank "' - New IC Existing Cesspool New 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.) Signature of Applicant&/pcd RECEIVED-BY: Town Clerk's Office DATE: , _ . —1—•'--•4- 4 , . , . .. , - . ,SUFFOLK CO HEALTH DEPT. APPROVA‘v r-- --, H. S. NO. , M A E.:- -c---,',.._.--- D 0-r1 001— f T. -••••••••" , .. . " ,-," :•-f"."-'gl'--"- "-='- "2.-----'• --•!-2,1'=,;.;"-..:4,;,-,,,:-.r..f,--,---,-.•--.,:.-;•-•,, -`-'-.,--. - •.. .•,"' ; ;:-.-- .•., ,.- , --:.-,- . -. ' - -, -•, ;,. ...'-. ... - .„-- - ..„ . ,- _ - ., _. . r . . -- -;- - , , _ ,..• . .:-.: . ... t tr-vi -...,../• 1 1-........." • ..../.1....•• a ' 1 F,U2VEYED - FOC2._:. - -: I --, •, ..„4......r-s, ' V i .„ . . ' .. ( ( ( t_. 1 )\ A f if*,_:\' ' . ' ' e ::_;..1si ),-- I 1-1 1_ I -j t.... ! . .. i____...../. ‘,./V i 0(:•.- i.--' •-•,.._:•- ; ...t...., I-...;.--1 i.1 4.- - • s• _ 1 - ' . . . , ' Nil C,r"'„1 1 12 N'''' • : - ' - , , , ST-ATEMENT OF INTENT - : - • . _ -- - ('--\--T--'- "- ' ' -•••7.--4---'----- ':i:')--,::-.1,------ ----, '- - - --------. 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DEPT OF•HEALTH.SERVICES. „=,-, -..-ii!--i..-,„:-.1,,- -•- .....•:. -,.. `,,,7:,--,.:„_-.1,, -,•., 5--.,‘,.... .- .2,,,„:-„,,---,--.:,:•;/;;_:---,,- •-, •-:,K:'• 1:-,";---:;-y\,.:•;,‘•4.-:::I---,iii-.4 - - ...,." 4-•'-••:„.;-, art' -'•.-i•tcr';':-2-2---•_„;', -• -- ' : ' • - - : -:-;- -- -- -''• --' -- -,,- --, -' - _ . _ - z•-'''•.4,-11-7"..'.....,;',-:-.:':;',,i41-.'';'.';‘''.1;•:'..?';.k-r,t•-...'I,-:-..--,'LY.,•------.5'i-...'.!.'• '-'-----t-,•;",--•7;'--,.-..-'-•--,"-'-',...."-1-''.:...'-;';',..., '-.•.;---.-.;;•.' ,,-;,i -- r„,-7,,,•-•,-,,•C„--- i,,- ...„5„:, -:,....44z--....- ----,...,r-..-...,,..K.z.-,,,- ,....... 1,...Qt,,...i. „..,4-42.,..,,„.,..,..-.;.,,,„4.,:, - - , ,, ..,.., ,..• -., . . ,, .„, ,, - ,,,, ,,,,,,,__:, , ., • _ - , , , - IS) - - ' ---. 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' -- -- -_ : `.-:-.:. ,` ..,./f.-.,:, •--4,y--.---,-•-•' • -- '--' - ,.-,q-•-•, ,: ''- \-....:.---,-,-----_=- - I'.,:- zr•''.f.:....'„-,-:'.-,•42----":,,z.,.. .-:3•::4^=jii, ,,- '-'•„= 1 ' ,' : - :• •_ ' ' • . SERVICES - FOR '-'--L jAPPROVAL FOR I. : 1: .1- ,, 5 -:; -'..e.f,.:----,-----• -.-, „--- _--- v- ••• -'.-'. -.'s .-,-".-:-. " / - '-., .-,-,-:•.-... .f. -..., - vc -7 --- - Y....P:'=:-,-S-, -,t fa,--,-.4_.7,-.2-.;.. --.-4,..1:" . --, : CONSTRUCTION ONLY , . , -:- ,P...-...1:1-;'',",1•; •7:-2-": .' -,- , '-',• --.....'. ,-,' :-: (11 :i. .-..'---:, --.:-. ,- .-i-,-- :, •,.,--1--.-,-,:.- ..:-,, , ,,• ..5 .,,,. ___.,,, ._ ...,,, „,..., ,,.,,__,,,, ‘:.,, ,.„. .,•;•,,.-:,..:.• •.!.--,.....,• „,,_, ,,,i-,.,-,03, -,,,•j. .2,-,•',.,. ;,..,'.44E."41',.04' .-.4,1,4;,,,"*., ,,-;-`,_•,:a,,;:',..„,.)7/ "16 . . _ ., .• - , - 5 . ' DATE: .... ,, , . ________ _,-, _ :-----13-. 6 •; s-1`.. ''' ..- ,--r,'....,,,,' •-.-1.:-.",,-,-- . •. . -- -/- '- -.'.-\'' f' ...-,..".L_-,--,..=.,‘ :,,‘" '-,,-,;,---• ...--.•--,-,1-,_•. .. . . , . H.S. REF. NO . . , . • . -C°111414.-ato,,__.:_.-- -, -- • -,--,,- •-' -.-:- < - . , - - ..e.to I •- ..Y-.14' • . / . •,.-.:„,. \I.3,_2 , u< • . APPROVED:, . .. , ..-_ ,,•, _-. • . . _ / SUFFOLK CO. TAX MAP DESIGNATION: . •. _ . ..._ . __ . -1Siii' - - _ ,• ..: :.--. - .:_elk,\.-- 7' . , .--, . , / ../ . - • . , . . - '--... _. - • . DIST. SECT. - BLOCK ' PCL. • . • . • ,- , • . - .. . t •'N . . . . . .../, / : , , .Cii . " - / I ".'t 'h't,It'- - loco 080 I 30 . , .• • - -- ••'• ;'• - ,.. ,,,53j . - . . . - r / - .<1,,..,,, ...1) , . . . CESSPOOL • -- OWNERS ADDRESS: /- - - 7 ,$) © _. i . -: . . , , . / i - .41, . . . ' I , ._ -...4.11550 GPOVE vaive _ : - - . . -i - - 3 - - - . . . -- ,. I I. ::-(0._.4 .:_,,, - , _: , 4M 'TAO LP:N:1',I 197 I • - U • . . - / rA_.4 c , ; *47 -- , - . . Ito. - • - 403 : /',... • , - . ...._. ; / .-• ' ' .•..- N-.- ' --\ . . , . . . , ' . , . . , . , - - - 76.5.--2047 7 ,, . ,. .•1,04-- , _ i * •A' 4 1 -. 195.0 190.2. 70 REYOONI DQIVE --.- , DEED: L.8708 P.40 ' . ':/.1.650 20 -\eNt. . . _ . 9 .,/ . • , . . . TEST HOLE STAMP, . 1 ' . , • . . -. , I • i i -7••••••...„.1 _/ . t..._CESS PL . . . . . , ' i ------„,...........„...... - -,-;.".••L-r•::. . . ' r)14.803Wi4 ' . ic,..... . — ,......--...,•,•reti.-•••-tftirvq..11,1tf)MA 17'---..:47,:,.", 1 . 4`7 -,..,.... LOAM ,. - :,!/'17 AILS,Cits! crs : ---.„.......,.. 10 .-- ' . I , , ( VA,CM-Yr") . . 1 -........._ . • F:::..........-1339..OWN f`,J,•:-:,-tc.-N. s Inolml,d Wean r!..;,.!r-.-.., : - •1 1----'WELL.WELL' 1 i 5:i...ry ••.• " :,--1,--,person for whczrt t-o•-_•----; ,....iCE.-X. - . I i . • 1 LOAM ,- r--•-•'-:,4.and on MI bc.,•:s!"1.n.•..1 1 t....' - • . . . -••• .--- -"-rhf,lovernmont"': 1-----,143 _.._J-1 .—_____—..2,5 ..•Nrt...la!,i-- ••ir-:,-, • . I HO. i i . - -• --.,-- :.-i..:!:.-.." :-- • . . l___ •• - _-_,-.•:.:.-s:,-e r:,...I. .-. .. •-•-t - 1 , • . . _ , . . -' - ':-i-r.z-lutians cr s:.'.:,-...-..' , . - . • ' 1-----i_ - mAr. AMENDED-FEL 24,1992 BROWN . . . . , . • - , FINE-TO _ __ _ ____ . _ _.SEAL - , - _ _ ________.______._ _ 1 • . . .. . .., , . R.C.E . . , - 1 __ • COA • - ' ( SAF-10 ..... - 1411A'4i s'", 'C' ,- ' ' .E :-=• • . , . .• .. .. . . . riI , •V..1.. • 'Di:105:f2.BFEQ-it BLOC' --C-, MAP )F REY001s1 1-i0- P.ES ,. .., .. •0 Q e• ^C\4. 1 . . . 7.,.•;•:#1.CEOLIM T1-4E SUFF. LEG,1415 OFFICE AS 1:•A•A1" MO.63 I. . , . - — AS Ste2..VEY-ED , NOV. .18;41991 .1 ...4.,,,,,70. r- ,•1 . • 2.;-ELEvArioNS REFER TO MEAN SEA Leve L._ . • " WELL RODENCK VAN TUY .P.C. '1%.6 1\ .::$-.%‘ t. 3-.•.' .. 2-- - , ' • . . ---- • ••••.4'4. ,S'-,„,.• • , . - . , . . - LICENSED . . ._ , LAND LAND SURVEYORS i7 , , . , - , . , .- . GREENPORT NEW YORK • ' , - ...- . . - - - . . fELEOYNE POST 1•4'3?;77- , . • . .....- - -• ... • _. ._. .. . __. . ._ . . . . .._ . .1..