Loading...
HomeMy WebLinkAboutMcneilly } it ‘W7 011( ! N. � JJUDITHJUDITHT. TERRY ii, Town Hall, 53095 Main Road TOWN CLERK ;� ® P.O. Box 1179 REGISTRAR OF VITAL STATISTICS • Southold, New York 11971 MARRIAGE OFFICER V® .i1' Fax (516) 765-1823 ® Telephone (516) 765-1801 4/01 z2 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 1751-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner MCNEILLY, ELLEN Mailing Address 1 1200 BROADWAY, 4D Mailing Address 2 City St Zip NEW YORK NY 10001-0000 Property Address 1 70 VINCENT STREET Property Address 2 City St Zip ORIENT NY 11957-0000 Owner Telephone No. 516-323-3989 Tax Map No. section 26.00 block 1 lot 5.000 Cross Street WILLOW STREET Date Of Last Pump Out 0/00/00 Issue Date: 9/16/91 Judith T. Terry Southold Town Clerk (TOWN SEAL) 4, OFF,i'CE OF THE TOWN CLERK cOFDC,',, Town of Southold �% • eQG' . Application No. , 7, T. Judith T. Terry, Town Clerk % ...pa y Town Hall, 53095 Main Road '- ti-th& -4 $10.00 - Residential P. O. Box 1179 v' s z $25.00 - Non-Residential %Southold, New York 11971 O!410-44- .0_o$ Telephone �► • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT • SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ DATE s1 'r- Com, t '/9 / OWNER NAME: a,,c _o im c '`Ua/dAQLti OWNER MAILING ADDRESS: t') Q° -OI '✓t , L( IsJ mi - A°ooi OWNER PROPERTY ADDRESS: q-Q / Ick 5) • __ _ ` O ( l o00 1 OWNER TELEPHONE NUMBER:(�\�1 (°) 3Z3r" Com ` i -7)-61 -06 (F-k, TAX MAP NO. : Section \130 0 Block .Z(.O Lot l '—,.\--- CROSS STREET: • \,L,I01LCDt-V TYPE OF SYSTEM: Septic Tank 3 _New Existing Cesspool New Existing Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: env- E-- ,uj y p- t 9 0 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 RECEIVED BY: Town Clerk's Office DATE: .''e ,,•„",,,...„,... yi'•,F .+•�3�.1, h� •---,F?:.--x a. �^£s:z_ r:'?K..,a *:5- >iid: 1 '= at�-..I;a?„,,:�,, �� %;i;..Z�'rs:k�.".—-v v''ii._ �t,x �qY." i v r •�-s�t+ 7:.i��> =7:7:.r.-k:C'},S% ..-:.:,f..:4 5 a. :n�. _• arY a1,,,: .-Lk{.c,' -7,•..-"k; 4., _s __._ - -.y^ . :._,z-:",,,_�4 : r .r.-;,r, -,,W.ti1<,.• . � - . v ',44'". '.�'.. i - � W ro s � {^* .•c,? t• r:.� ,,.` %�.` .—.: - _ -, '—^— �—'— --7---:7-77, -7---7-7m"-,.• - . . - -- --- - - _� - .._-1-,:_' ^�. `�.- 1„�s .-.+i+;s"_..^ - r••F{ 'x.•' _wt- +4-�AC;'.„4,•0 •`,1.-,-,97-,,,I.,,,�'i^- - r:-r-f a -- . . - - 1., r` _ _ _ _ , -s'.° -w.a 4.':' • I�',%:;.. . ;:'71_ T3.'.�.t' • 'lty, `. ��e:-.V.5 �”xC,�A' .,, dr Sc.„-''',,.; - _�- , - - _ --' - ,.1, '"- _;.G7.;1.,.: ;r07t` '�.f'n�-ZwS" ;l'i.^;:.s5 ...',L ;��''.:. . ,-„;yS`;,tea ',�,:;-,,_` :?;_; _'•' .. - - 'r : moi[ i , t''',V,i. iF�"'LL+. - ••}Sn� . +' _ .';:;:;:t.:--'2,..•;.',:,7,-,-.:.-- y _ - ' . r •,,-,:-:,,,,,',,_,:-::_,_-••:,-,-,,:_„,,,-...,,,,..,„••,.,, ~ � �` ! 'fie :?-'.J: may.` "j +: :v_ ,. - - 1. - - - . ry br2v r. E IzN s „jr:• 'jY` `1 . r---N, -. - .,.-, i F, r i x,�fj X`�'ncv�.v +`rad-� `�,IjPJ:p�".' r!`, 'f - _ -. .`_.r—___. t...w”- �—''` _ — _ }{ �1 0 9 M -- --1 ..,1 ...„.' „;1--"'. ,. e '..vs:. ,,!::'''' 1''' '.":: + e4' ,<iy;. =Q FENCE Al O Cr 1 t f _ - _ •,4. ';r„=:B - _ A r y••. ., .-�` = =t;i4 _ '_ ...8a OE_3 50 E. , , 121.8 I �1:--Js-_-1"r' ��, E,`i'�`= ^'t'.. ,,s ',: 0 ,{'.__--_- _._'._._._+ a__ .4 ± rye` . - - 4..2.:..i' x7 ''si' ▪:.,,,b.:-_,..,,. ''`� _ •� 2 STO!�Y .� r— O - - ^ Ci A.' ' V CA ..f,,f 1..) ly1-101 r,E) i y)f . ; ` `,-#y /d,?z s'.+, __ -;(▪ ',z3:.-; rte,,y” T' IQt _ _ - -#{*•{i ' 'i%Y-'+{. ' '-` ▪1- _t..'.:_ ..-_ - - SNL— LI CCNC_J` ' - tt� h'r - - "-i� - _ I _ .j _r_.,,„i,,,. - , --71,k k 1;"4?Vt.,'3,!1:,-,-`,:,1,, r, . e'..1-JE O 1 sem; l^ I 4f E- =i, r,+, 1 ,. _. ° - ,� ', i _ ` ' ___ h' y'w'i�liF�_;iii 1'A:."Y, 1'• _ d _ ...., - - _ _ 1 - . .,. : h-_,6,-.,_:,..t,,,,i.i.„.-_,....-t,:;...„-___:,. -- - • __________,_ '_' _.^ QQ , 1`!1� . { '1, F.) t•'IO_NU1`..41.,,h--.0 IT , v. 11 t.,„,-,` ll-___r:_- : '_ N.BI-... 2 .�J �/`� _ t,c_ t , l x —x —X tic =. i 1 `° �, _; L7 M,- ! ilrtrni thc:n'e alteration M addition t k`Y -- - O Gh ,,,, I to YF.fa Funrev is o v!o!Piion of t z`% u '!' Lection 7 O' of tris Newt York Stats :ill �Q �' { lr'taeetion E.aw.k � T \!� _ l Issoffhi3l _ lCop s�rvaymop•notblaring - ,&�'<., 1 survoyor'f inkedsoaVor}*�,,;�.',ii;y,,, ; _ - embossed sell shaftnotbeconsidered;,1a_ - . Itobeawildtruocopy. `- =���- \Guarantees Indicated hereon shall run LIM;.:vim- 'c', _ �r 41,w,- ; ;- isms to the person for whom the t acus}.` ;;'''..-.11''''',.' •-j.. •; is prepared,and on his behalf to the l --`, t,- . ,' -r,,• -, _ titlo company,governmental agency and -' r_. UJ A'r4 it_F�t.t TO THL. N-101 1. 1 I-*(1-?Q 4 .,At\.s:,,1��'��tJ 1- C;�,4 ► lending• v' 1 7(„I �C • l ,.J f ( :• I� �" 4.� ti;v ,-�.. ( r — - e assignees of thel lending In;tl- ,T__ A};•" E,E.G:f L sUAI: r„ t. {,' ,�,C�• tu`19'n Guarantees 1 ,f; r<'._ _._.._._...__. _ _,. .. _ ..__ _ _ . - ees are not transferable ,--!� �� NE)Ic. '...;.,1(:),i t r ar. _ to additional Institutions or subsequent - -- �`=? OF fdE(� - - ' , owners, ,- I '. s r I..y,t l� ,+ " ,r,-- �� v y C�1`rT `; C?,' A;aC lVl ��P C�l�'t" ' 1CX�x i c�r �, ���(''•jam`+ :_- •-" !- !U• •�- •- + '7 ` •-""- t -`-.+_ �P l.P��'l.Y .� .-.l"•''__._.«.-r,.,�.,...�...'-..._._,.. _ __-_•_•-- = '•----- _ '------- " %77 • co co `f.:`l, . NLI� -�t°'�<`_. ' �.Yu - a ��SF �s: ,:::zS�J�,�, t ,;iC: .atjr ,�,L_ r — ,Gr�L:1:;i� c)rzt' 1\` ,Y, dLANO ,.„T_. -- _ , , , E,".-.;-a,7;,-,...:-.1-_,."1'.3,::;,. J . ^:1,. - - '