HomeMy WebLinkAboutMacdonald (3) Lj„,„,'
!if
.t_.y`"fir_ it; Town Hall, 53095 Main Road
� ® i�' P.O. Box 1179•
®� T �„ •4gle • Southold, New York 11971
JUDITH T.TERRY �� ,,/ i!���' FAX(516)765-1823
TOWN CLERK TELEPHONE(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. 1202-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner MACDONALD, THOMAS N.
Mailing Address 1 4300 BAYVIEW ROAD
Mailing Address 2
City St Zip SOUTHOLD NY 11971-0000
Property Address 1 4300 BAYVIEW ROAD
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 516-765-3792
Tax Map No. section 78.00 block 4 lot 3.000
Cross Street SMITH DRIVE NORTH
Date Of Last Pump Out 0/00/00
f -
Issue Date: 8/03/89 Judith T. Ter
Southold Town Cler
(TOWN SEAL)
OFFICE OF THE TOWN CLERK .0�� ���'-
Town of Southold � � COGS Application No.
Judith T. Terry, Town Clerk ;; . �
Town Hall, 53095 Main Road ,� $10.00 - Residential
P. O. Box 1179 cn tt ` tri ; $25.00 - Non-Residential'
Southold, New York 11971 O 1-Cla,
Telephone _0( 1‘
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ - /
DATE
'OWNER NAME: 0j,r, Gds N., Mac A7/7G04/ •
OWNER MAILING ADDRESS: _®o,Pa y!//eG(/ kdji��jilje/0//'i /
OWNER PROPERTY ADDRESS: 1,,,Q0 1/'/01,7ea S,00-4441,(/fm
OWNER TELEPHONE NUMBER: 376-- 7;63.1.972/
TAX MAP NO. : Section tya Block 4 Lot 3
CROSS STREET: \Sh''/ltA .give A4 2/44-A
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool f/ 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.)
.)-////1 //21/et,/‘'L
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
1111 ! 1 , . ; „, ,,__: , Li I I I I $ 1 i $ L___L 1 ' 1 $ $ _.
$ i 1 -------.-7 H---1 , 1 ,—-I
I iii, III ! IIIIIilliii
1 I
---------i----',---H---1 !------ I r7a1 i n , i zgav,v/.ell, V01i 1 1 i !
, ,
--,
- T I 1 I —, [----- -----r- - ---r
'_____,
------ -'----i---1---:
I
L____H__.. ;____.___i____I: ?\ . 0 ' .,____1 4____ _______i_7_, _i 1 _, Li__ _ ..j,_ t_
I --' IIitI I 1
. , I $ I ; 1-i
1 1 ' /2e ri 12ayillia C 0.017a/e/ ' I__ I '
j------- ' '
- 1 I .
7 — —, 7 - 1 -t- --11- 1 (2'Wt-
r
L ,
i--
_i____, 1 I ! I
1 1 1 ' - 1 I
I ' I ; ! ' , i ! 7
1 ,
, ; , I ; _, , I-I ; I ;
1 1 I ----I --I ----i ' HI
1 -7
i 1 : —1 1
1 I . I I ! _ _ , I __L_
--ff ---I ,
I !
1 ,
,
, . 1
. i ; 1 1
, III tj (2 es's) Po!6 1 ' ! , ! 1 ,
' 1 , 1 i 7 doe Nor! tX-'--P: t-'om_g'r_eath_ 1
11
i $ 1 ,
, 1 , 1 ' I ! , ero,b ! II !
...__,
I I , ,
11 , 11
il
r , 11
I
I I 1 11 ,' ,,, 11 1 711 II III 11' 1 _11
, .
, , , , . 1 „ 1 11 , I I I 1 1
_ I ; I 1 I 1 1 i 1 1,__1__ I i
i. i ; 1 1 I 1 , ! ,
1 L"li) r ea S ,goc NN - -Hi H, 1 11 1 1 I , ,
1 ! I 1 '. 1 1 ,1 1 1 1 1 1
: , 1 ' I fte i ) , , . . _
; ! 11 ,--1 , 1111
i, 111 , 111 ,
1 ; 1 , , ! . 1Hilf,- 1 ! 1 , , 1111 1 r H 1 1 1 1 ! 1 1 1 I
--- ------- -,-
! i 1 1 1 , !---1 7,-\- 1 . i iiHI 1 , , i 1 1 i i 1 , ----1 hl 1 1 . i II 1 11 ! , , i , i
„ , , ii . 1 , , 1 i I $ II III , I 1 , II LI t ' I
-- _____ ,
' ll ' i 111 ' --- 11, 1
. 1 t , , , , 11 , ; Iii ! I ilill
IIHHH-I' ' ' l
i . iH , : 11i111, 11 lii 1 [ 117 , 11
; ! ' 11 ! , ii ! ! ! , ! ‘ ! ! Ii . i 'llli1 , 1 ! i11111111 -1- 111 11 1 : ,
7-11
Ii
I I 1 1
_ — -----'---
; 1 I "71 1 ! 1111H I ; ' Hi 1 H I ! I[ ! 1 1 I I il I i 111 ' 1 1 i ! I III I
_,____ '_. :__i , ____1 I
--,
. i i I 1 ! 11111 ' N H 1 I _P I IhS/ tl 1 1 _1 ! 1 ! I F. H PI H I HI 11111 1
1111
1 1 I 1 1 1 I H 41'Z(41 tif(a Sr te:- I 1 n e F r°441 1 In •
111 ! 11111 1 11 ' 1 ' 111 ; 1 I H ! I 1 H 1 ' . ' 11111111111 I I! II ! l' 1 j ' III Li 11
1 1 1. H !Ii._I ; ' L'f o'& ,?5'ivty e prA (__1._21 7-1-1-1,-- 1 1 I 1 il r-i-
1 ! , , , , qI , ;
, 11 , ' ' ; iii1iH1
H-
HHl I 1 11 1 I 1l'
i,---1 ! ' ' ,
0 I ' 1
lie _ ;, ,
1 II ! ! ! ! 1 , 1 „ ! 1 , 1
1 , , ,
1 ; , F-111 , , , , i
II
1 , , , ,
1, 11111, ! ,! _,__H _! _l ! , : , ! ! ! ' lliI ! , 11 ! 1 ' IILI ! ! ! !
----
—_�___�_.___________ T --- Owner S,,Ge / 98/ -
7-Z0/nos- /U Mc;r D®nQid
- +30® &&yvi ew Rot
., S)eotho d, /V, Yi/f8.
MAIN 8AYVIE. VI 2OAD
•
S. 50. 59'30- E --
' 2750 \
® \ I • . ,
: n ,
I 11 . ivZ) ®. 5_ \ , i
a
III
a' ��e N �;- grease 1 i d III Z •
t '�,z ! i 2o°Nh1E1 1 G R 1 0 t I
I ��..z.o'L P U U 1 R
f - to f
STe��, .n cri
h
.o c, " _ SUttV YkD FO2
' to
9 - • U/y 0
P®Rcy g (-IN 'ETE2. i LUCILLE G. CAMPBE LI__
cb
m LP I AT - •
3I• - SOUTHOLD
), C• NEW Y02,34 -
E' __ c fes• -
ti�4c SO. SC A L -0'- ..
'S' ii, 0= M ON EJ NI E3 t`!T • • •
0= 120N PIP
N
1 GUARANTEED TO THE NOME TITLE OI`J1SIO:`•1-
s- • �' CH(CA',0 TITLE INst1(zANCE COMPANY- AND
e.9TI-46" SOUTHOLD SAVINGS BAN.'G
•- SUZYEYE:? DEms.Z8,17TO ,
MOTE: LOT tjUI.AFEC.S SHOWN ZEPEZ To o VAN TU Y�L.•& SON '
1.4.4A17 OF C®REY C2EEK ESTATES" - N. - V � c.11
FILED IPJTHE SUFFOLIG GO. CLEFf/'� --"" - --- - -- _ :^;
•
l..tCf=f�JSEJ l.AsJL? SLP _., ?TG:;
1--CPFICI. AS MAP KI2 ,49Z.T. GR.EErNPOR:T , NE.'w: Y(0 2.K