HomeMy WebLinkAboutMachnowski 'j
OFFICE OF THE TOWN CLERK IcOFOCKi--
Town of Southold OHO ��
Judith T. Terry, Town Clerk % " W44, r4
Town Hall, 53095 Main Road
P. O. Box 1179 •v' •
Southold, New York 11971 Q ®M. ��fK - •
Telephone - 4/1 1 '
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
- SEPTIC TANK or CESSPOOL
Operation Permit No. 357 Residential X
Fee $ 10.00 Non-Residential
�
Septic Cesspool X
NAME OF OWNER: Sharon Machnowski
OWNER MAILING ADDRESS: 755 Stillwater Avenue
- Cutchogue, N.Y. 11935
OWNER PROPERTY ADDRESS: Sam
OWNER TELEPHONE NUMBER: 734-7584
TAX MAP NO. : Section 103 Block 1 Lot 13
CROSS STREET: Off Route 25
TYPE OF SYSTEM: Septic Tank New Existing X
Cesspool New Existing X
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: 5/21/87
•
Judith' T: -,T,erry''
' , Southold Town Clerk
DATE: July 23, 1987
(TOWN SEAL)
1)1
dFFICE OF THE TOWN CLERK c,\FFOU.�'=
Town of Southold CQG Application No. ' rf
Judith T. Terry, Town Clerk .� ,„
Town Hall, -53095 Main Road F 7:` -G ` Residential
P. O. Box 1179 crs -:4i ;' Non-Residential
Southold, New York 11971 O ,.
Telephone of" . %es ° .
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. L34_474
17 7
Fee $ dO
DATE161i / f
OWNER NAME: Sh,j9-Reviu
OWNER,MAILING ADDRESS: 7j5 Siza, w a-f ex' vc
C.(4,4- ho Gf70/ /(9(95
OWNER PROPERTY ADDRESS: S'afgi?C
OWNER TELEPHONE NUMBER: % 73V-- )77
TAX MAP NO. : Section x/(93 -1-73 Block Lot
CROSS STREET: a_p_p pU
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New Existing
Residential 1/ Non-Residential
DATE OF PREVIOUS PUMP-OUT: /°Rili)17
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: 411/11
•wn ler 's Office
DATE:
7/0Q,9
NAUTHO RIZED ALTERATION OR ADDITION - -- ^^—"
O THIS SURVEY IS A VIOLATION OF ,11 I �/'`, • t c-, ;--•:,,,)1_;- '
ECTION 7209 OF THE NEW YORK STATE - ` - �Y ! 71,
DUCATION LAW. 4 ,y„ - _ ,, J �f•.:: `'! _ - ---
:OPIES OF THIS SURVEY MAP NOT SEARING - .'.'`,.�.."; r• ;'i'�t�,- �'j "�.F Qhl''T
HE LAND SU7VEYOR'S INi:ED SEAL OR 1 +•^.•''� y c
MBOESCD SEAL SHALL NOT BE CONS ERH) O tr`S r,=• y4. -•9 t tt
O RE A VALID TRUE COPY. - _
i- , p, gym'
3UARANTEES INDICATED HEREON SH LL RUN {fl 1 / , `+`3�
ONLY TO THE PESSON FOR WHOM HE SURVEY ; • <S' its' `" .S r4 q''wy��
'S PREVIARED, AND Oh, HIS 6:HAt9 r0 THE0 I
TITLE COMPANY, GOVeRNMENTAL AGENCY AND t� S• r. 2".� ,� `��i-L, I� I v s
LENDING INSTITUTION LISTED H_RE6N, AND `` t N 4.:r AOI?D E. - I
S.
TO THi ASSIGNEES OF THE LENDI,G INSTt- 2, i✓ ny9 r I
TUTIOiII. GUARANTEES ARE NOT T ANSFERABIP Q� f, '• L ,
TO ADDITIONAL INSTITUTIONS 0 SUBSEQUEta ,} $ , (v "t-- !--' i
OWNERS. •
""'1-.1 pl t] 1
i 3 .
fr.n
1 •- - `
. k.;%., ''' C.,„e5,5p12.0/ ' I
//:\//
1 .. ,'--d $ 1 j STY ., •
5� �� S �p l L Gc `� +`�•/' /.11
_'' HQ' �' , 1-'4' S. TA'.i.1� LJ /7
1 •
a ..Y.
iTi
i.d L ``'_
I
F 2_.9
` n?r . 300 \^J , 11 E
I S 1 Zw
3 , r.r. 1 �i/ i
r LC�'�/E'G? ( '// 1
lf_, / 1 Tn
,' R.. �."" p__._ l "'� '•-„ f L.. 3' I's:,t,',"'-'1. ..P\ f . '
l/y t Y
•
/ � E
1 -- P-A y f ..,.�4 •1. A ( , t• I i �y l i - f ,' I
r-4 '- �{ T I , !'-"'.� .� ,a 1 r, t i f 'k Ir I i. ✓,� ,� 1 r 3' ,, 1 t• o, J,, ( �_/ {(�
�` S R .q` ���` e kt -,; tom- � ......[i,, . •- •'`y'� } i �" - i 1 Jrti>c'4. #- Z 'uj°i '. ' ;t'-�.r_...`�!. }'..r I ' pr^, ', i, i - .16 t-.,,,_rv,_,v 1 - i �1�.,1+ ;;;,,Ir E."-+�i
-2"-------------- — -_ At . ?, I : 11 dib 9 CO Al'_J S- ; ',-1i - `x"'._`.1.17 �' :'';¢.!`"�`'.-, csl ,i'
.,3II �,t._r, , _ _,I.,L-_ �t��,�T'`'`a _ �Ja�y• '' • i,!-� :�J'1��ti 1 ('__.`")_2
,. - ' E-%`"��,-.
I �,-,' <f s nr 'I r IT L Ir�L. 1 ) \ J• )t 71/A•�� 6,,s".7/1,4-7 , �� �' +_ �_I /_L
_..�-_ . . r r ._ 1_-
L/'!°r •'NI '•...,'f �' ? :1 :
I -~�__ —rr' i _ V,., • 'n4.- 4 f!+ n _ �, " - - p{