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HomeMy WebLinkAboutAliano '0Y is 74401, ct Town Hall, 53095 Main Road eZrP.O. Box 1179 -_ ®� jAN , �• Southold, New York 11971 JUDITH T.TERRY• =- „��iz��� 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. 110-N Residential Non-Residential X Fee $ 25.00 Septic Cesspool X New Existing X Name Of Owner ALIANO, NICHOLAS Mailing Address 1 11' ASHLEY LANE Mailing Address 2 City St Zip SHOREHAM NY 11786-0000 Property Address 1 MAIN ROAD Property Address 2 City St Zip CUTCHOGUE NY 11935-0000 Owner Telephone No. 516-734-1448 Tax Map No. section 102.00 block 3 lot 1 .000 Cross Street PEQUASH AVENUE Date Of Last Pump Out 0/00/83 Issue Date: 8/14/90 Judith T. Terry Southold Town Clerk (TOWN SEAL) �P . OFFICE 6F THE TOWN CLERK ,c�VFFOL,- =V Town of Southold �� c•Q Application No. /i/v Judith T. Terry, Town Clerk ;-• w k "_�'� $10.00 - Residential Town Hall, 53095 Main Road <--5 ,t P. O. Box 1179 cn wr`,: kk.r •.` i ; $25.00 - Non-Residential k, Southold, New York 11971 0,0 .,;`" �7•. -• s Telephone j f '• (516) 765-1801 • TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for • - - OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. i / , Fee $ �S DATE 4 * ' • 07 9 0 'OWNER NAME: 14cc (Cc)(af7 I,LCst-ti 0 OWNER MAILING ADDRESS: I ( tsG ( 21 //(9- ..i 0 , l-t (4_ 1 pr 6 - OWNER PROPERTY ADDRESS: c(hrl- 1 t-4, J4 / - „ '.,, !; OWNER TELEPHONE NUMBER: 7.3¢-6370-- 7W-(C(L, TAX MAP NO. : Section ie 1 Block ? Lot CROSS STREET: @dn - kc0t-t: (i....& (20A-1—' TYPE OF SYSTEM: Septic Tank NewExisting " Cesspool New Existing Residential Non-Residential DATEhO PREVIOUS PUMP-OUT: ' )(3 e d' r ye'egz 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.) ciG, II_ _ _, . . Signature •f Applicant RECEIVED BY: - Town Clerk's Office DATE: AUG 14 IA) Toe Cie caoi „ . — —„,.— --- , , . IV 0 b•‘. . . , . , - , r ::r) 444 ' • •. ,,, %,‘11:64\ 6 hks ISL4I,Ib e 8/4rv, Op :1 ttilk fcii_AP , .19 1 5t1-. --- 1;"1•41°12 -s-- ' -'-'-- ------r- , Cr.4 • ': \ • r'• ,--••••• it'':-.4 /tIlifiVe 9''''`,:,,, ,C•••••• - ' 1 ‘71”? . • • i• 1 ..,--•-:----.---- . " '-'• ,. . , ',,__-----‘••••• - I' TOStlf ' e IDNL.F3LOM /L-- x quiumiii - .. 1 13•04 L hr19 _. kg.LA , , --._, .,., ... ,.. ... .., c) , , ..., C r— \ cit- . .13`• C—J . 1 . \C) . Tr. • 0.1 ' , , • . `•%. 1 .b -if J 00 1 .. • ....., , - .L_ = - 11.1Qg o c , - , ' _ . • <7.- e_oss' . . ._ ,._ . .... , . ., .i.„ . ...t. . , it,p11.•61 , 1 . . 1 ,.. - AttflOgfli0-; RATION OR ADDITION . • 1 r r %bitI tkli 1.0 THIS SURV /..1's A V/OLATION OF / S/CTIO •':'OF THE NEW YORK STArg' • , ;DU, Ti., ,LAW. 1 \\ • ...-._... Ap lr\ky&F-hQ•. •Prt, . TY . ' iz:S.ll.eMi-.0.oE1,-:QtAw,MSsNZ,,m,T.9A';POt1..As) .rn,Ns,E9DWSURVEY ASMu3PsYEmlEA,rCN P 0HisAA.NulIGM.r koANitGoti,Eor,rANTpCHiI-tWENefffAritN. ' ..( iD suVre /AL / O 1Q ./ lzRo , w„wforsuRvt : uzra . e .-- . If Elf*10";I Nsmusrmr4LISTELE„HE REON,./ TAD- TfbitiarksstsEREEssoREERIELINDING-INSTI. •,,",,' , / 4131111144.GtVARAI•IEIESSARRENOY.1TRANSEERARLE',' ' . trbAntlaziauitatiquritoNszoit-stiBsEquesirt,• ,, .,; . liTuATL- AT . , .. QW.intliga.. " . „ . . LUT Lt40 titi L. . , - :11041ZANTL4.6 TO TuL- TOWN or vouru 0 Lb, 14t-W sy6R.g , Ikn •-..., ,, f,-, ._... •:•_,, ...,,otzAt4LL--• toutsANY. - , . i ,-;,.-.-„.::,-::-: . . „ •:', - - o iirzvi-yLb 0 A,0 titiVE, '3 i:;- . . , 401= IH , ,. • • , , .,, Li iiONWAL-P4i. >4 ' ,.'' . .• 7 77 l'-'1,--" • ' • '• :4;1,-;,',,s AI 4 grsiS%kt) ,-LAW/Y ct.ir01 PO rAff.fir,,mq‘1.1':'• ,:, '. ., , , ,_ 1•_''' ' ,,....4.-....4.4.......',..'......-4 ler k ;&I t,141,A11 yog. • • ,.. . • ,. • :,..• - .,,•:• --