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HomeMy WebLinkAboutGesell "7 00 PqR : fi+ Town Hall, 53095 Main Road . ,i$ P.O. Box 1179 " to Southold, New York 11971 JUDITH T.TERRY "— r�'�� 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. 1111-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner GESELL, WILLIAM H. Mailing Address 1 29 MEYERS ROAD Mailing Address 2 City St Zip EDISON NJ 08817-0000 Property Address 1 20 VNCENT STREET Property Address 2 City St Zip ORIENT NY 11957-0000 Owner Telephone No. 201-985-9758 Tax Map No. section 26.00 block 1 lot 6.000 Cross Street WILLOW STREET Date Of Last Pump Out 0/00/00 Issue Date: 5/16/89 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK uFFO''�' Town of Southold �o� �Q Application No./fr/ Judith T. Terry, Town Clerk dot �► Town Hall, 53095 Main Road :te :'� II Residential P. O. Box 1179 v' c i �' Non-Residential Southold, New York 11971 �f 0���` Telephone -f194/ �� '�• (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE 6/12.1g1 OWNER NAME: ‘01L.LtAr. � • aEs i_t__ OWNER MAILING ADDRESS: 2-5 MCE-`M-1-2__ 2� ov ?sem C588.t7 OWNER PROPERTY ADDRESS: Sz- czk g,•Dr-, `S l 19 S7 OWNER TELEPHONE NUMBER: - 7958 TAX MAP NO. : Section b ,,p 0 Block 0 .v c7 Lot ©c(0 . QC:) , CROSS STREET: TYPE OF SYSTEM: Septic Tank New Existing Cesspool New Existing Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: .2 /17179 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: ' cCG--1 own Clerk's ffice • DATE: ro Val Chitk Dirt' CO . 5. 23'S0`E ULAI� y�/RE FENCE I N , ,. .., tp .L,..______(_. / 34.88 T MONki' Ft in —��QIA'FE ,' I ' 2.•' v E FENCE c5 z fir Z •�. SUR X20.9 t �� ^I STOCKADE FENCE 0 0.45 WALL GOR, C.55 26. 5ralle — ' c.! PR Or cd _ 16.32.. 24 COWL w A T G til h /6 O • S'Sa w FP BARN N d TOWN t a .2 STORY FR A ME H.5' 4 im 20 a w 4.3 STREET 11 y �, N SUFFOLK WILLOWN /3./ o o.a ,2: I �' 1000 2E ".; o ssl 4. N. s o Q j'o.ow SC 4\ r ` . GCS N.STEP, Zi COVER 6A�� 2BµS86°3O'O0 ' 4. �'`' ,SPR!' 9 S !v'86°30'OO E F`oew TFC �' 25.21' -9,Q; c F£O.SS Y® s A • ►�. o�� r ®® AREA /3,14/ sq ft '�. �, CX) AREA 4 J22.scf. : r� C 6 c 3w Pf@pt Ki K , l7 �i:/ 5 E t jc F_ F p c. iiir Pi) lc) o ZPr) e� (� e�� I 2.'.C.' ;.t.: G�L f.✓ 7P.REGUL.p�. M'OOC cErvCc C/L f/�• �.s M C ',.^ F;N_ NPS°02'30°k '�✓A R' E • G213 e r . 124.18 ' -d '`-r/.......-v%� 1.. �� O 230 V!- • M 4114�.p .2%.1,,-.01 • .0 (516) ; iY - (516) 765 - 50 � Ric`H P. . P. 0. BOX 909 54 6 55 M4 1 N r. SOUTHO_D, A. Y