HomeMy WebLinkAboutGonzalez low
O '
JUDITH T.TERRY 1p ?'� Town Hall, 53095 Main Road
TOWN CLERK Z P.O. Box 1179
y
i3 !i Southold,New York 11971
REGISTRAR OF VITAL STATISTICS O Fax(516) 765-1823
MARRIAGE OFFICER 41*, _,%\• ,! Telephone(516) 765 1800
RECORDS MANAGEMENT OFFICER 1 �► �i
FREEDOM OF INFORMATION OFFICER ,00°
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3527-R Residential X Non-Residential
Fee $ 10.00 New Existing X
Name Of Owner GONZALEZ, UBALDO
Mailing Address 1 P. O. BOX 248
•
Mailing Address 2
City St Zip NEW SUFFOLK NY 11956-0000
Property Address 1 815 ORCHARD STREET
Property Address 2
City St Zip NEW SUFFOLK NY 11956-0000
Owner Telephone No. 516-734-5972
Tax Map No. section 117.00 block 5 lot 41 .000
Cross Street FIRST STREET
Issue Date: 10/15/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
1 ar 1�
OFFICE OF THE TOWN CLERK �f���\\FFO _
Town of Southold , . �CQ ',� Application No.�� °L
f7
Judith T. Terry, Town Clerk , ;.�; � ,;, $10.00 - Residential ✓
Town Hall, 53095 Main Road 1' ti ,
P. O. Box 1179 u'
4,1g. '# 71i $25.00 - Non-Residential
Southold, New York 11971 O0 } x $
Telephone 7OI n
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
DATE 94- I o 9 t
OWNER NAME: U6 al a,
OWNER MAILING ADDRESS: V o (3.0 ,c
/ _w Su FFOLg-,
OWNER PROPERTY ADDRESS : / .J" Dicker j--
AIRw Jo FPO l� / /Vy. ifQr (
OWNER TELEPHONE NUMBER: 7 3 4 5—`172
TAX MAP NO. : Section 1 / 7 Block s Lot
CROSS STREET: OA 0/ 9J0 Ptg-JT ,f'7 pZgq-r
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New Existing
Residential Non-Residential
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 Applica t
•
RECEIVED BY: RECEIVED
Town Clerk's Office
DATE: OCT 151996
Southold Town Clerk
fiU7Tt
' OURS ii ELEVAT ORS REFER TO MEAN SEA LEVEL,N.G.V.D. 1
. I ;
--i h A F PRCPETY
"UTHtLL ND
29 -- .l�Ic >=L: _ f-�I-c ;It'
i NI
E3 19
09 E. ,�9 C - - - -- aI Q15g - _—
—
s,_. _2�� - _ 4.t � 5, :_ LI 0 - 3 ' I I i_>— - -----' i
11 O
' I TOOL 51•tED ri -II ___________r. ---7 o c P 4 I ,'ci`Q. ��.ft */ lr
I in
O L'J CABIN = I I ' L.' .--°
Q i
6 �• \, f2AM COVER.'" 7I I n. I `� ------' I /} , 1 1n � 1', `g. .:_ _
ti I - I z I '-_`J J.I .iY_ S. :! E. V.
?) — ---- ' 0..-C Pity ° \ j Z nl
C� / 1'L l� , I,
- *I •
l' N Y S D E
1— "-'
. 5_ APPROVED
= _ i
I __Y / ,
-11 Y •
}; ODATE - _ . i=+,It >,,FH ` _
Gv =• N
ia P2OF.ACD\ 'a- . r-
cr�a I^ ^C,- _
I pca.cH lid j I /, Oit„�'!,(.•Gr\ - -C i.' t+"• •- • -rte I
rIF?'-i - -z ,' _ , 5- -- — -- `\ 25j'11/
,/ I ..-- •._.,_..d.r..;-nrr....rir,•.1rt
1 -`.>"tho•.s.Sat':Sate '
S • �,
C,._,,:.,.-'this.bear o net h^arit,g _—.-___- _- ' -. _-_ - -
•
1 :l_Icac 2 rwyor r owed coat o - . ' .k-{_ •4 `t
_ _ 1--tea::,[sect steell not bo consider:,d _ -
i S„r .'0 'I C . ....4 _ 7_ ._7 '1 to IX/a Valid two CCM. -. • -___ ---
' a. T V Utmnieso Ineketed hereon oho!'no)
V-- =
"7
` '9 , " t"a corrr•snl.gorvnmen:c'a:r;Y and -______-_ __ —___-.... _ - _ _- -
Ice':v Irr-ution law!he-crn:•] - - -
• to it -ct:al the Ic:�a7':::t. . . ..4 . ,I 1 1 L-- - I. _
.n Ct,. ^.cts:re not ter.: :le __--- - --— .-— --- ---- -- _ .
'
to a._3i.m•1A'ncJtunoru asut:ss3ueni
1 rvr o
i I
`tl3r'CIQ`►3R5"�ELEVATIONS�2EEC–RTQ MEAN SEA'LLEVEL,N.3.V.D: f ,
'; }ry - ' -►'A •:)F PR +PE j2TY - - .'v , -
I.,
i UTHILL �t1RVE;'EC ��-''i. '�.
i -� t N
' _ fF
- f - - _
- -.MON.O.tr S. ' � r1 �t �� tJ !
I 0.09 E. 0 . �1j r�'_�,
•l` - — mo=_t.O_--
o /rta `
`<' fJte/ttiI F f'CliI-i: Y ;s, ` _2 ^,-4.t , 5'f' `' G �i
TOOL SHED N • ---1 —�— Cl a I 1 h'^fit ice` ,'j}?3i�!+67 `. i
$1N r { �\ Yt - R, •
f - --• - II y? )-} � — _ coVE2' , , 1n -
-
` vi s �. ��. L. C. -i -' - - ' - I ,s ti - 4- 7 0-
_ f ��_• `� ! ! = G
I cit y \ s , _ - - - -
. • II\ ,- . .
1 _ C 1
— _ - _ }--- -E"--- -'-! ),
-;, – , _ }m�`-- ; - x APPROVED n ` ', �,:_E 2�'-E -
ti� II z STCrcY �' 3 l9 i p DJ�TE:_ yl�_ /_- 1, t 1= Rt t"
�, . _ t _ e. HC. _ 31
is t._
`c�j �_ ' P20F.AQD A' FIRST F!4O?ECEV.9,5 i �. LI fig'` �.� Ai���i=I2 O f __}
5 - - PO[-<CH I l�' )• ; - � �o;i'• •'�,1Gx1 _ - wFF:G_' r-_},TC-4! -
1 _� < + PX FC� i.i
' - _ i _ r ,+ .fr:...r+ TI • '_"' - - _ ,
- - - •�saioe Cary. 1 •
_, -,: - - -
cr at'1f3«,rx nab- *v E'r JAN.•4' ,71
tt•.1.-,,e atm!yor a Uncad coat a
' S" ,0 ='Ie _'i r. i. • - ,. _ .._ e-•:,.- ct sant etas be considered t . . r r' -
..r r ` it ,i to kw a void truo - '• i.,-- • --.— --
_ , __ a•' - __ _ - - _ - - 17r _ Guercetess la6eeted harms thug est - _ - -}/�� - .
t - - - cc=:•to tra:+c.-an fors t,-n.`11^,t-R•t 1/�,,,�� T - -
is r.c Ys9,e.ti on tds tw'•.,,:o...� /�. Y _
i + .! t^.a ctoi aiiy 9ateamo ��:r,:Y Ord `.- _ -'__.•__ __ -.. - -' -- - _ -
__. _ _ ._ _ is:...'v!i•t�!ur3onLLxad6e?sar:,- _ —.__....._ _ ___ _ ____ _ _ -
tnita:.L`:-:.r.of the In a3_ t �.i:'-,_L ;11.4.\,.•;•; + J . _F:.,.
_ _ >ti:'•.rrCr...,.ar.cUolerwtr_c-`_r'.e -- _ _
K } - t _ _ - _ - - _ co/...Uc,II IrtcJtutions a u o,uont- - - - _ -- _ - --