HomeMy WebLinkAboutRogers ,40
}061 OFF®(i
JUDITH T.TERRY t�� a *re. Town Hall, 53095 Main Road
TOWN CLERK ; P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS co-
MARRIAGE OFFICER L 41 ®� ��1 Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER ®1zit 1%00. Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3455-R Residential X Non-Residential
Fee $ 10.00 New Existing X
Name Of Owner ROGERS, DOUGLAS JR.
Mailing Address 1 P. O. BOX 265
Mailing Address 2
City St Zip EAST MARION NY 11939-0000
Property Address 1 760 OLD ORCHARD LANE
Property Address 2
City St Zip EAST MARION NY 11939-0000
Owner Telephone No. 516-11.77-0912
Tax Map No. section 31 .00 block 6 lot 22.000
Cross Street ROUTE 25
Issue Date: 4/10/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
S. .-
tFFICE OF THE TOWN CLERK ?
Town of Southold , �� Q� Application No. J ci
Judith T. Terry, Town Clerk �' $10.00 Residential
Town Hall, 53095 Main Road
P. O. Box 1179 U :' $25.00 - Non-Residential
Southold, New York 11971 OOl ��0�,'
Telephoner •, �
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ /pr
DATE
OWNER NAME: ---�� sn AD
r< (tel
OWNER MAILING ADDRS: IraDI
.. O
Ma J ,. NY/igc59-
- - - — OWNER PROPERTY ADDRESS: 7400 Oki O hc, 1- L- l •
t
_ A P //15
OWNER TELEPHONE NUMBER: 65/0-417-01/0-
TAX
5/ 41fhog11--TAX MAP NO. : Section 1 Block Ce Lot
CROSS STREET: -'-
TYPE OF SYSTEM: Septic Tank New Existing /
Cesspool New Existing fr
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.)
Sig ture of plic t
RECEIVED BY:
Town Clerk's Office
DATE:
i
•
•� + - I '•R tI
" .. • ..0.;- N'-`rF;� •", .---�.- ,.`�.' r/ ....t• -may ,, �� �f
'`, IT I .—I 'fir
,I ji.. Yr.j,',;re•. ^.^''te d csy,. iy, ,,y,','xy.a^,• :V.,r. ,.
C., 9 ',p ` a',r .}_ t,
,i- ' - ,,,..',' '
' - ,- 't ;' , 1J
•
w. - /. �.•, .. ; ` '':_7"--'',.,',:•-,--- , `t' y - -....-• .,",
,` ' ` ' r., l•-`
' , S ."�+^'r+""{ .i t'
':f'Y.O`' / /i.� � _3. y7,,,',,,I,',,,,,,
- I si ) ,ri ,d •„'S „ _ ""�.r-a ''. • 1' e I(•1!}i,, - n. n'.+u:.M` • . _ e
r .., i
/ ',/,:;_ i; P
,y.":`')ri ' i'..-..).1 -:' fit” '�C t g•.7...'y/1' '. !' '-',--•' -�' _$'"I L
u: `-
.
•
.• I,-..:\ ..`:,'^r4 », _ - • :� -'fie '
JJ fJtt- ,/�' ,i{ 'r // r t• /r M... ,'�f..!v. br'r t'1" i^ " 1 -. •'l. •' ,!( -
,, ''',..,,,,,,'.4,: r,,,./„ 44`.. ,:'44i_;•,inr7U+ :I�`C,r�`...t r, 'i.' k•f,)., r 11"T' ,,, . ,%f�j r, ' `hF ' ,Y"r�i; x ((ii„ 1
•
a'...• v 'Y}•i 4,j.I; ^.�'" �'''y,F' ' tbf1•%I: '�t`C!,, /''.., !;5' �6' . ' , 1 1/ft3U.. .4.,...,..."..... xva ' ita •'--.
..--, CO INI6 34Ant T 15 �xs.:L.Afrur OP, }''"`_-'
..,,1%"•,'C)...{ ,�!: ! y , ;. rr, , •, , Li TIQP$12,01 or Pttk '.V I•h 44.-Sto4al';''-
^/�,w ,-� w, rrT'.,+•• *fi15 O►-Tlu:i sU�9 ar samdrf 53}::i�'t+3
• ... '.. ...-,.Y�;..17:2'''
-i ,•..�6P." :€ .... . �r�3'✓`va`.L Lt•AI,'Si l,_L� -4- Yi C,s.VG f
a.., i , :' f!,•.:. '.( f...t'r.3't- .M,!. y f+'r,,. 4/.i(.:,: ,. r.$,"�{/;..4,;,1.±..:14),” ;r- ?_dY.-,�•°N' _r� 4t =,.�.f.
,:. -• D*�44,ie?!q¢zza jg yr?1n:1,:t:Ay.yl,aa «{ •or-
,, . '' ' .. r."...-4..)4,:, P. .. 4:,,,..:$,.."?..,, ,.
Au.: s . 't t{7,y..rr.. '.`.ru.l', :• .......r,...-•,,,,,r
r , ` ' A' • ..a. ..r^ ,( it ; - + ,. , ,o•1, ,,,4,1.' _.1..`4,r; •7,wY� y.: . -
- 'le i',t,•--".L,:,';:.}1,.,`L:I ch,:!.,..�i.,A -,4. . I . ,
1-_ .. , 54...:t.'..: C.-4‘'.:^4415.'t Att ./tN 4 ..."..,,4;,:.4.1...74.,,,„,4.1...74.,,,„, ..
,.s f°" f1 r.,.::r'.1..rn AL *L1$fl.�ub.a hi Dr.af.;:. 1
. +.•,. .., uf y,