HomeMy WebLinkAboutRothleder c' a
vt
Town Hall, 53095 Main Road
O " P.O. Box 1179
to
�� �i!" Southold, New York 11971
JUDITH T.TERRY ���I TELEFAX PHONE)(516)765-1823
765-1801
TOWN CLERK
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. 1245-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner ROTHLEDER, CARL F.
Mailing Address 1 2110 PINE TREE ROAD
Mailing Address 2
City St Zip CUTCHOGUE NY 11935-0000
Property Address 1 2110 PINE TREE ROAD
Property Address 2
City St Zip CUTCHOGUE NY 11935-0000
Owner Telephone No. 516-734-6183
Tax Map No. section 98.00 block 1 lot 16.000
Cross Street BITTERSWEET LANE
Date Of Last Pump Out 8/27/87
Issue Date: 9/18/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK 'COFO(ir-"-
Town of Southold � �- C0 Application No. /„..2(A___
Judith T. Terry, Town Clerk ,Y
Town Hall, 53095 Main Road = $10.00 - Residential
P. 0. Box 1179 cn "k
$25.00 - Non-Residential
Southold, New York 11971 Ooz,
Telephone . 101 %A • "
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee
$ o-0
DATE ,-, i /4i /fir
OWNER NAME: eA-leL
OWNER MAILING ADDRESS: I 600 404e. x110 P//UE ( iZ E j7o4i
C irc�vcui W-' Ifc35
OWNER PROPERTY ADDRESS: /PO oR c21/O RA/4-' 26L ,Qo,4fl .
co* o 44/ //935-
OWNER
/935OWNER TELEPHONE NUMBER: 734 - . /23
TAX MAP NO. : Section ®9B! Block / Lot f6.
CROSS STREET: 13i7'regvc/E LAN-
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New Existing
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT: 1/2 °J/'19f
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 A plicant
RECEIVED BY:
Tow Clerk' Office
DATE:
SEP g 8 1989
Tam TPP 6o '� ��f
,
I
215.5_2 _-- 4
I , Nz3 h v✓ r q
. - pAtz-i• Lill' 56 .., , . \1,1
\--
,
I
? 4
L'j L.11c:K. \I,
\A
01 •
.1 1
N
i
%.9 \ Z0,
0'
'11 1 5 ,_50', 00"a Z Z C-o'
Go,
rz Go'
r Go'
VI
i
N
eZ 0i
D N 8'-G 1
3e-e•-•1
2 CESSPOOL
I 'o-
-,4-) co
' O O
' O
I 01
WELL GAS' I
11.1 _ —441'—tii yr
, tit ,
6
v) 4 Lor .32 I Lor31 1.11 L.07- 3-o LoT 29
tiW 5UFFOLTK COUNTY TA$ MRP I
4 D/5TR1GT tool) SECT/o,v 0963 ,5LocK I} '�, '
Lor/S — - Lor /G — Lot 11 �3 -,' -
c0 , f
, `syA'') 5 le-SO
o �9
•
1 Io
n��0 A/05CALE a -
ot J 1-- .
to LOTS 29- 0-31-32 REfER To M4P
--
4.5° �� OF. NASSAU FA,C'/?5 P/LED MA ?CN ZB,1935
105 A1 .(e, - IN 5UFFoLK COUNTY CLE/Zi 5 OFF/cE=
' A S /44aGK c,L p //7cf .5/Td7E0 AT PEGONI c,
P`� � --SUfFouNT?' Nt= 4u/
, yo,eK.
L'
1 p'' G41eL F. ii EN/D M. RoTHLFDE,2 .
0 �
ohs-
- \:,, , • _ /Roe/ pipe--
I
I� O = Mon/aNr E.v r
' - Ig8
D!C'/4//VAL Pool. 50/LT /q4q (43`FEaM DELL) SecoAdo POcz. BLJ1L7 /77D
E - - 1970" Po°� . -= :__ReccrJ?f94 9- POV , -c«AND - - - - - .
4-/_�_ f8 - - : -_ .r ..H� -
-- -
/0- 4 -/983 - -
--.-3- Z9- /98S - - --• rr, - ..