HomeMy WebLinkAboutSambach .
! _ ,'/ro p/nu:4 ate-•
' - �G=
® � Town Hall, 53095 Main Road
JUDITH T. TERRY ;' is
TOWN CLERK P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER V4 '. Fax (516) 765-1823
�® r Telephone (516) 765-1801
ijOIP
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 1992-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner SAMBACH, THALIA G.
Mailing Address 1 P. O. BOX 791
Mailing Address 2
City St Zip EAST MARION NY 11939-0000
Property Address 1 255 DOGWOOD LANE
Property Address 2
City St Zip EAST MARION NY 11939-0000
Owner Telephone No. 516-477-2521
Tax Map No. section 37.00 block 1 lot 9.000
Cross Street BAYVIEW
Date Of Last Pump Out 0/00/00
Issue Date: 10/19/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
• •��
OFFICE OF THE TOWN CLERK c��FF�(�,�'= /739Town of Southold � �QG� Application No.
Judith T. Terry, Town Clerk a,
Town Hall, 53095 Main Road Y. -� �, $10.00 - Residential
p. O. Box 1179 C.11 ; ; $25.00 - Non-Residential
Southold, New York 11971 O ®. ' ;�3 �•`
Telephone fell* '1 •
(516) 765-1801 -
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ t
October 19, 1992
DATE
OWNER NAME: Thalia G. Sambach
OWNER MAILING ADDRESS: 2% Dogwood Lane P.O. Box 791
Bast Marion, NY 11939
•
OWNER PROPERTY ADDRESS:--255 Dogwood-I•ane
Bast VMarion, NY 11939
OWNER TELEPHONE NUMBER: 516477-2521
TAX MAP NO. : Section, 037 Block '1 Lot 9
CROSS STREET: Bayview
TYPE OF SYSTEM: Septic Tank ,. New Existing a
Cesspool New Existing x
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT: none -
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.)
766dvaka.
Signature of pplicant
RECEIVED BY: V
Town Office
DATE: OCT1 19 7 _ _
-
Town Clerk Soutfal
$• ,..,:.,,,,,.".."''''''''''...'''..:;'•".' - • _ ` s •« r..+.:_.-•.••-e....•.-•-•..w�--... ...-.............•.,a-r••-i�-w••.,... .,�.{rjtv.+,..•--5.,,.....�..�e r yr.-., :.w�-,...._..........-'•'•�•'+*-.,,f.f•e•i...,,.a...,...._ r
�� . '9, -. .ei,.r ,ri?= "' I - ,, -`'''''-'4 ' :'`. r.•.,t.
,- -..,.-3.,:,:,:-„-z.; _ • • ,Ii.�:,`y'4' - - c t' '''..,-,•'•-,;',"-
7 �;` - - ..'4-- k-;'''
,.
-" ,••-ti , _ +\.,,7...E. ,�1' a. - l• _ • . ••R _ . ;1d: - - --,' " - _ .
,, .ate'^aY,, .,t -"‘'•‘'•s•.;7%'. Y 1!-'2'6.,;.-';`,-,•-:.V,15-,
> `e4'- :�4A�'-+JSti - t ' 's t -
r 3r
Y
'-s„, '- •.1 _ -1-.O,a _ ' - 3�'/- - ,,,N.: ,.fes.,;217,•ty-.. • 1' fY ,
'4.1?,. •ce sP0L ./ .-. •'=• • • '.`, y'j,' i rf•.1S;5i`;1•,,f,.
Arr , i - • _ .t.•f: `r Ii'ti. •` Y"'y- f,: • s •_ , •t'' -,/�. • ' .:,`9•
1 `, ,/,
[ : 6r� gy_I'"_f•;"^ }. --r,;k�' :y4-- - +{•� Y' _ - "-!, , •';:.+jlsEd ;xr,;. .,.<r s
—..,-,. .:.‘4. _ -.-„ .•-- - 'ii 31/s' �' I ' +it^+i1. - d" fti�., T :n:- :i t ,i, r"
:i•, ,'• y! . 7 -i _ _ t 4•\ ., F..t n .-. lY'• .. u`-7 . ,�',.:;1�.-F?A.wj: .1':"
'i '4 /,. _ , t.' - !,'` o':.•,yo- it}•7"' rG�s" : .. - ^.7;).'t,t;. .ti.7i' -i� _ e,F' ,
1'= • „ .. ' . b i • - - • :if �..q�t�1,-„r .{4 M C7 -,1.04,::,` : c z c,` :•;�,t :t'
,••',... . 4/ ,, ',. .
• 7T :4 ' r - Y,, .1' .+y�,,�•• fI% ,' :e.t„•r tAJ±••
•
N ' -
KE
- LOT 94l r' .rM; :'' - `/'!�S\C j/��
.' 'k....„-.,..- , ...•(` a _'` `�• -f ., ,;.,,,,,,,,,..•,-9.,_,,-„:„.....,,,..—....-r 'A ,!✓„w 1.,l P 'F. s f .1' i_s P t
•
• .:1 - ' 1 ., ,,,',..i-• ate, rF•i<4` .'-'1,.''''",,'L-•-•i 0.a.� --•,,,,- "—...,31%-'p.:
s,,`
” - "rr ,"/• ,l - _ �y '�j.�'(X T± hp� r..�¢r.--,'1rt..
• ( 'E -• �' t, `I"' to ,SU ti+/.F.wC `✓. CSti0.,R:�t4 i�.i• k. lF1idt `[. •.
• • -v ~' R` '-,i`„,,•;•....c...;,,,,,':+s(•` •f".%`-,+ i1" � t'• 10 �•aye ar,t�G�a�� •�q_�.�r,^ {'�. a.�-two;.. �,�-Q-. +�•.
•
yr - - '� *” .;,f 7... c ,, ::'+` ',.. „,�., �, ;4\+fit;-' '�z:, ;'eJ�'�y,4' ` „ .K r.7 i l�,"'�•''�% Z er-'?+'T•*oMr 7.;,' L S'ti.., , 1 -, . (
- .. 1 _• yq'rd'±`,.• ,is s( 4�.,y"ti,<j=