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HomeMy WebLinkAboutSchneider ti ® a Lr-tri Town Hall, 53095 Main Road P.O. Box 1179 „®� s,sz� 4vV��i! Southold, New York 11971 JUDITH T.TERRY �- ` :1 �!���1 FAX(516)765-1823 %������ TELEPHONE(516)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. 1387-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X 40110 L Existing - Name Of Owner SCHNEIDER, GEORGE T. Mailing Address 1 P. O. BOX 1185 Mailing Address 2 City St Zip CUTCHOGUE NY 11935-0000 Property Address 1 800 STERLING ROAD Property Address 2 City St Zip CUTCHOGUE NY 11935-0000 Owner Telephone No. 516-734-7269 Tax Map No. section 104.00 block 1 lot 29.000 Cross Street SKUNK LANE Date Of Last Pump Out 0/00/00 Issue Date: 2/20/90 Judith T. Terry Southold Town Clerk (TOWN SEAL) `r • - OFFICE OF THE TOWN CLERK c3VFFEU Toy n of Southold Q - C� •• Application No. r 3 Judah T. Terry, Town Clerk K ,;50, '-_ Town Hall, 53095 Main Road � �• �_{��_ "� � $10.00 - Residential P. 0. Box 1179 u-3 �`£ : i z $25.00 - Non-Residential Southold, New York 11971 oz:;,`*- 0��`� Telephone ( `� (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE Agt3 26 /9570 OWNER NAME: ��",QC's T oScfan/E/Dffie OWNER MAILING ADDRESS: PO Box //g'S vrcf/o 6v /11'f? /(P35- OWNER—PROPERTY ( 3SOWNERPROPERTY ADDRESS: ?©z, - -5%&/e4r/t (' i°d#4,1) Gv7cwoaag y // 9ES OWNER TELEPHONE NUMBER: 734. - 72-69 TAX MAP NO. : Section `01 Block / Lot 29 CROSS STREET: 5./( a/11,01( G4NC TYPE OF SYSTEM: Septic Tank V New ✓ Existing Cesspool / New V Existing Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: 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.) ignature of Applicant RECEIVED BY: own Clerk's Office • DATE: "+Z,, �G own/Clerk's „,.. .... _ PLEAS& NOTE 1, • , . . . i \ , I... _ , . • O.' t,,,,tiolty ItYv,i,..',...1.1%RP, ,„c1:,.4 -, ,,NI 4,0,0:'7,1',^".. , % I „ .,';.,_ I -e . • r A 4 '.' i ,,,,.,AQ is the applicarit'i resp-onsibility to 1 3 ..s. aintain aciequate sanitary distance '1,<,,VMESI4VCI t'ti. "1'41 ,, -...• . twecn_all water st., .,.,ly and sewage . :;-• p. >posal facilities. 1. I 1 ,„. - , i 1 li W. ,f•j. #:::•1-Ci i e 1 , ' i'e..5 71- 617,,: 3 abriz cee-ecs467,:i1a1„g .5. et I;•: 119 3.5 1 -7. 44*- 7L //' r--- i:4.•.5.,:4*.:74 e"* . // „ 1 //1 /I/ ,' .3-i. 1..!...,... .,...- '*/ -, Ltcy/1 i....;-00,"/ N / Q.„ ,i -1 :. . / , • ) --,•-• 7-) - I) 1 -'' 4.) 4-..),--- / ,.- , . „ . ._. ._ i. .....,•_,.... ” /-(c;.- .€ I .. , s 1 . I 7- sc . , 1 ipl• ..,,, ; 1 inininaggill. , (.."(...17-, L-5 ./L _ ..,' 1.:,; • . ' I V3 .:.'....- •-----.-__ 1 6 I ,) _____..—----- - - - cl;c A i.,6 .. ••••::..,_-:.!1• —I ' . ' • '--. -it " 7 0., / N., , , . / ,, 's , 1 ' * ( ,! li,,Lj /,:.,'-i, / /,,;"..-5". 7.-1:,::,' , .1 ..- 1 - , y--/-4-,,. ,!14-< ,,,,/• 4 7.• //4On i 15'4ti . ''-) I • •.:. .. ,..--",,,.:,1 _____ ..., 0 ..., 1/./....; . e i• / , \ ' r .-iti,i _i/eva ti:ot/6 , . ,. , IY) ;.,2:5.(.. ... I.;hr.: ;\,.. ;P''' - -...".e, ' `,••-,-,-. . 0 111.77.1 . . 171 • e, . ‘ - , , Require: .._ , , Ul ' • SdP,, ,, ,;) ' 141 i•.4' :TP.i.I'' r.,1;, .". 5.2,4;)1:-.),..'s QV g 1:' i,, . -5..,.i ..r-------,..---,:.k-, l'' . RODERICK VAN TI ,,. . I 1 t:1:, ; . --.F.ri.ly LC-vc-.. 4 „ j „4"--_-:.'.. / LICENSED LANDS! r...,,,,t.:1400-;,. , ,,.. i // GREENPORT r . ST NE,132 .--- • ,,• ,. i I /1 / • '.I. • '' . II •-, ,....,. . , (,) , . , / ..,:;) " * , / I' '. 1 • ' N'• )'1, ,* .......... - ., / _.. ( '• / • .. , . , „._., ') --) 2 ' c--e ,D------ :7,:•)'- -..) .,,-- s • . - I 7..-- 1•2 / i/ l': ' '' I k., . I s-) c., I ( , A-) 1:-.• /, I : L'; ... . . '" .-: • •.... • 1/41-,..1 \ ' -) , .. -:?, / -----•----:- ''.7:-.--- — --id ... \ _,- - , .. „,,‘.. •.. . ..:•, :../ .,.:'45' .....,.::,) '. S,. ---...... ' *'..---7--------1kf* 712 1,.... ,‘ ; N • / It , '... /' 1\ ' • _. \ .>-....z.4, I, ').• . -1 ,,,,,. . ,d r.). \ - ..`d • / cr)r 1) '1'A , 72(71,/,,, ••"i -----; . / a-1. - • , • 7 ' 1 ., ------ ,. 1 i . ! / . ,. 1 . / . _. ., , . . . . 0 I , . . . • I _ 6 . . .