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HomeMy WebLinkAboutSchulam OFFICE OF THE TOWN CLERK clga/IrooG Town of Southold r j, „ y . Judith T. Terry, Town Clerk Z Town Hall, 53095 Main Road ch `o' c P. O. Box 1179c.r Y • Southold, New York 11971 \'.\• O >® <0' Telephone .( t (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 512 Residential X Non-Residential Fee $ 10.00 Septic Cesspool x NAME OF OWNER: Michael Schulam OWNER MAILING ADDRESS: P.O. Box 715 Mattituck, New York 11952 OWNER PROPERTY ADDRESS: Knollwood Lane Mattituck, New York 11952 • OWNER TELEPHONE NUMBER: 516-298=4534 TAX MAP NO. : Section 107 Block 6 Lot 2 CROSS STREET: Grand Avenue TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New Existing x Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: Unknown:. Ju ith T. Ter Southold Town Clerk DATE: December •2, 1987 (TOWN SEAL) f w Ie ii..i OFFICE OF THE TOWN CLERK cwFFair = Town of Southold CQG Appli_cation No. Judith T. Terry, Town Clerky Town Hall, 53095 Main Road Residential P. O. Box 1179 cnk ` ' �` Non-Residential Southold, New York 11971 O ® 'o_1 Telephone ®.( y )!''v (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ DATE 7/ _ 7 '' 7 • OWNER NAME: / /e-f1,4_GG OWNER MAILING ADDRESS: 7, 6) , Zjo}l 7/-6 / ,q��„—zic ,--iv- OWNER PROPERTY ADDRESS: /f iUoL LWa o t 4/fuc- OWNER TELEPHONE NUMBER: G376') a 1 B - 6/1/453 y TAX MAP NO. : Section /0 7 Block 6 Lot � • CROSS STREET: /(4/D,&/_ (,u CoD 44, TYPE OF SYSTEM: Septic Tank New Existing Cesspool g4-0c-f< New — Existing ��=s Residential ye- Non-Residential DATE OF PREVIOUS PUMP-OUT: /U ` 5 '7 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 Applicant RECEIVED BY: Town Clerk's Office DATE: 4'11, ; Icor ( prk SOUthO'n :n. _ ..`f•. _ - 1� ' _ - • _ - :r,- ,. • r —•f,^,Y3 i Y' •�`• - f` •, - .0 •:�'t.t Z� _ -, r Jjd Irf t.i� _ - tel , • -, P • 0 _ •,••=,,` 7 i. - 'r,," - - - i•17:41, _ S-j'. <_ Sf -'t+=' - .. ac'ry - - ....,`z.-,:•.; r i el 4',.., `.'''''• • '. : -':� - ^-b alt' - - .. itx'' • 'C• `:';4.^'T f: °J - q`r • • ..'.II- t.- [ !--',24a24-1:00," .y 1 •-rp" �cr• _ �. ♦ ✓ :off, .t e�i, :.: .i' , r ".s of r w- :> vi`j .0.„ , ,., ..,.. i -_:-.:,,,•.,..,,s;: -,-,-- ,,..--,,,..-. .. ,..,-, ,,,_ __,-;.-i..4-,1„,-,,,),:-: , ,,.,-;,, ',._ - .-..,,..1-.-,142,,. .;,._.: ,, ..., ,---•:._f•.,,,--_-.1,,,,, ..„ -.- , -. . . . :.,.,.:, , :/-V.-c:.s.`•‘.j''''-''. •••-. ..• • ''',,'.,.' •'.-•''..s:'';' ',:fre,l,.g...•,,,,`,.„-:'•,;45"..-1,..• 4/Cf •, ' • ' : ,,,,.1%,1••.,.,!, :;:•.::::s. ,1 s: .....,•• °4 _ l • • 1�' •• i' •• - .moi• �1 "'o'� Vrk. .y` ;fin °'i' `J� 'i✓ '":rt,-s. - , _ J-- JJ''• /3 W-:'...,-;',•:`-.7,±•••45., ` - .:•<., •`f._ •Lam•. Ere 1- ei {� r',d y>3 J `` t C- �Z. .>:- �' r -n."7( p �' SYN.' `,l % •,. ts� _ tiJ r.[•,• '1-•. Y _ _ 1� -4,. 'ta 666 'ii `l,. O..Y _ '•Zi -1:V?° _ A "Y- _:�'�y - .t�-a:�n- "�,oa`i :1•'.t ,r+3- Y:•�,tr� f. ,:�...�, - (�.' s. v, _ • a' r• • , "fi �' - •t. .a, .ti' fc'y .•L" :?f -N;_---:;_. '-1jjYY - - .r�' r' [ - 'd, - "My - r� ^tf 1h F't _ . 'f_ • ,Y, tlf = It' _ t} • ( -1'3+` -..,t,:-'4,,/,'•v• i:•.� • • ! 3. S, ..--, .?4;!.Z.'''' am :'''--;;):"!..--f; ':,°1_+ _ I- •_ 'Sn _i 1 _ .�-( - _ :,f_. •j,`., ``r ] 'a.'rc -;'- sS<,:e.- ',yy ray r�'Q O,O-,Y✓+' .,#1 ��'; ,,r-� y. `,',='•:'_ %'i _ '`?;• _ :S •• - _r� :J', 'E!: - A ".L� `i'„'- 't` '.qty,. °'.V _ - '/'rt.w, ,.,5„ :;, ” S_ - • ''t-..;• ','-. _ - / 't*t';'F•ti's . -_ Iry `� ^•'7' -I _ `,nI•_ '•V `'moi _ • _ viI '-z ;�'<Lr,. 'i!' '(-'`-eat -_ i�.• 'v„, c1•. , 'J'.✓• "I�• rJ: • im -. - -•:.7('''''',-•.•-:; yl rY,{n..�iie ':iT ry�,U�'f...,Cl •5 -- ,'JAR.,aL in.F w'.. - - 4^ .r - •:1,1,-''K-,•:- .•1,r!i,. .. r. _ fit• •• T` e�i7 -- {r! - ."�.$y-' - - ,<, - - _ _ ,-_.• - w. •2,� .1Y t- 'f C , �'•'• o'" • :• - -'f _ tet' l' `c _ , -M.w 1: • �, t_, ,,.;;• -:r�i':" ` - I\.'- te j ' '1•J .•Ji... -h , - [ ... `S • C,:•- - ' -If _ :;tib s.,.. S,yca' �SSc•-a.le~so ', - 1--,_e:—.1-_-: :.y - �t�..-.- �a:,...:..'tr._ _•- - - -, _- - � - - - �t. _ -.. , --[ - — -=-, •tom ,'�-• - ---`•-i,--,...:,-;?::::-:: - �--( • , .-• All IC-4‘1149., . _EL-tai:, '.%4;:'LjeA - ,. .., , c - • . ,t. 4 cfairarr , •Or. . ` ablelie)iat7)?sas_i•i:':: •::• s : • 1:"- - • • ��/� • • •^-•:' ,•[; `'r�..y/,•.Ar 0, `j�Sy+. • if:/.-4 _ ,1: •iJ._- -i.2 y:}a-t • •%', T fi' • ✓r. !1 '3!; T>vi G }^: •' ti\• ,-•%.-.••-.,•"• i - TbWA' O, 5ou�TOLOf ;, _ - Liea/:La : ,tv )ir 'e- C - c,. > SUF'FOGKOUNTYNY / �