HomeMy WebLinkAboutReuter czo tAN
JUDITH T. TERRY A
C, Town Hall, 53095 Main Road
TOWN CLERK ® P.O. Box 1179
REGISTRAR OF VITAL STATISTICS H � .�` Southold, New York 11971
MARRIAGE OFFICER
i� Fax (516) 765-1823
® } Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 1872-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner REUTER, MICHAEL
Mailing Address 1 9075 MAIN BAYVIEW ROAD
Mailing Address 2
City St Zip SOUTHOLD NY 11971-0000
Property Address 1 9075 MAIN BAYVIEW ROAD
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 516-765-1623
Tax Map No. section 78.00 block 9 lot 64.000
Cross Street VICTORIA DRIVE
Date Of Last Pump Out 0/00/00
Issue Date: 4/09/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
•
o •
•OFFICEi'�F THE TOWN CLERK �FFOur 'Jj'
Town of Southold CQ Application No.
Judith T. Terry, Town Clerk '' X
Town Hall, 53095 Main Road r4 $10.00 - Residential
p. O. Box 1179 cr3 $25.00 - Non-Residential
Southold, New York 11971 _ O ® O••1`
Telephone _ 1
(516) 765-1801
TOWN OF SOUTHOLD •
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
• DATE 4-13
OWNER NAME: k11C.1-k-q. t21�Z
OWNER MAILING ADDRESS: '/Asix4" 5
OWNER PROPERTY ADDRESS: `(TmA.) V\ w
OWNER TELEPHONE NUMBER: 7bc ( to23
TAX MAP NO. : Section 'i r Block Lot 7
CROSS STREET:
TYPE OF SYSTEM: Septic Tank a- New Existing
Cesspool / New Existing
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT: /990 -_- / 99-J
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:
y - •
�,t� .' ..., , ywa.1...o a .,r,-.. •;•`,- ...� �,mr4.m:wrraw�wyrr«ral, ,' +xr.cAysain<es.em.,msy«svw ,saia 'eo„x -"'-'''''?"7"-!---:-•,_4-1-•'
ia ww�w_ lt , ' ' ,r ` '
s . r.
_IT,i. (/( t / 40.1
•.' ,,, ,,... _ \_ , ,. _,,
• , •
•
:: •': :::..:4:4''S.' .1.:1V14.1C.:64o'l '''''':I
� �"R ; - r
_, ' ?p - � { _ Y ': .is :i- ,• •--- s • •• .:.,/ ..z,,,?. • - •
..-,• , A •
'i'- .,SD • 9!!J'/c 1 �> - • - - '1•� _ 'f ,I ,y4 ' �{- .'J": i"N:v' _•,� t
,. tt A . / '1 1 "'�( }S • '` l�4'7 ' r •� ..J' -t ' -.K'''',f, f,
L^ 1 4� 5; , 1_• r;� sS•--J -/.
i z _ti;•,„.„-1.'. •• } ..�..:S�:•< - �' T' ''! • r - < `y
- _ T
--.-1"--\_7= tiro 'i —
•
44 f ;• Y, 7
•
7...4'. ly , T • �,\ i f i � _
r ._ i ( 8h/ -
•
•
•
,. _ - _ A',7 --.1 `f '� ! �
e'•-•-1 • f • o w i•ti }-'�tl•q�_ rs< r� r• - ,e
e
' h,
13( t• «'r `VG4 _GtrSJ�'�< .p_� 11fi11 V7r)e� r.t
t, != td, i >,C rC'� .y _•1 �• y •�,'.! 1' K N'" 1 \?F ht .;.1,-,...,r1
y - 'J (•`j,,, /,,,,......, , ,„ ,
v !"�r-�•; •L.A..<„'t,•4 ice':-✓F ~L
°-' ,e'-.'� 4.' o ' i w.-. 1, `s d lJ I --”. .. , ..,-7-'
_- --'-•'I,}
_ . r .. . < ' - Yom• e• -":".--,:i-;,-5-,,,,;-,,,--,-;-
�' 1 'J:1'.•,:q*;.:':
JU
•
P1' i W �4 U ti( UNAUTHORIZED ON -../1„:.-':::-;-'71.--":t,;"-:('•
r~•
< C• .
t j-.--,,,•„..•,`,;/,..?,;
. l
� e6evel Y' v.i. ,.a�yY.�'4 f:al.6 S. .TO TEIS.SUR,VEY IS AR VIOL OR ADDITIO!{' (4;/_l J7/l�i.i •1_.:-��'iat ;r,._•ea..-4_3 r � .;4-ell'
G .' o-•: _ 1::
z -- - - TION: ATION OF_ ..,. - �." �_ (.� . �.'_,a `.:r'
• •
SEC 7209"OF THE NEW YORK ST ' `f. yt-,-,,t-,.e
a_ _> f *%-,:g.':.
'' "�"'p
. EDUCATION LAW; STATE + it.."- ``.--,4_•' a,d-f'-r'y'a si t"`.e Y .C. y !• 'rF - ,°
COPIES OF iFiIS "' .7.-• ''� "d L.:oT?''.`--t5:�, • <
SURVEY �y �g �f
^<'.1 y _�f.' ---4.F'J /... ' ',THE LAND_ SU:V:Y0Pr'S<iNKE P EAL BEARII$i G+G m ei t 7 '- _I�,•"' r
.)tEMEOSSED AL OR e ,a / a, ... '<7'' 'L`%' 'nsY':
.
aSEAL Srf,' L NOT EE CONSIDEPLD, r `' l„;-, "�''"'X","• '
'.e '. .1 TO HE A VALID TRUE CO”i--; -'`,. 1','• r w. - ! <;•^ t , - - `•`'''''.4.:
r, ,.�'A ••.:,:
%
=".; -�- - _ -GUARAI-1 .IN:•:, -D' • __ " - .< .f(.r e_. L-_--4 fr-2-:+d.I. :_i/i'I,,?i, 1-—,-, •—,J'jl,_'F'i .R-:4,--,---,-,,,
^'ct:-,,, _-
J' _ ONLY TO c n NEREON SHALL-RUN =a •„."! - ,Sf. s_ _ %:c •_a'..'a,'_ ';'>> ( ••1' .,i_'f.Citif,,'St'
-r= c__,_ . =----
___---.;.•
_ t _ __ _ _ ='IS fR_'F TH_PE..So?N F_ORaW OM_TLiT'SUf<YE1' '`.1:,'--c •1:. _ -2-17:'----1----:-.7"-77:4.5f;}-"":"---7'-'71
- :,u:.i1'+i&
- i TITLE H.,E,IALi TO'THE J M1 `., __ -�=..
CCIAFANY. GOffVERNMQA Ti1L AG NCY AM-
r A"2
'�"rS lT. "r :`. _ ;' >'.
.r-r, LENDI; 'STfTUTION•U f = .';rY- .' "y f- ?• ,. _.,T:'-'''
r. 70;THEc; UrI STPD h PLON,AND-' G.,r�C�•,i 1 e to rw Cr ! i; 2. gg `<7 `,F,'
ALS �.S�,X. [t v ee �','w ..¢�• " '
iUTIO1J.GU CF i.E!'ND'„uG 1 1• �., !y`
TOAD ARAB<'_,; �•.s._aT:T^ALIS ,A£LE ' ''`,a•i :• L r." ''c°:•�$';•>,:'}Y:- ' ' EE1't. y' 1-" - `•'3 i
ADDITIONAL INSii,�;<c�l 'O SULSa4UENi ; 8 a e-t'r ,.+
�._..., - �,.
- .. � '1 ♦ •. .. < ,• , { .. ,'1.. ,•�. .. if:'.lre Mei.