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Home My WebLink AboutSinopoli - '/ ,,`iii,,..... JUDITH T. TERRY z Town Hall, 53095 Main Road TOWN CLERK T P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER yQ O� , Fax (516) 765-1823 �,�1l �1D 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. 3021-R Residential X Non-Residential Fee $ 10.00 Septic. Cesspool X New Name Of Owner SINOPOLI, RALPH AND CAROLYN Mailing Address 1 P. O. BOX 620 Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 315 PARK AVENUE Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-765-2393 Tax Map No. section 56.00 block 1 lot 2.002 Cross Street POND AVENUE Date Of Last Pump Out 0/00/00 Issue Date: 5/14/93 Judith T. Terry Southold Town Clerk (TOWN SEAL) • OFFICE OF THE TOWN CLERK �c��FFULj- . Town of Southold 0�� AA:' Ca ; Application No. 3 O.2 / Judith T. Terry, Town Clerk . f iz. i►`, $10.00 - Residential `�� Town Hall, 53095 Main Road a —1---,t1;!, -G ' P. O. Box 1179 LT-30-s,,...., ter. . $25.00 - Non-Residential Southold, New York 11971 O -IN --''�,. f` Telephone �l [ %. 'o (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. J Fee $ to • DATE 0//674.3 OWNER NAME:\ J MOP O 1 k t RA\ e h k @ OWNER MAILING ADDRESS: BOX LQo oLd JDL/ 11 9 -1/ OWNER PROPERTY ADDRESS: 3/5- pgpjc, 4ke . zavi. .6 l e1 /J / 1/9-7/ OWNER TELEPHONE NUMBER: 71405 eg3 9 TAX MAP NO. : Section 510 Block / Lot 1��.� CROSS STREET �3nd d'Lf t-� TYPE OF SYSTEM; -Septic Tank - -- 'New Existing N___ Cesspool ✓ New ✓ Existing Residential ,z/ 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.) i . A , j /41) , ,//,/,4 Sis.nature .f Appli nt RECEIVED BY: -(..4 -- ----- - �- - . (,,iTown Clerk's Office DATE: SI--/N : ?)- f In,E7:::`741,1'.•--4'..--,..-y-----74:1:--,-.--,,,,, -------r•-•- -...-•••'---. - 7,-7.-.-:--,,,,,,,.--a-•" 7-T.,0.7-7,771---?-0:-.-^-,-•-•vn---,-,77---.7.-•-',, ,,,v4 7,t s..-"lifvePt-r,'„,,-..17,,,:,,,,,,,t,-,;,!..,.;i:.1 ., :Fc,Vt.T.:-.,-z-4 -'7;7„,-'74:,..-1,7.-.,:---7,- ,,....7,-.,..f.F -;....IT.- -----.----- --- •-•- - '''. ' - - - • ---- Trr.-.‘,-7--•- -- -;--—----- -7--7,-.,--'it.r.m7r,-I-0-,•.."-17-i .r:.--:te " ,• .-•r. . •--. -'- '..-. rfir,.rh,.:-;::- :--. ... z-3...-v7'-.-.:,:- -1„,•-,.., .....,e ,,,,, •• ;, _ .. . - _-...4:1`....;' --. ;.'f':.,: ‘,, :'.r.2.„'''-'-'..,.. ..4\ii;Lr.'"7::;,=4•V , SUFFOLK:CO.er. HHEAL.H.S. TH,03:-otirt..,-APPRO,,, _ !...ilV.....,...::* i•-• i ' -1 , • .:•x., .', •..1,f, -4..., ; -Yzi,, , . - 2 I• - • ... _ _ .. ,• - . .., ..,---. • .... in . . \ . . 1,z• ,,2 ' (LI . , - P . OF MOPE12-7\i' - -..,.. Q_ 5.1.72vEirE ,, FOR. ,,,,..:4. ,.. 02 ..t,:::,,,..... \ 0 - . ._ . - ..r....,...',1-, -'. , - - ---' :--.',:: • ,- 4-% . i ... I\ i P--)i i \"-- i L.P--1 ---4- : 7)-(7,LY11 --,___,,(........s.i , I ' \,I ,., -'..) • .....„ l _ I 1..._,1 .._ :• _, . . ta 104 .....J .. .. T • . _C.'s.....! -= STATEMEN-1- 1111tNX, • , , - til -7 1 - I.. -'--6 ,. Ar - - THE WATER,SUPPLY AND.SEWAGE.DISPOSAL_ SYSTEMS.- •FOR -.THIS RESARIDEE:CEOF.,.wTtistEL. ;.• , ,--7:20Eir-q0- LP ., CONFORM TO THE STAND_ , u_.,-N _ • • . . • G'' - . - ' \ i61•0 - 4/, . -'-0 V-LY-.: ' -,,. SUFFOLK CO. DEPT. OF-HEALTH SERVICES. - . •_,•, . - di • . • . 0 WM PC'SC./tin:40Lpt•N Y .. . . . --.- .;-- • . . . _ . •: . ,, . • , . ... ., '--,SUFOLK COUNTY • •DEPT T'OF ' HEALTH: ---- r, _ t • ....i, . , - P .„ . .. , . - • _. .. . . , .. . .......„-. . . : _1 i..0 . - . , . .-.-s EAN.1:CE_S''.-- ,,F.O.R"-:. -C•APPROVAL '.0.E, . _ - . ' ' , • , •. , , .. .1.--•- - • . 1. 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