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Swotkewicz
OFFICE OF THE TOWN CLERK 'cOf()Lire Town of Southold ®44`7 4,Z��tif0l/i� Judith T. Terry, Town Clerk Town Hall, 53095 Main Road _ r * ' P. O. Box' 1179 _° `r' ' s • Southold, New York 11971 Telephone 70/ lib (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION. PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 364 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X NAME OF OWNER: Frank J. Swotkewicz OWNER MAILING ADDRESS: Box 607 Mattituck,-� New- York 11952 OWNER PROPERTY ADDRESS: Sebastian's Cove Road Mattituck, New York OWNER TELEPHONE NUMBER: 516-298-49174 " TAX MAP NO. : Section 107 Block 1 Lot 25 CROSS STREET: Mill Road TYPE OF SYSTEM: Septic Tank New Existing Cesspool X - New X Existing Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: N/A Judith T. Terry Southold Town Clerk DATE: July 29, 1987 (TOWN SEAL) e OFFICE OF THE TOWN CLERK c0FOC,rC Town of Southold �� • O;"G', Application No. A,' /�/ Judith T. Terry, Town Clerk �� �y� �� � -'• .G � Residential Town Hall, 53095 Main Road P. O. Box 1179 ' �:' Non-Residential Southold, New York 11971 O0 _ ��•'' Telephone : .( [ • -6 (516) 765-1801 TOWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERAT ION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ gyp, Al DATE 7- oZ 3 OWNER NAME: A(/,NI -- OWNER MAILING ADDRESS: ja , 6o7 1.1/4-TT/7u G<, N.y //14-' OWNER PROPERTY ADDRESS: OWNER TELEPHONE NUMBER: ,2yi 497y TAX MAP NO. : Section /p 7 Block / Lot, 059,5-' CROSS STREET: fr/ILL iJ TYPE OF SYSTEM: Septic Tank ✓ New '� Existing Cesspool ✓ New '� Existing Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: neW 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.) Si.natur0 of Applicant RECEIVED BY: Town Clerk's Office DATE: _ r'r- �` . �X,•' •f;; l,- SUFFOLK CO. HEALTH DEPT. APROVAL C. / P r� `7t H. S. NO. G-56-:;:182s- ° - ("` G / fes, . - 4 ' U`/ ,, :. :-U i'�/I: .�Y , a. Fa S / • i C—..-- T I I:\ 1,- 1_,;,_. . . . , . , „ , , / A7 I `� 'hIC ? =b: f-, - . �, STATEMENT OF INTENT- , �. % f /t} �� a '. ' . /. --,2 r - - '`(VAC4tij'�-\ /- - - /t`,� ` t t \/ /1C THE WATER SUPPLY AND.SEWAGE DISPOSAL -�• k0 S` SYSTEMS FOR THIS RESIDENCE WILL �, .`ce. . r • ' CONFORM TO THE STANDARDS OF THE �,yes> / '' 9 / 1 ,IZ - SUFFOLK CO. DEPT. OF HEALTH- SERVICES. / ,. 6 i l . -� ---; !: r ,. _, i S► r l ! � . �-` — ✓--sa '; - - I' C ri t Yt�}t"- .J .� -N1it a� ; , a�, APPLICANT / / / - -�__�` SUFFOLK COUNTY DEPT. OF HEALTH � � 1 : SERVICES — FOR APPROVAL OF- �` _4��i CONSTRUCTION ONLY • jr, j✓'J ! _ . . \.. DATE: / Fav ,` v - �'ti H. S. REF. NO.. :15.5.7:.,50 ,:16 ._ ; / /7\ /` APPROVED: . . C3 r j L ' - l''' '-',:" ,' - i, ' . , . , • fi' ri J X . . \ SUFFOLK'CO: TAX' MAP'DESIGNATION: i _ . ,, ., -- -�'-- --- -- r = ilk - - - - , .� - - /,� ' ,gyp ' - -DIST SECT .BL'OCK -PCL” { _� ,, • , , .,/ c� �A?. '' !a��' �1�.,'' It - to ', 1077 - -- . • i .- ,: h �...'e> " , _ i,E L:'.1` y '` ! y<r I ' : ' • OWNERS ADDRESS: 'ate • 1 •' ' - =; .f..,� :, „fir` ;' `?` ,., •o�t =' �;` �'' �-� ;Mf`11 :i T.i. f.c.l4.i,is,:.`,y; 1 9X14l' • '� '`�3ta` . '` a' ''Xyl_`` 4 `" t ;'t,' i z,-.4.4.;, ,�+' _ - , / - , ., 29 8-,1, �4 - ,. , t -- _.. _ �./, Y - ,l�.f��._t_-'.. = DEED: L.'?t �+ I?. f� -/l `1 - , •'ti: - �.✓••�" o,.,+-`^• ,� ' �i, '_.- �,�t...w, •w .s.' t - 't r" -A' _ - J�. . /� r"y r'� ' �} ry t,-. r - _ _�`j{,. - .i'•-" -,,,.r.....,.- ,•c ,si.....r:,,„, •„ "t� 3, -./'='yl C. °-�`s.-'L'Y I1 rpt ,C-t ' . ,- . s 5.;=: ,. - _ y 'TEST HOLE STAMP-- , ; ^: :i" ' F ' r • Uneeerie�ririzFri aft'ratien ear sd�itirxe- q0- -; '' .''` ;` [ *., F • ', ' "T o.c;`5C,1 L:.. to taus survey is a violation of a _ i - - — er eai a t7Lare of00 Uie 6Yevy York StGtB *k-- :J" _ -:;.•.. _ , .' _ Centel,.of Apar . - ' tip +� ' ' _ ;:�YJ;--.• , (? ` „ F u surrey r e b�miet� �4 d Yr. w •. 3S • L 4 x ala land surveyor's inked gncl or a f ; ,:.,,,'._, %i..K,',.. ;: ersn cse se-..4 sees l9 not be oant~fder6s� S4- da .• if SA ND. to be va trt oo,�y. ., µ :'-q- Guarente ez le este d herrn+hril ren • ,q �'-'T''(7 E J � j; w�_� A. • only to thewow fmr whom the survey fft _ C es "--�--=--� --- 'S�_ T.-_ j . - _ is ee+srsd,anti an s behalf to 1111 , a r_T .'. [,�, ti. rmeny.governmental scow anti _ l ,,/J.�t, ;((, 1 ' '''�1';''�•��-�'�5 ??���(f'''�1 a � p !'S' �� •t, (''�C j'� /�'y; J ( �2 • title C© 7rOrR -49 - - - - r--".l�X_iSt;.�L.'- --.- ✓►L.'�..� �.D , r" ;!'I Ah'„A3.T.)l.r Kul if L.=V �•i V O\/r.»i �1 9 6 ®nom institution listed harem 8fK3 of 4'x1 lonut�incill- i Union.(fi9tS1'Srft �o n transferable - ,.+..--°_---:_--;-.,t.,-,.-. .__.. _AP :t,i v 193 t . _ , . - , "adeitionsi utts &o-a s K tailpont - , ., a arse. SEAL . .777:777-- , a . . . ., '�/ (DI='TANT 't;0;5lOE NC S),,_.`.7.----z,•, . — — . ,��OF NES, , Lai' ° l°? f_ Y trk r to <I, ' - I-, e, L, ${F...:PERS O LQT4.-QF.A: I � i `3 {vts10X1-;_- j � �s1it % 'of: E `" G ti . Ar ,; TJ ' Slp'=P -. ROD RIC VAN TUYL. P.C. rt; o ' __._ __ _ _,__. _._ __._. ___- _. w.-- - LICENSED Lp►ND,SUR MORS f 9 6 E3Ls 2p5Ji - _ GREENPORT NEW YORK A TELEDYNE POST N61239 ' - '- _ - •_ - - - ,