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Home My WebLink AboutMelchione 'I`��lZ�l�Z,/7i ice_ t Town Hall, 53095 Main Road ��`' P.O. Box 1179 ® ® Southold, New York 11971 JUDITH T.TERRY _ „i'nl�� 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. 1395-R Residential X Non-Residential Fee $ - 10.00 Septic Cesspool X New Existing X Name Of Owner MELCHIONE, RICHARD & WIFE Mailing Address 1 14370 SOUNDVIEW AVENUE Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 14370 SOUNDVIEW AVENUE Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 000-000-0000 Tax Map No. section 50.00 block 6 lot 1 .000 Cross Street LIGHTHOUSE ROAD Date Of Last Pump Out 0/00/00 Issue Date: 3/01/90 Judith T. Terry Southold Town Clerk (TOWN SEAL) V • • OFFICE OF THE TOWN CLERK �S�FFO(,,�'- Town of Southold � .r�. 4 •� Application No. Judith T. Terry, Town -Clerk X' : ft• $10.00 - Residential Town Hall, 53095 Main Roada, P. O. Box 1179 ' 11,r ; 25.00 - Non-Residential Southold, New York 11971 4y 13t- Telephone { $ Telephone Oj * i�• � (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE Z ' zc "9 OWNER NAME: • OWNER MAILING ADDRESS: Mr and Mfrs Richard Melchione 14370 Soundview Ave. Southold, NY 11971 OWNFR PROPERTY ADDRESS: OWNER TELEPHONE NUMBER: TAX MAP NO. : Section � Block (7 Lot CROSS STREET: LI /zurg • TYPE OF SYSTEM: Septic Tank —New Existing Cesspool New Existing l 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.) • Signature of Applicant • RECEIVED BY: '' - - 464. •w rk's O fice DATE: ;/q ) . . ..... .. ,. . . . ...,_ . .,7 mr..........-..-............................................. •••.A.....,It t 1. 1 ,...e ___.-----(---;----....:.__ _______ .... , 7.---- - .- - . _ _ . 1 . - i . . . .. - i : • . t ' i, 0 CIA/Q ,e—I- . • ... "da N e../4- lirc,.,./0 -i, / -7 ,: • I t -...-__-.... .._.... ,,.. .011: -4 t°/8'--4-0-„e:. 1 .•,..r.,4:.....• cO. , / /45-1.-?<•)/--.4-A'r-y• ,. . , ••• I. „. :,.. '' k, : 1.0414. ' , . . . . 9-• . .- , - .-' -''''''''..z,.?.. ti/47 N4-4, tv...4.-.C. /7.,T• ''''.-.:.•••••-•-•`°;-1 .. t •-_8,,Z.,• Cr;:_.-...K.-14- -if K-4C2 .__/..._.,,,-/ metacH_4(24.•-e , tt, t, --; - Ar / - - Si - ‘ ,, • bi CO ; Na r‘f •' . . -- . . ' 5 ,.. „- 0. . . . I...4., i .. 4, . . .loey-t...e...,t_....... _.. _5/....,...-.‘_,..• C.,..,iv r- y, _ : v i . Z o•I 2 • , • . ... •1• . „ ... 1 : ,•-`.; -1 .L.........., / t Ny• i • . I `:';' ,' . • .."1 1 t/ . . ,,4 .."' 17 -3%.:::::....7- ,...„.'-.., ,,,..:...1 e- :ru:,0::::::-0.1:5::.-..n.::vE::::AuE2":: 70:.- °4:0:::": _ , - - - --, 1........94.*.k. 7----- - --I r,,.......,z ... leb •. , .-2 ' - • .E.../ 1-/,, . .4 ' .J. • i I .. //Ie.! . .-. e•,..,,,jc ---- - sz, r . ::::::: ' AII"' -..-..... ., ... 1 .; . ---' •-•---."---.37.4741. .....r" ..-- :-..,..,1*-," , ..- r. I TI'll:VS1•11•,.•L Nalr e. corfsztptc' . / ... _ „ -. ---- - :,-7- ie.,. /1/.e.. 725:— c..55 4 0..aoriEs C P _. ,. .I'.1::....-.0' 1:::ci lA,1 I:..t'',1t rrtn4Gt,:vi: -4• _ ,.,. .• ,• __------ 114i - t ,. I i. i_Vt.o......!: . r I. --;tr•!...; ,),,,H.:„6:;.. " f ''• ,.. • rcinc ,-,4-.0,. ,..\\. . / . 4, 0 - • ,-, I .Ac.- r: i-44:1 41, * .,-..., 'f. . . • in rt,.....4,,,,.14:-Astii . .•:-.. ' T r) Am r . .- • " f -- Jr 4.... -[........-. (-4 , 1" ...4 . I.P.47;,....,. :.."-,••_,,I.1...ir....s .. , ... * (.,.,. . - - - 1 -.- -'-',':,:k - ,-, - 6-0t.-S 4.re-.,,,..r 0.i.t..A.- C 0‘.1,-- •.. , .t . ' — ....,t,, ‘ , . - . . -07'e4.0 - ,r...., 8,oZ ,. -,... GI-4(.1''‘'..'J I'4'Itt.•F:.1 4-4:,.-4 10 c.'' e."'e-3 t•-- C. ..:1000 '17 t _ 4 t,. ,,.1 ,) .47 41.; -4*l',k 5C4.4 4'-•-• .•j:1 • . :. —,....--7---- -:., ,.5 3-.• 1.7 / , 1,,,„ . ., 1,4-, .,-,.,. ).it, 4.',1.1. , , t 1•:' '%•,,,, ,1••,.'"Ile y.Cie- 4.Afka* S* S A. f .$47r4. • - $44'ter"-a SA/ _ • , 4 . -.. •- T7: - PO L:q.irck gC4{ 1%4"K4 --rtayL.-, ,.. _ 3 . — ) .---.A.-. •-•.:• ,•• ,.. . _ .,...,,..,..,../..„ ....-_„:„,, ,,,..- - -4 '- .... 4 ,.. ,r„„,,,e4 vorc - .. .- .', .:. • . — 1 '' '4q..'2,t4.''- . :;" • --:1,-;, itir0 -eciot c..-oce Se 4412e:•0 el '. ,;-' Al _.., e•c,,,,, 4....,co.— '---rIAA,4" . . , , , • . ek..1....-1 ..,.... L,- - ...:...•4....1 4-woo, *44,.....reg/T. _1'4,..4. ue,...,, ‘,04....ig . . — ...•14-,.. --,,V:i.--,te --•- . -' ..- --•'---,-'-•--'••- . ••. .„, -, 3-..,,,,,.. . ,, . ..,-,- , ...,.,...,,_,,, , ,o, , . .