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HomeMy WebLinkAboutMettalia � z,;i Town Hall, 53095 Main Road � � O r P.O. Box 1179 _ � Southold, New York 11971 JUDITH T.TERRY >�. . ��i��� FAX(516)765-1823 � ,i, TOWN CLERK TELEPHONE(516)765-1801 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. 1298-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner METTALIA, ROBERT J. Mailing Address 1 2900 STILLWATER AVENUE Mailing Address 2 City St Zip CUTCHOGUE NY 11935-0000 Property Address 1 2900 STILLWATER AVENUE Property Address 2 City St Zip CUTCHOGUE NY 11935-0000 Owner Telephone No. 516-734-6249 Tax Map No. sectidn/ 3 .00 block ---2 lot 15.000 (e-efilliA2'61 3/o/1'7 Cross Street FLEET NECK ROAD Date Of Last Pump Out 0/00/00 Issue Date: 11/09/89 Judith T. Terry Southold Town Clerk (TOWN SEAL) 0 ,,- • OFFICE OF THE TOWN CLERK •c31Feu( °- Town of Southold ��� ,X, ea -; Application No f i Judith T. Terry, Town Clerk :• . r� "� "'` " $10.00 - Residential ti�,.�;r f� � � Town Hall, 53095 Main Road - p. O. Box 1179En 4 `; .. • ‘ $25.00 - Non-Residential Southold, New York 11971 O ® tft .: • Telephone 0( 4 '" (516) 765-1801 TOWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ /0( ------' . DATE /./.77/1--, OWNER NAME: 770715 -.--a_ 7, / 7 /T 2-L '1 OWNER MAILING ADDRESS: ,A 6 0 L 674/ZZ- ,, .�-�-� /-� C ' 7L G,e9 0 6 e-, / 422, //7 3S OWNER PROPERTY ADDRESS: 'CS ifr;19- 7--- OWNER TELEPHONE NUMBER: 73 Y^ 6.a-47 B%"S 7 /7— f®T �- __ 2 `S l TAX MAP NO. : Section /0---7— � Block Lot Ilf --- �® " S/ CROSS STREET: J,(wz- ic, ,, At,, _ TYPE OF SYSTEM: Septic Tank New Existing g Cesspool New Existing Residential V 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 f Applicant RECEIVED BY: „,. a _t Town ,Clerk's Office DATE: t. � , '--0, ' C 0„o ...-k..--..7IT Y . ` f< Da ., \�• ▪ tr.. t • j m 6g s> s'ss,o "` y2 �00 `�� pq, per; ��' ` d , 41 ' ?-c,`,;04 WE L p � ( o-' s • % Asp • • • .I• 414 o • \ ` ani �� . a, • i.,41. Z4:;!;:' . --- � ^ - a OP TEST HOLE'` •Q - , - - . ®' o o` � TOP SOIL i; � gipT -' -- _ yyy ! !dx y '-,p • 1t 4 �4', = _ - -�% !. +c., - bCA4, _- - 1f.1'7 � 6�P •..s SAND b. _ G© - NATER `"; -I: - -- „-.4-1,.....,._:_-„,. gyp,..'• ,,,,"_•;•••••.1-4_,,,,t, � } "rl'•, ti V_ _ ,, ®e T1L • * _ - - - _ _:e,:.v z. E.:±4-,.1-A -;' - fie I 1 - -a • �+.fZ.: - - - iFi: c - _- "-- •i _ , _ _ • 77 - _ _ Cy r- -%:r• :` t_= -- - _' - _: -- - - _– _ _ -=',=-1j----..---.7.-7_-;- \ --— - - --- i , x-17,, . tiD C°SSTOOLS vt _ -------7-- _ �"� TRSLOC4TO:;, : c�:Ai7G+t ..x-- ,'.; __LI- _ - __ -- ---_-_-.-z:___ _ `_*" _ .9 L ShOWU'i Lh-ELN -,:T. ,C.C1 r:•C. -(_•''OT4E&S _ _.- - _.-_ _ _= -_ - - ---- 1 a AND/O4 F20:f DA.._OD. z. _ _ 3o 0..-2, ' '+..�=- -,•r,.. _- -`i.. _ - ---c.,----.----,---. 4.-,_,„,..,..,..._':=j^'="=� - -- _ -- _- - _ i. oer /E.7. - - B&°,t`�. GSTsF�,Pu:6S)s.Et RiL'EC7l3E, Ft1VERM AO t E J YORK ,! Rt, n.v 1 t E3 .Vi,&s? - a .---;: 'F:•,--7.'''•-. - - - x� ;!°d'T i - - - ray can=c., a 1.00,0 01100:7700 V--14 _ 'a'e . .IDC40 !n'.7.C.ta,rte.ai~s.7 cc��' Tara LAC. ~a ' 1.r . ,< -,-z_.,;-_,-,-,,_ _ - _„ _ � - _ - _ _ _ -• ji eta-a ITER fA M"Crrm to ' p!a, (� �+;��9 L t A,� g Vie- E '� T`.,�a — _ - _- _ _— _ _ — TN.:C 0 TO=OTs72 UKP d t �! ¢� •�y�•�^�•a{a 1 GY 1 Y P EL4:at J°- -. _ _ _ _ TY.LT 0/0/2T 10 A ATZA-4 YSv i.µms+ �C�' �: L y`RS $�