HomeMy WebLinkAboutMilligan (2) JUDITH T. TERRY ; �� • Town Hall, 53095 Main Road
TOWN CLERK ® Fri
P.O. Box 1179
REGISTRAR OF VITAL STATISTICS urs Southold, New York 11971
MARRIAGE OFFICER Fax (516) 765-1823
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 2017-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner MILLIGAN, RICHARD AND GINA
Mailing Address 1 2949 CRIPPLE CREEK -
Mailing Address 2
City St Zip GRAPEVINE TX 76051-0000
Property Address 1 LANDS END
Property Address 2
City St Zip ORIENT NY 11957-0000
Owner Telephone No. 000-000-0000
Tax Map No. section 15.00 block 9 lot 1 .020
Cross Street LATHAM LANE
Date Of Last Pump Out 0/00/00
Issue Date: 12/07/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK c�VFHU(
Town of Southold O "� CQG' Application No. a\ 0
Judith T. Terry, Town Clerk 4' g4. $10.00 - Residential
Town Hall, 53095 Main Road o
P. O. Box 1179 v' � r . $25.00 - Non-Residential
Southold, New York 11971
Telephone *1411-
(516)
j(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. a()f
Fee ,$ 101
DATE Jam- 7 -7�''�
OWNER NAME: ONAILL, m F C '4 f
OWNER MAILING ADDRESS: ar1 C. L,
T)( -70051
OWNER PROPERTY ADDRESS: Vaanajo
O L,A= I (.4: 5---7
OWNER TELEPHONE NUMBER:
TAX MAP NO. : Section I Block Lot I , CMZ
-CROSS STREET: C t y --
TYPE.OF SYSTEM:- _Septic Tank- -- - New Existing
Cesspool New Existing
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.)
A.
Signature of Applicant
RECEIVED ---BY: �fil.�Li L, , ,�
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Town
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DATE: /, )/7/%::}-
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Area = 40,090 sq. ft.
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SURVEY FOR
RICHARD MILLIGAN 81 GINA F. MILLIGAN
LOT 20, ' NOV. 5
MAP OF LANDS END JUL145
, AT ORIENT POINT
DATE MAY,28
TOWN OF SOUTHOLD SCALE• 1"= 40'
• SUFFOLK COUNTY, NEW YORK NO. 92-04.
*UNAUTHORIZED ALTERATION OR ADDITION TO THIS
SURVEY IS A VIOLATION OF SECTION 7209 OF THE
NEW YORK STATE EDUCATION LAW
*COPIES OF THIS SURVEY NOT BEARING THE LAND •'4 Of Pi k,
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL � �w•�,_
NOT BE CONSIDERED TO BEA VALID TRUE COPY W• Yob ii-
*GUARANTEES INDICATED HEREON SHALL RUN ONLY TO �/��yo# • U40+ .
PARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED ?�j•�
AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- * 1; '`.,._I
'ATER MAIN_MI. *SOURCE OF WATER• PRIVATE_PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED. •• , 6'
tX MAP DIST 10.4.11-SEC TION 0.15 BLOCK 99--LOT 1.20 HEREON,AND TO THE ASSIGNEES OF THE LENDING =
NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE
i.THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT- �, •/ r:,
SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS*DISTANCES SHOWN HEREON FROM PROPERTY LINES ,I �'�� •�•/ �.
M TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC yi1 ,�
SERVICES. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH /411 ..,..'II 41. • -
PROPERTY LINES OR FOR THE ERECTION OF FENCES ••ml�' "
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