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HomeMy WebLinkAboutOwen OFFICE OF THE TOWN CLERK • l' Town of Southold �� ��,;> �lj Judith T. Terry, Town Clerk 4� t�: Town Hall, '53095 Main Road P. O. Box 1179 , Southold, New York 11971 O ;?: ��- . e Telephon .( N� (516) 765-1801 TOWN OF' SOUTHOLD SOUTHOLD WASTEWATER, DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 157 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X NAME OF OWNER: Peter B. Owen OWNER MAILING ADDRESS: 210-22 33 Road Bayside, New York 11361 OWNER PROPERTY ADDRESS: 1675 Cedar Beach Road Southold, New YOrk 11971 OWNER TELEPHONE NUMBER: 718-225-6287 TAX MAP NO. : Section 89 Block 1 Lot 6 CROSS STREET: Bayview Avenue TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New Existing X Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: Unknown Judith T. Terr Southold Town Clerk DATE: November 28, 1986 (TOWN SEAL) - { ` f ,,A O. /Ii II OFFICE OF THE TOWN CLERK - ' 4WFO(,r -- Town Town of Southold CDG Application No. A� Judith T. Terry, Town Clerk % ' Town Hall, 53095 Main Roadr, 4t Residential P. O. Box 1179 �y � .` Non-Residential Southold, New York 11971 O •` Telephone ®1 [ 0;° (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No.- 4f o. 7:57 Fee $ // )—OWNDATE )).-- OWNER ER NAME: Peter , © tp OWNER MAILING ADDRESS: •:2110 - a a. 33k Bei s ;4E0 , ivy i l 3 g / ,�/ OWNER PROPERTY ADDRESS : d b 75 Ce d o r $0A CA R Q a y S c t_7` J o / G€f A) OWNER TELEPHONE NUMBER: (7J ') c S— C o 6 0 v0.DM/4T AX MAP NO. : Section ?goo Block J 0 O Lott) O‘, CROSS STREET: 13A1/ v ;caw i9lien i e TYPE OF SYSTEM: Septic Tank New Existing Cesspool ti/ New Existing Residential Vc 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: i,- . 41# own Cl 's Offi.'e NECRIVRt DATE: NOV 24 Tom Cleth Southold . ,----,, . ..,, r t6 - 1' 1 - - - - 5-E-)6- 52 .2..0 E_.. . 138.72 ) ` _ sUn /E?E -FOaf , —.‘r---- .-11-`...‘...E, 2 0 ,...) ...,, 1 . '-_---T--T2AVELED 20AD\n/AY - -- O . _ - ---- - Lv . _ 8. ._ 8 • mia -SCALE: 50-i- . F I u ' GL Ni4fr .�'1 Ems". w �\ aL)F CC.`r ,YHAP .Ic't D-Q89-.1-6 , � � ; � � �Cr) � �U,y ��` . a;,�THORI&ID ALItRAiIUC us AttlnIOO • ' flay - 1 , LO IRIS suRVEYY ISA VIOLATION Of t �' ''' ,' ° /�S "f" `' ItEZ71ON 7Y09 OF THE NEW YORK�TAT! t tM' 3 �y � r * 's {� ��- ti�+ I11 �l�AT10N LAW. ` 1 �t L�'�A it4f,', �{LEI N.J��'i 1+I Cr- Q71ES OF THIS SURVEY MAP NOT HARING y �7�/�~ /� •e, • _ ___ -4�- I,n ,INE ,AND SURVEYOR'S MID SEAL ORS \ LS.t•.•c ICJ'f c 5,DE.F .��:- � k.,71• 2 �--pOG.;4Q - r • 0130SSED SEAL SHALL NOT RE CONSIDERED _ - _ t 19}E A VALID TRUE COPY. y\\ - SMEC7• , C. '. SLA4CiCXQP _� IAV QIRRANTEES INDICATED HEREON SMALL _ - �� - OILY TO THE-PERSON FOR WHOM THE E\ Q• ui _ �-/� �P� t U. 5{� S'PJ�PARED, AND ON ISIS BEHALF TO TFIE .�� IJjLE COMPANY, GOVERNMENTAL AGENCY . ^�� (ttduWG INSTITUTION LISTED 1 INGi NW ' •�,! ` -\' Co IkIE ASSIGNEES T OF THE lOT TB INS/1.• ��0t4 GUARANTERS ARE NOT TRAM NERABI `t • N .48' —�- ' E ADDiTIOt4.L INsnru IOt. of suBSFouF • • g ' ,3; 'd • - U ' AN.;EE T�1_Tt E=Ow.k E2- ;o THE TTL r •-:'.."�..._____..� - G UAIPA TEE.' O:� - i'S; _�FE� 'fiA-t. '1t JG .s � �,LQ 15.41 _1 _� ;ioAt�t a��w :. :i�s5u2E ;`.�=';;:3r��. ;_t98 .. Ir _ -. - '\- o ,ti 'S pe ,_ - `4. ` rr._tt , .•p7k . - -,r,!„',�,� _'a” `�.�..+'7, r ••1 'S. - - - •ti fi\ '7 - •,I' l••.- tr - •, j�° •z' - - �-:, a -'i. ' , ^5',-'f',';'..-',;...z,:;" -1-'''N"-JR-':i rd+a, • - •• '-r s;,:.'`.;',-.4.---- - - . _..__, .. ... _.._ ,_-•..—_,.a':e. f_a.. _ ...-4.,...:. ,_ _- .._.1:.. .>,..., -.-v .;st ;,..;--:.,s,......'7.•:-.'4.. ,,i`(. ..,''',.".-L.. 1-: . l hT�,/1;:.--_-t. :..,. - ' &..,',:::-11,._...-.,s.i_:c ,a.1'- '.,-!'....-.:.:.1-'-- , -