Loading...
HomeMy WebLinkAboutVan mater SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3400-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner VAN METER, BARBARA W. Mailing Address 1 135 OPECHEE AVENUE Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 135 OPECHEE AVENUE Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-765-2931 Tax Map No. section 87.00 block 3 lot 24.000 Cross Street OSSEO AVENUE Issue Date: 10/23/95 Judith T. Terry Southold Town Clerk (TOWN SEAL) • OFFICE -0F THE TOWN CLERK cOFO.Ur Town of Southold �� (4% Application No. 14D Judith T. Terry, Town Clerk .` y Town Hall, 53095 Main Road $10.00 - Residential V P. 0. Box 1179 cry ; $25.00 - Non-Residential Southold, New York 11971 O` 0*.$ Telephone �.(; ' Y' (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE /6/11/if OWNER NAME: 13/109/64 OWNER MAILING ADDRESS: 13S Perr46z-- 4✓c (fund-epi ;c,, IV OWNER PROPERTY ADDRESS: Set/'^^-k OWNER TELEPHONE NUMBER: '"MC-2-613 I gLot TAX MAP NO. : Section Block CROSS STREET: U' SSG ) TYPE OF SYSTEM: Septic Tank " New Existing b Cesspool New Existing Residential Non-Residential 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.) 734 - Signature, of Applicant RECEIVED BY: l4 C - - Town''Clerk''s` Office ' DATE: l�'��Q� �j ,.• Y at r'? Cr. _ - - v ( Vti(i 1 • • x,54; ,1`.'(i,,•-:, 'i • - . ,5. _ . , . "� .. ' ' lir ' • %` rn';Ire '0 r .. • L;. ., + - P ` I a L`_ .e- ���il.'-Ili,' _ , ll`` `l,•,k;i 1 1 `FBF 417::2', ,_ ' ? I�/he' 11 — V I , �,r - ' Ft' 'i-f`'t f!ka .'�&,_-.' - I , .\G' •„4J.-!E ��S� \ I _ t;Y r, r Y krit - --, ,i, Pk„,...,,,„,,-, , - , .,._. ,_..,,, ,„ Z:- 1,'',.',//?.:+-77,7-1'..7,7c• ,mit- ' , •,t '1 0, (_ , ' 't A /3' ' Nil 1 t ' ” C;477,--- k-,-.'",'+'-,-'7'• '''''''-'7-' '' -- .' ' ' - �, tp.o..- -., l,` 7 i I _ 20 ( r ' SM -?.,::-.: _,11...-,;r-' . 0 r'' ; �� / Q hrt�G , •V `".:e ift roti" '�I - z_, te ' ` _ i (j"'^' ' r , ''''•••4: ' - ®E444e� , i';.'''''! '/ • 'fix -.t,•,.,`''.f,, _ - , , I ,r'« _ , 'x-- : :-;6..,�.a .. 4, ;ie _ 'I , ' •5., , ;: 7INT/,19Nyl'W.Zevi4N09W014/ 4Ac�290 v-.500,,s zg.,'uo,4x,r Coavr)�'/.Y RGti. x �8 , ° ' • ,'•F;a•_-=_ '`: ' - J�DUTNOGON, Y. //97/ a ='1. gTx ,e, '"S ; C'Al %!fir:; , ,, Tiwe/ -BT-ate-c-4/ ' , '