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HomeMy WebLinkAboutVerwayen 01/#- 41 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 3511 • JUDITH T.TERRY ®`� .. i0° TELEPHONE TOWN CLERK (516) 765-1801 REGISTRAR OF VITAL S FATISTICS OFFICE OF THE TOWN CLERIC TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK, or CESSPOOL Operation Permit No. 828-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner VERWAYEN, JOSEPH J. AND DORIS Mailing Address 1 P. O. BOX 1840 Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 2750 GLENN ROAD Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-765-4331 Tax Map No. section 78. 00 block 2 lot 42.000 Cross Street SLEEPY HOLLOW LANE Date Of Last Pump Out 0/00/00 Issue Date: 9/13/88 Judith T. Terry Southold Town Clerk (TOWN SEAL) 4 OFFICE OF THE TOWN CLERK " •0�FFO r/ Town of Southold Application No. ��6 Judith T. Terry, Town Clerk a »44 Town Hall, 53095 Main Roadx,:-« " f'.vResidential X _ P. O. Box 1179 �F�3 `' MJ Non-Residential Southold, New York 11971 O"leicig(L'-'4‘-%0"°" ei , - - • Telephone • � (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 7 Fee $ /e) 2" • DATE SV-(' , lJ /93 . OWNER NAME: >-P p� o7— - . A -c5iee/X PE'ie //iis:tr/ OWNER MAILING ADDRESS: (:om, 45e),X_ /d / .sem 6' J/c ,) , At ,./, //9 7 / OWNER PROPERTY ADDRESS: .�71' 4., __, -__,,/,..„0..,./ i? / OWNER TELEPHONE NUMBER: \('/6 rye, V_3 .1 j { TAX MAP NO. : Section O 7 Block -£i Lot al CROSS STREET: .t, 4 . S'L, • _ Jr h.) G TYPE OF SYSTEM: Septic Tank 17 New / Existing Cesspool New Existing Residential !, Non-Residential DATE OF PREVIOUS PUMP-OUT: ,,1/7/- 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.) ,,,,J / nae of Applicant RECEIVED BY: 00----c. _ Town CI rk's Off'ce RECEIVED DATE: S EP 1 3 1986 Town MTN S. 'CM -4 .-,- 1' i . .,- - . • . „ - - - - ,- -- - -SUFFOLK'CO- HEALTH DEPT-. APPROVAL -, --':- -`• I, --,-`.-.•-•!!' -• -;:-.; `.:- -.- -' •-.. _ -. „.: --: - ' 't - :' -- , - •- -..---. ' N : -:--•'.•-• - .;-- - • - --....---.•':- - ,..,'..‘.:,.--f-•-:-,--.-„,, - k . - • H. S. NO.-87-5CF':2321--------=-:-------: . - p- .... - ..-----.. .....--',.:-,-..--:---:----,... - ;• • _ - „ , _ - •, . - - • --. . ,•_. •: • - ,,,,,----,, . ,,, .: . •_ . . . • _ .. . . - .., _. . •- - • _ , ._.i._ ,, -' , --- -.....:-';'' " --- • :-',7 1\:,;1.-cp-'•-:- #0C-..".- r)O P F-- i27. - - - .. , - - -- - -•-•• -,- -,- - - ' . • . -- --- - - •. vAcAtrr.,_...- , - t: -., ___-. . _ -..-:-.. ,..,.. _ , _,,, ,.- .,„,,,,,,,.• .._,.. .,.......„1,- • . t--- -----.,--,-.:,-.-- ..',- - - = , .-- ----. .•- ..--.--'-' 1-,AADINER'S BAY CONSTRUCTION CO. _. , _7'-: . . . - ,-._ _ - , ., , ' - _-_,...___—_, • ,, , : . , ---; ,. -e 51.,:ini-t,,/,-;..y ED rote.:.. .., i , . -,. . • , -, . _ ,,, ... . „ •„ , - ,,, , ,,,,..) P. O. BOX 604 11965 . _ \ • _ . . , • _ -- -_. - . ,... .,i.-..,)..F -. .. , s , . .- ii""":• -‘ ' ---irr,,v. ,1..-._._ : (516) 749-0182 _ Lk .) - 0 v I - STATEMENT INTENT . _ .. . . „ . - THE WATER SUPPLY AND SEWAGE DISPOSAL .. •-•:,_ • 0,,,,.__ -\ . . - . . _....._ , . ' - ' - • . . - . _ . , AT - - SYSTEMS FOR THIS- RESIDENCE WILL , - ,c,;., . , , - ,, _- . . • . -, - . - — . „ : C(N-, ) ' _ ,._ - . . , .----- - \ ._,_ ., . . . . ' • CONFORM TO THE STANDARDS OF THE . „ _. _ , ., .,-zat_EF,N-N-- - ..--,....•,.174-...1.,AD'_---...---.--..-- 'ip, -:.,. . . -, - • - - - '.:-.; '- . , SUFFOLK CO. I,PT. :p• TH SERVICES. • „...,,,:. ....., ,_ ,,,,,, • .... ----'-' - ' -- ' -- - - APPL1C 4. T • - ' , ..-- , 611'i. "‘.Fie cid Cd1 E.: • - - ^''- : \ ' - •' \ -: ” '-(': ,..„..,- - ..\ 'i ,-'-' - ',---- y;--:---2.: i - .,- -- , , • . .. • t ' - i. _ -..\ _ -,.. , ... . . , • , . . , , N . . SUFFOLK COUNTY- DEPT. OF HEALTH -, -v• \--3-' ' '2' \ '''''• ' -?.6't.-- - -. : ' - - '-`-- \. , 1,--• . . _ - . .. -- . 1 . . . . \ .. , - ,---t-til - ' - C '. A .. _ . • SERVICES - FOR APPROVAL OF . . ..__ . .,..,_ • -.1..z ,45,, .. , 'A-v ,,-, . ... -,..• -4r-' \'' .1-- ' - " ' . \ : -‹ _ • - ,r:/ _ - - .. • - -. • . CONSTRUCTION ONLY • _ - --- -r‘ • . _ •-,.. „, : .. ', - . .• - DATE; ' ' - ' - ---_-_ - - -\ - - .:- '.. .:=------ - ,- ,• .-.A' 0=s--4_ :. ' - ' C'.-..-- '-' -- - . . /....,.., ,,' \ - ...—. .. „ . '-,,e- /A'-1( :4:e\ KV-- -s' -,' -' - '..--- - ''----- - • - - --- .- , '..i.\\:.„:1\'`.,) *,.`,.....," - • ' H.-S. REF. NO.: 67- -:---5a: -----:::--- --- - , __ ., -it.- y -----%--- 1 i-•-• k ,-,- ---•-- - ---- - ,- ,-- -;`,- - - ,'-- ' - - A . - APPROVED: . . ' •lig', ,fP'• ; :- \-L1' 1-• ',0',' ' • - - - . - * . '16,14.*; , ..41:4__4".',..,•,!ti -, - -,--. 51t11 -' ' -. . „ . , „ , -'>? ' : :: -: - ',- ' - ...'74-.. 4.. :,,.:\ •.• - , . - - •.,4 -‘ -Crti.-1: 1.....:.„, • , _. , - - \ - .. --. .... , , ,- .. _ . - . • ..(..-e3::,A-- - :. ,. - . .-:t, - " . - _.„„,#* --- - ' - , - , . ,, :-.` -, '.-•.. .,- , ,SUFFOLK,C0 TAX MAP DESIGNATION: -.I 4-S4. ---,. - ,,,,‘,, -. :BLOCK - - PCL: .-- . -- <2< — f% ''4, ')‘ , . , . . , _. - - - ..-- -- - . - ...-c; y:-- - % ., 0-. - -_ - • - \ ' '-go- , ., q,C ct) -:1-'.! - - - DIST: , .- - 'SECT. , ,, -. \____43.; _A.-., ' ,00-: : . -.--. -0 ,', _ . -- , ... . -,. • • '\-- %(c, -- - - . : ..--. „___-...-......9.7,a ...-1.--_-.1.7._._--z:::-_-_-•-•-__:-.,...--142.--.,, - _ - - 1.9, - __ ..;,:t•, - ...-. - .--' , ,-• .,\ - • - - -- .. . 1-•-\.-- - --.:- - :-/-2,0•-%- , 3,..\, ,,, • . ,,,,,,-.54..-..: : _., , ,_ _ . \ __ _.... . : . ,. ,., • _ . .•• , , _ . _ ... _ . : - ,. ___ c-,.. ...A$ • _.•. . . 9WNERS ADDRESS: ' - • - - .-.0 . - , . ., v - --- -, . . • \ ' - < - ' ,• ‘, - . -- _ - • „c, r:-. 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