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Home My WebLink AboutWorth z OFFICE OF THE TOWN CLERK • • FQ ' Town of Southold ��- • , Cj Judith T. Terry, Town Clerk � . '' _ L" Town Hall, 53095 Main Road g P. O. Box 1179 _ :;:'; �• Southold, New York 11971 p ' • Telephone 01 iNg= (516) 765-1801 • TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT • OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 316 Residential Non-Residential Fee $ 10.00 Septic Cesspool X NAME OF OWNER: Worth Enterprises Inc. OWNER MAILING ADDRESS: P.O. Box 508 ; East Marion, New York 11939 • OWNER PROPERTY ADDRESS: Rabbit Lane East Marion, New York OWNER TELEPHONE NUMBER: 516-477-2402 TAX MAP NO. : Section 31 Block 17 Lot 20 • CROSS STREET: Bay Avenue TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New X - Existing Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: N/A Judith T. Terr Southold Town Clerk DATE: :lune 29, 1987 (TOWN SEAL) 90, OFFICE OF THE TOWN CLERK cwFFO(,r Town of Southold , • • ". CQG Application NoL9'`6 Judith T. Terry, Town Clerk "= _ _` y Town Hall, 53095 Main Road Residential P. O. Box 1179 cs3 = _r. ' �� Non-Residential Southold, New York 11971 OY y; ��1`, Telephone0.( Are l� 1'.' (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit Not_3//, Fee $ /o DATE OWNER NAME: OWNER MAILING ADDRESS: go--)z - C St's 2,: Y"i-)/"liti >r NI/ V / OWNER PROPERTY ADDRESS: /?2Z- .6-2s ar t Po•r , ,1(/ V //9 3 9 OWNER TELEPHONE NUMBER: 2y.4 2 TAX MAP NO. : Section 3 1 Block /? Lot 2 p CROSS STREET: l3-4. 7 Av e7 TYPE OF SYSTEM: Septic Tank fr/ New ✓ Existing Cesspool New v Existing Residential Iz 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: ,t, Clerk' Office RECERIVI DATE: JUN 26 1981 Town Cie( Southold i . ------- , - .... -,- , 1.•-,, '',' - ' - , . ...._. ..,,„ .„ _ ,e' • —--------——._, .....,________,r/7. ....., ' ,-I'- ••`, ". . - •• . - , , I 4-4 , ., _ ._ i• - , , , i.! r . , , ('.7...) ,.• : --...„...__. -_,......... • .' - - . . ... . /4':t•‘. •4,-, -• ' ;--- •'',), • 11 h ,• /, s •••••-•-••••••,....„ c • ., • ,' p.. , , , .__ ., e H — - - „ - T . . (..1 2 , , _ . 2 0. _-_-__-__--- I.:MI S.. 5 LI, ...-:.. _ N '• ---. : ;I l 1- 1 . 1 I I o .., ,... , ' i d .rop. 1 CZ)k -.t :,; r• ! ...-, -_-, t•• 10• - . •.::`,7''''' ,' -1)„.. 0 sSi y, . () ,. ,•,,, . , ‘.-., '::,,..,', • , 02 : f-1-1 2, kb. -.D.___ . .,_...1 o . . ..... • ,_., Ir-'\ I 'C's AN . It (-1 •-........ , • • f 1, .7* .• • -:,- i - . (•,) . 0\7- (,.) P' con t 4-our 7:i--1.1,,e2 ( 1 Cc) ,:, ,„ • e VA; . , f) i tO - ., 1- 0) ad- - c-c, qi. IS , • Z . ° -- (7-''') . • -1 --- •R-sr * • ti -4(' -r-..,,:: _-Pr------ ,-7:-.."-------...-......, , • :-",,k.-)- fl --';.. 1,c1 •)(7- .. ,-.5. _ .. .... ...... Of.7 • -- ci -.: --- ---- -f ' - --- '.'• ' :. i--,4- --...,.,... •1 .. _ . . • I t,1 ' • •_i_rte _ -- .,-%-.7 ' -------••' ----- - .-....,-- °11 ------- --, • c7J--_..__ . . . _7 • -- - -__ ______--------- _ "'t,:•l''',...:.):-.)....e.i.., • l'•;•''.1,'il', ' ------ '..--- WOrtWr trta iti ___ • i rel.— . 0 11!--1... II I ..--.... . ! o -.t . • -- ' 1 li , ... ; ---.1 ' '• •.• - . ,. :75 • ' -IX_ •.o- gar., . _, k.) o CO ,. . 0 i . A 1 L.. Iti a>. ‘„.: -.S1., e-- " .' '.''': '. ' ', • Lb-i ti 11! , ' il, -•" . l-facize f ,'' i. --I 0 !: sk,1" N.-A 1' ill . z 1 , ' I li 0 i o i c'r 1 ....,,-• ;A-. - • , -------- c4-Pe r v •---ti l'' 1 ,' _ _..—- v/ ,•,,,v.',, • . . 5,,i t --.- -.-•-•- •-- cjif , '„',,,'. . , . r 1 -- . . ......., • 3 . • , -""*"'---- . - i. ' r.7... ' . - -. r) 1 ("-1 E-;- -\ '. r-.: 1......• eeVieCi L 9 1964 l''',:f:',.,,' '''„,,, ' . . • , 4 . . S , ) Sc.)r--k.,'04/f:-.,:.-;' ....)6.-4-.. (5. .-.)••_-_-.,--.. , . _ . I 7 1985 . , RODERICK VAN TUYL. P.C. - ,, ,, ' • 1;•:-'. i".:1....--• ' - - LICENSED LAND SURVEYORS ' GREENPORT NEW YORK 7-Tit-- _______ , ,.. • -------- _. .