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HomeMy WebLinkAboutWright OFFICE OF THE TOWN CLERK • FQ ' Town of Southold Q�"�F X404 Judith T. Terry, Town Clerk Town Hall, 53095 Main Road ..- P. 0. Box 1179 Southold, New York 11971 \`p � ••� Telephone Ol �� (516) 765-1801 • TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 491 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X_ NAME OF OWNER: Ralph B. Wright OWNER MAILING ADDRESS: - P.O. Box 1197 Southold. New York 11971 ' OWNER PROPERTY ADDRESS: 290 Custer Avenue, Southold, New York OWNER TELEPHONE NUMBER: 516-765-3450 TAX MAP NO. : Section 70 Block R Lot CROSS STREET: Gardiners Lane TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New . Existing X Residential X - Non-Residential - ' DATE OF PREVIOUS, PUMP-OUT: Never previously pumped. • d a Judith T. Terf-'y Southold Town Clerk DATE: November 23, 1987 (TOWN SEAL) OFFICE OF THE TOWN CLERK Cl\VFO(,� _ ` Town of. Southold �� .. CQG Application No. 9 / Judith T. Terry, Town Clerk 1,(f y , � ) Residential Town Hall, 53095 Main Road ,42 - p. O. Box 1179 crs , �` "' " Non-Residential - Southold, New York 11971 � _ fi' Telephone °.( 4 , • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL I , I - Operation Permit No. Fee $ DATE RALPH B. WRIGHT OWNER NAME: 290 CUSTER AVENUE P. O. BOX 1197 - OWNER MAILING ADDRESS: SOUTHOLD, NY 11971-1197 OWNER PROPERTY ADDRESS: OWNER TELEPHONE NUMBER: /ry 1731".4%.34.50 TAX MAP NO. : Section 7Block Lot J/ rrI CROSS STREET: � . - -.. 41 TYPE OF SYSTEM: Septic Tank v"` New Existing V.Cesspool New Existing 'V/ Residential Non-Residential ---- DATE OF PREVIOUS PUMP-OUT: .'7'V,04.A.04ar 'efoistioe, 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.) Sig ture of Applic t RECEIVED BY: 0,-4,441Lov Town C/ rk's Of- ice - DATE: // 2 -Q1e1INElt::" , .•, SUFF. ie ;`:'''7;,:'' .:'=G, i - F• CO, HEALTH DEPT.AePPROVAL' rN,s:'WO; "_ "�- '. '. :'-' R. L -c_x_:_ily &R.1' --' ' :B''''k2O46t.DGVCOAYNt\I77 AVE ;fie '21-2 •I-I ._ • r;t,'i7'4h ;,• - „ ,';,,,,,•;:,-.txrW;• , Yr ,= ' ': ° --`'J. -aRIGo LfSO-PtE • 9 3 • J 3. , , 'T 'f�-,;•:;,.,..:,:!,:!•••;......,',.-:,,•::,:::-,.•;,-',„;•a').,., „ly! ,- ; '�,ti,:j�djy� i�. , „DEED: t•I mF . • '1'"-:” '4®..' VCA T --.4"°- i4t�us 11:-.7.77-77:2_,_. ; .... ,;v:Yr:f''�. '•J ';,- •�, ' ►J,Jr,• ^ r ° w y',S af.,1s�, �y tt - ��,- �• , ai • • ,- � �. I `'~ �l.f ' +''� '. ' .S.Ti S,”' .,.e30:fg7c4 _r';r-. e i' sr. " •, '.r •�1A1y, r •. .:� „SL777 '15 9A. E ., • F: f',,i, + I'' - ' , ,r ' 'y . 'i.':1.,> f +_ i i`• ,, t .- i :SQ it �, o - -:. 'f ":, }'+ ' - 1st ....-'1.�J - _; .^'l , - 'f. s'. -f,,ln''-;_1:{: �{A;• • • .bt ^, , -t• S. T,J b,J'�' ?;r. '9�. 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THE A .R'.SUP a.' • �' } A,,, f _'i _ rl- ''r`• DA'T'E: ., .`F +••.. . :-.•-•:, ,=!,,=='7.‘,'T,",,='•••••-4: 2-•,:',!•==,•;,:=' A bJ` DISPo�,L'SYS'F EM5 ;=A 17 HIg.` Ier :ham •r.• • ,'r�2 il'. I J , • UG ti, , ' , y1, ,. J�'4 E ^• .Ja,!.. , ' _ ^Y s H.yS. I • {�/OLL_ Cdhll�''CIBb ,.3;043 ; ', •, -."t REE. NO.: ' ' ,:t - .Y'f.: ;;: " . .. ..- U. �- •-.b p' ; �z^ �. STANDARDS'OF'SUPPOLK Co.:'D a 4^' 4 ';‘,."'t==.,=•;'�, .`- ', '' ,�' is , v...,",- _t-v `i - ..'. d',�i- f OF'H+Fir►LT9t.''Sf?V1C$S. 7,r^.µ :c ' :Fr : "'Y` "APPROVED:` - `�; ~_' I s. Ra.. I F':'"j tJ'^ - -"'- ,,.,,,,.r.,...�.......,_. s�•, i 7-'1 :r,'- IV ' bj. • „� _ • • f i,•„°^� :�'lP�f'lt„IAS"_ ,•.;,,•.:14,yA,;;; ': r�- , i?. r7a+ a.J