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Home My WebLink AboutBrigham 6 ) I) • J,- , i��cP . WI `i Town Hall, 53095 Main Road f 1 P.O. Box 1179 ; Iii, ®e® ,ss22 *kci Southold, New York 11971 JUDITH T.TERRY ��, `2s _fJ TELEPHONE *�"TOWN CLERK ' (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3562-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner BRIGHAM, CHARLES AND SUSAN Mailing Address 1 215 PIERCE DRIVE Mailing Address 2 City St Zip CUTCHOGUE NY 11935-0000 Property Address 1 215 PIERCE DRIVE Property Address 2 City St Zip CUTCHOGUE NY 11935-0000 Owner Telephone No. 516-734-4106 Tax Map No. section 136.00 block 1 lot 11 .001 Cross Street HARBOR LANE Issue Date: 12/17/96 Judith T. Terry Southold Town Clerk (TOWN SEAL) r. t4P113 i rem 0. OFFICE OF THE TOWN CLERK �C31Fair -�y��p Town of Southold �� ea " Application No. 3' Judith T. Terry, Town Clerk Town Hall, 53095 Main Road a $10.00 - Residential P. O. Box 1179 cn ' •'' w �� $25.00 - Non-Residential Southold, New York 11971 0 �` f . .. _ .,tO� Telephone 4/4 (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE, OWNER NAME: CkOKt€-c, V ¼)-5OSV-\ egh; \Iva,sn'‘ OWNER MAILING ADDRESS: �\ 5 v iY"N!'e- , OWNER PROPERTY ADDRESS: et_S OWNER TELEPHONE NUMBER: c73 '^ L1- 10G TAX MAP NO. : Section k`3<© Block 01, Lot 01 1 ,001 CROSS STREET: 14014Z-1 301R-, LA jg TYPE OF SYSTEM: Septic Tank New Existing Cesspool New Existing X 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.) ArA1151111P Signature of Applica' t RECEIVED BY: NI Town Clerk's ffice DATE: / ;(a /Q5 • VA-C_, AINi 1- , ,,1--f tri_.,,i,, of ,, , L---77f G.A. & P.L. Brown N/F E. & F. Acquisto 1.1 111 LLLL \0 N_73°21'10" E f % 175.00'?, L...3•):!... FOUND IRON'••-. ° r �OC) F FOUND t p D se / CONC MON O p PIPE u , �j •. V9 O y i ry:-- 1 •--'7Qz tr p. 57 .� 56 55 �4��54 X 53 w• �2- -._.. 51 50 49 M ' Cc E--,(AS-71N6 /� �-- 539' I _�0 - _.55POOL5 ` 58 `s.------p- Puts}�F't-L1.../A 44-uAn'-f 01,6 l w w F1'PS i t('S�.3P=`c.f a m I CONC PATIO 44 1425' ' WITH AWNIN LOTS f CELL ENT 0 59 I I t 5494' E� 1i' 277 FILED Mo > 1 STORY FRAME 51' a DWELLING LS) TOWN �.-} \ _ O 110' 50' 11T I O SUFFC L� \ 60 M 154' M zo 1 IN. _ z 11 b c4 m RESET I ! GUAR: 13000' ' IRON PIPE Y SET NAIL IN BASE S 73°21'10" W 175 00' CHART OF BROKEN MON SUSAI• NORT. � /a ;�. TICOF , irf`; / �"�, 1PIEI2,CE I 1 IVE ( -:(?�. ,,...-'•;-;,, (50'WIDE PAVED) JSM� ,' D 9 , • r r S-SM '`� I �,.. I • - i i PAL'