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HomeMy WebLinkAboutBrooks OFFICE OF THE TOWN CLERK c�FFOCke Town of Southold4# 1011/1,11. 4k *-� �G Judith T. Terry, Town Clerk % f l ,1. Town Hall, 53095 Main Road P. 0. Box 1179 ^ c=If •. Southold, New York 11971 ® • Telephone 01 7t %N°- • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 391 Residential X Fee $ 10.00 Non-Residential Septic Cesspool X NAME OF OWNER: Patricia Brooks OWNER MAILING ADDRESS: P.O. Box 163 - Peconic, New York 11958 OWNER PROPERTY ADDRESS: Smith Road - Peconic, New York OWNER TELEPHONE NUMBER: 203-637-7146 TAX MAP NO. : Section 98 Block 4 Lot 19.1 CROSS STREET: Indian Neck Lane TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New Existing X Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: Unknown - Judith T. Terr Southold Town Clerk DATE: August 10, 1987 (TOWN SEAL) CI, If /I. OFFICE OF THE TOWN CLERK C,�FF�(�'•'- Town of Southold Q ,kCQ '; Application Nor ?/ Judith T. Terry, Town Clerk ' Residential Town Hall, 53095 Main Road ,7 P. O. Box 1179 '" i ; Non-Residential Southold, New York 11971 O ;Q. g�• Telephone '� (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. " 7 Fee $ [O•i DATE 7 /tct it 7 OWNER NAME: PP,�‘(t-‘,c.t i X0`0 OWNER MAILING ADDRESS: v 4" \ �3 OWNER PROPERTY ADDRESS: .S",tvt% t OWNER TELEPHONE NUMBER: -2-e) — 71 �d TAX MAP NO. : Section qk Block Lot /9, l CROSS STREET: ,i v`'&c- ,,& TYPE OF SYSTEM: Septic Tank New ` a i Cesspool New 7 Existing) Residentia Non-Residential DATE OF PREVIOUS PUMP-OUT: ro3r 1rrvswc.�_ 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.) U Signature of Applicant RECEIVED BY:41,_ i __ r� -o Cr ice DATE: AUG 1 ® 1987 Town Clerk Southold LOT 34 • ' t t) `'v` t - 4iglrf - 1 \ tb M54°0-re.--4,43,0 . / . /; • i �T'S� �"'1 fence In.Kiafe ,/ // ofI 1 / �. /` .9',;?,:.' • , • ��Q�ulc toCCeC�- of ` Q Ps ' ,' ti • f - ' .. '" .- ' MAP. Or Pr OE2TY I rv.�•3,•6�E. . h' , , :60 `w r51a-- xF • . 12� a - � , • • , - - - , • ,,. ; _ �y., / ., .J,,- =A"l'; •;-,•'•':'..-';,,- ' • • • ra. i.t�x�e tlieee 1 - t, ., _ :x, . ; • • ,t4l:Y. lV ` yt : •: .l.•1.1 O Paecet/ logo-•......,...:. i --2I - ' ., _f 7' •,_ • •�. �'f.ga} •''t,' '.. - •-: ., /t r . •:•`..1-1':-..,.--.:!;'; y ,_ m1 V` '• • ;; ' • ` • • t' _' • '..•••••,.'1,-- , ••, /< • ,'3 • ---:'-"----•••••• _V -� • X � ai • • ;, rf. ' � c ''J i . •.'•.'•:r.; -..',:•,°,:.'„''Z '' '~' •-0 !iron , �... ...'-.1!-.i.-.;1:.- �,• 'i.▪ ;',..:,‘,...:44-.:1,:::,:-A.,4, 4,-,,,,,s•k t i -i,r,..l i,ko, ..,; t_i_t .t 'r ...;;;;;I- ._'4,I,L:.y x,.4.1. t• , .�...IG.;4.k4;;,.7.,,.";4!:.•t:'.-z:,-:-„..14;•!;.,..7;••"_,L,' • ! . C.• -‘1-, `, .,.�• _ Lnl i!' • Q.' • • • - k ▪ `!. �.`• ,7 f;'•)'r,�t ::st-{, ; tt is _ r: Y Y 4',Q-„ttti` • ..`. .. 1 I 1.-'r: '.• ''•` :r' • r K 't'_ _. • ;' ;`. {{ �1 ; • b, `:"!i;• ",- c�t�'f�'1 ;: =lttydl(4TN�r le+r '^ r+�:, �. f/i r: i = 1 _'' • {{�,_:,...1. .a•••• i Ai, - ' 7 ' °_• is'r'�,; y".�' CJ( ;4ro1[�t'��NS ,Q j,.e `• _ `, r _ S!��,� 1-+. •1 '. ••G 1 �' T•;-• tt',�t• ''• -,- '}l 7�- . •jr (fir b • fes.• - �1•,t •i:.:Y .dYy:,,.'1•s i�tl;l'n--,f,,5,t..,:..-- -. .-;+;�ly Jf_• .-... ,f', �-r v.,.` .��•-.. %° Y 'y ,� •1 a' - • .' • ' ',• ,., -fr,; Y. _ , :l hi-Te mo -•x9532 - i :•• i _33, as ' • ,r-'.• •• :...• ''-::...-?-•;. ', uctrdrtf fid' ' -hhe'' -• •- • • • `1 i{cd.. ...,1;W� ''- ".;, -,,,. . • , • a s •.j. c'ecl•..,Gu! (t,1977 . ,-a " ��, , '',,,..,. .. �. If.A.. •,, ' ' ' ' _ d • ;?: