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HomeMy WebLinkAboutBrooks (4) AO? 494-‘ r` Town Hall, 53095 Main Road `ems® • P.O. Box 1179 . � 1` � ��® �!' Southold, New York 11971 JUDITH T.TERRY „ ` , 0- 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. 919-R Residential X Non-Residential Fee $ 10.00 • Septic Cesspool X New Existing X Name Of Owner BROOKS, SUSAN Mailing Address 1 RR 1, 191C WESTPHALIA ROAD Mailing Address 2 City St Zip MATTITUCK NY 11952-0000 Property Address 1 WESTPHALIA ROAD Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 516-298-8377 Tax Map No. section 113.00 block 12 lot 5.000 Cross Street COX NECK ROAD Date Of Last Pump Out 0/00/86 Issue Date: 11/15/88 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK �' - cSFO(,� Town' of Southold O t'G . 917_Town Clerk ' �� �n�y �, • Application No. Judith T. Terry, . ,� Town Hall, 53095 Main Road Residential P. 0. Box 1179 cn ' , :7: % Non-Residential w Southold, New York 11971 O �r � � ��, _ Telephone ( 0 (516) 765-1801 TOWN OF' SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION OPERATION PERMIT - SEPTIC TANK or CESSPOOL aeration Permit No. 9 ) { Le $ / D. 8-0 DATE OWNER NAME: fJ9i) 4-00 OWNER MAILING ADDRESS: /21?-/r/ / 9/ C.-. t , hah/-4-Lim, ,02•L M-/3-7-TIT v0.-c_ LT f ' Lt9 OWNER PROPERTY ADDRESS : (3/3m OWNER TELEPHONE NUMBER: .6,9K- -7 -7 TAX MAP NO. : Section / l 3 Block / .2 Lot S CROSS STREET: C Dr /NJe . A , TYPE OF SYSTEM: Septic Tank New Existing Cesspool New Existing / Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: ` 9 --,4 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.) ak,c5-47.qrsn. a,C?..)f\.9.-"("!,- _ Signature of Applicant c t RECEIVED BY: #� 1 ! , Tower CClleerr s Offi e DATE: ii L 5 1( 1 ,j I. 7 M1 /. 1 1 _ .. I YS ,s,-.1 ' - S, ,. �v.'1 VO,00 I •;` _\'-`O - (+_4. -'- } ' - ' --'' (`;`',,\P,,,.', :""j, `;4'S,s',,,-,,,,,`,=„i.."-.. y ry-. g,ti \\/,;,.-,,4'..1 ,, r�f,J 1, <r;l 0-0 ,{ ,--•,',',--, -',- 'r,' •- N .f,;l; , `L ic 1lV/ � i ,•I i_ .r 11 it :1,.• r4✓,ht u>' _k:, ;_ - • .F • - ,o , ``\ - 4� __t," 'I f. #(-, Tt r , , '1% _ 5in ,Q ii;�•3 „,-,t, .+P I ,' '. . " ..1.' ,i. ,i, ;' ,, _ _ i w Y' _ \ 4' U7'{uN c:5" ,:, PO _ r,...&_,' VU` -i- '1 i ,1 - , , .O \. "I ' 4 •-.'!Y'` r. ' ' ;1 r9 0-;',?.,-"-,-i l',,.--,-•_,--, /-• + „firms - Ji '4,4'. � r. O', s O� :•8'''',,,--)1,•'''-,4-",,':'''''';',`''''''-'--'' ,. - 'p, r i, -,, •-4.,.` ,,,7, it• \ ;f-,''" ;- " \ , ,,te a ..., \` `,;,` ,,,,,, f,„ cow • ,r. ,, :-,-!4,,,,,,,,,,,,"„:,: 1:;4r,....4,',..-,:_,2_,,,',.:--,:":, fir,, :;4 ', �� \ , , +i 1,•- ;'''1 ,^-- 1 , ,W ;rA, f;:, 1 ,7 ., ,,, ,4:;%.:',:',1;,''Y �4. f u r,t" _ ,'i==.-I,' O//��+..,, '\1,.,', °, -rr '4. - 'ae `/, r. •' -,-S,. ` k ,. , ,-, ,lh.„- -;Jt'✓' .,-;5,'m ,15 \ ..--•'KP W1'- + _ „i , - •� ��; , ., �+' - V y.� i•3,o.. kl• , _ f' " - % -Flr,`! t', ' h ,sM, O";.•"%- . \1' �{ ' , '.',,,..-ii._,::-, '`�—"`, _ - 0 O „ i' � .- , ''t' r - J, 'j _ am' Y ec •''Y '� :- - - - .6-,ell,'r'& \k ' - - .. _ - "^„'!--'7,4,,,r-,_,,,,,,,,',..,,,,"-,,,.,:45, „, 41a�' y,,''lYnr`a _ _ , • • •',\`Oi • -1 o� ,-,'rye 'S f ,ry V tt, 'Q U\� t ' -z � __ f 'f"J 1•,T1,',"`"•,{..• -- / V���j ;J•r” •, NOTE. MONUMENT Jr ' - • ' REVISIONS..___..,---„ ,---,•;-" --.-------------7"—:----, ' 1(OU�'G 'Y®UNG 1•. 400 OSTRA`NDER AEF UE, RiVE'RHFAD, NEW YORK HOWARD W• YOUNG YOUNG ') " , _ • _ , -`I • { ALD EN'W- _ , L'nNo SURVEYOR, I„F',ROFI' 41CINAL• ENGINEER AND fj-Y g LIC NO 45693.' ,., 'd,s} .} un,sg r;r'cl-'r'.n,vu+ ..T.,:r.. w LAND 'N,YiS••- NO.,,.1204 ,-- \ ,r, , ^" ^i'. '''"�" F'' ? �,U R V F Y U R L-1 JOSEP H BROOKS f3, SUSAN A. BROOKS'` — — G'UARANTEEDITO: OF CHICAGO "' �• '"" ` I'AT .'- MATTITUCK � , ,� HOINE 71TLE DIVISION ' �'r, __ — I TITLE INSURL�NCE CO,,,, TowN of L JOSEPH SUSAN"A-BROOKS' SOUTHOL'D BY.,-.} - / " FUl_K CO N.Y. � ,' 1*l�r S tJ F -- - =401V DA:',E` V.23 1971'; I ro, 7,1-705 t , S( ALF; III N.- _ ,, �. ::::: � 'i, 1 � :t, ,,,t- ,y.,, ,f+l , •,,,:s,, • ,i ,' ' '}-.„''5'C'i,1h ,r '',c' ',,'," i'` ,` 1 •'' J•` 1'. �!'' {'`! 1` ' .,,\,,,,i,::.., ,, `�'d4`:•,,ii •,", • '7y 1 �;, f ''�+'•'ae; t,r• I, t�° a i, `i,• 'i 'or` {r, I'.,;� rn;, ,l All, I,i .'t 1 ,:' ''"4i 'a1.;.J ,f, F..re."i.,I r„ ,�+ .i,, r4 LL'I#i ,1°. i�, Cs ;,4 ,+, °'1` ',r, - ,l�`,1 i• ' ,, : ''a, �,=t r ik, ,4�y ,,,,d zt'., „ 4 M , �'�; ',{ ,1,.,' .t, `'}`L;i^ -,r' "t' ;�}' ,� . ,".S'r'•'"`.�i ,ia� if. 'r`3' '^rTM ,1, ,r} ,.pf �"' '�1`, •,ti e ,1" _'"j.i �Y{ �`1'`S',,„i� - 'rr, f_ .w ::A•' 1 ,h T Ivk a� 1, •4 daeiefk:iurNck�ics�ai.$�kr� Jw2us`»sm �4i+rwi ea'.wAMr;:erio •i'.itM'i�'kafar;�7iM :;J�1uta�rui;Y,istr,'af, a>)ew�ty}i.t eu. :a, sl im±� l�.,al 'i tNradidYtY2