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HomeMy WebLinkAboutBuchak OFFICE OF THE TOWN CLERK • Fe Town of Southold , �� � C�y Judith T. Terry, Town Clerk ; , Town Hall, . 53095 Main Road nth .x P. O. Box 1179 C1 nr rrl Southold, New York 11971 Q ® µ''"'� '`o `" O , ff"• Telephone 0j glt (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 434 Residential x Non-Residential - Fee $ 10.00 • Septic Cesspool x NAME OF OWNER: Edward Buchak OWNER MAILING ADDRESS: 2700 Beebe Drive Cutchogue, New York 11935 OWNER PROPERTY ADDRESS: 2700 Beebe Drive Cutchogue, New York OWNER TELEPHONE NUMBER: 516-734-6527 TAX MAP NO. : Section 103 Block 3 Lot 13 CROSS STREET: Emory Road TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New Existing x Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: April 1986 a4r41'1.-4;1 .-1 r- T nYY;yr Southold Town Clerk DATE: September 1987 (TOWN SEAL) OFFICE OF THE TOWN CLERK 8C.s Town of Southold �Q ri Cr , Application No. Judith T. Terry, Town Clerk 1 Town Hall, 53095 Main Road s. .4 Residential al P. O. Box 1179 �' Yi �' Non-Residential Southold, New York 11971 O ®Telephone _( 'Or/ (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION Cur OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ DATE „L=1'<, 73/4 7 OWNER NAME: %r w iqcj OWNER MAILING ADDRESS: ;- r ,lif) e / G' 6 vr/ M - f 1j,3 OWNER PROPERTY ADDRESS: OWNER TELEPHONE NUMBER: 73c/40-7 TAX MAP NO. : Section f® Block 3 Lot / 3 CROSS STREET: 0/e k , a9I TYPE OF SYSTEM: Septic Tank _New ,,, Existing `` Cesspool X New Existing Residential Non-Residential -- DATE OF PREVIOUS PUMP-OUT: ,f. : -- ?7 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: RIMEDTown Clerk's Office DATE: S _P1 o 1_ Town Mork Southold . . 1-- • _ . .' : . „ . ,.. - . . ql- \•" '. . . ' . , . . „ , ., _ ,_ .• . . , . . .. .. • p7,....„-, 4 •, . 1 1 • , , ._ . . ,• . .: . .. _ 0 ,;•••• , • .1 -,..,• , , _ • .,. . ., . . .. , . • , ,, .. .f ., • ---_-.,-...,, , , , •„„ -- - • , f-, . •„ , I „,...1., . . % • .z „, - i. - ••- • • --- -:,.• .1 ,14) u, •,) . YV i / .5 o r? '7- LA h i / — / _ _ , _ , ., • . , . . - \ ‘34 i . . ., :; . i: -:,, .;',-.-."-.,i, .": _• .• ';,.. . • I fr) Z 'fl , . , ,. , 1/2 - .,, .._.,. F---------k—L A . -• ,1-,:i• k, -z••• ,•:', , . . . ••1 ___-- , 1/ '•• -„:, o C4 . ' . ,-)'i 0 .• 1,- - rz o -,-•,•';.,,,',1, ,,:t ',,' 7-,i ' . /00' ..7 ._ - : 8 9° 3 4/3o" In/ ic-5-O.Oa , 1. ...-t. ,... N.8 9°3'PT --3 0''E•.`42, ___,10-o.to ..,,rttc:. --- . .- _1, 1:_s- -.!:‘:`-','::-it:i•A..)>\ % „ -be-- ',1;_ i-e-c-C7 775' 9; 1 - Ls , e7 .. .-,'`''-',-!'"-.. ....t, r.-,- ,•: r.-,',,. • i,,)_, v,6 ki --c s ---:---f;_,„„v.\-!-,,,,k „ . -- -,:l. d:: ,.3 . t ._ co -• ,t • , ......._ ......i. -4:s .'" ,,,:.-". ' ' -: "•*,,Z- -.17:45-_-= ,--- . ,__ _.; ..,, .....r- _ 7.7.,..-r„, ( % .5". 3 c'3 '.46'"' . zso-uo tzi '.'. .,, ., , 1 1' l•, .. t: I i --' ''''- •Z ', „,''--.4•':,:-:.,.A,.,,,V,i„,r,-• '- 'Ii,1 - ; fq F- L--. ---, -,i,--- .,, - 7 ' 0 ' ` -' , \ \‘ i: UVeYED IOR -• - i, ii•' ..3..T.-,j.,'`.-i;.. '. •'.' -' .!'''; .1 I ' I 1.14 0 RY 1 F?.14. L 1.)C /L.L E.R TU 77 ILL , yi ,..',., l Y., r ,c1 7- - II' 1 . . , • "A • 1: • E--- 1 1 5T C U 7—Cf-40 G ciE p,j Si/ F-0 LK COUNT-y, Al ).-',- , . ,.:-„-•ij-;,-,.. • , , , 1 14 --,,.-',-;',-.e,:!-,,;• -. t __ • , • F.,::, t) .___j_ -.e 'Goarapteec/ le, The FfiY e GiAlarc rtre - - 5- •c7 le /0o'---= //' i COrnpany- and /-o Me1.5-o4iMoic i Sati/r7y..5- [ .'1 _, t.4 Sank as,s-arveyed 7. /6; 196-0 ... .-, 1 ':,-.::::::. v. Oita' W V‘st7 77.i 1 So ri 1; eq. ' ,11 ' C4..---1• • ,,,,;';',, 9b ' : ' ia>r.- n4 z..4 ..,,,,,1,4/ 1 ,, et z_- Licens-e•d'2.40/7(/...5-LiCvey.Fr.s 1 . . , -.. .„ 4c, 'Cr-c- ii,00rt, TV.Y. ;I, - , '2.7--",,Pr7 /c7 Re 3..., • e.' f ,-.',.-.. •