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HomeMy WebLinkAboutCannell ' 4 T ,� o ".74. JUDITH T. TERRY ; Town Hall, 53095 Main Road TOWN CLERK t v T P.O. Box 1179 REGISTRAR OF VITAL STATISTICS • Southold, New York 11971 MARRIAGE OFFICER Sip ®. Fax (516) 765-1823 �,y®1 �1D Telephone (516) 765-1801 l OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3108-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New X Existing Name Of Owner CANNELL, STEVEN P. Mailing Address 1 RR 2, 222 LAKESIDE DRIVE Mailing Address 2 City St Zip SOUTH SALEM NY 10590-0000 Property Address 1 215 KOUROS ROAD Property Address 2 City St Zip NEW SUFFOLK NY 11956-0000 Owner Telephone No. 914-533-2244 OO ( Tax Map No. section 117.00 block 6 lot 13.901.1 Cross Street GRATHWOHL ROAD Date Of Last Pump Out 0/00/00 Issue Date: 8/27/93 Judith T. Terry Southold Town Clerk (TOWN SEAL) _ P I° ice.,' OFFICE OF THE TOWN CLERK SWFO(,r = '_ aa Town of Southold DSO re,,-- Application No4//Ot Judith T. Terry, Town Clerk . A )-i0 L� .. 53095 Main Road $10.00 - Residential c/ Town Hall, c w�, WY- �. P. O. Box 1179 v' y y -,., $25.00 - Non-Residential. Southold, New York 11971 O ,, , 0'.$ Telephone 1 '6 • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. _ - - . - Fee $ DATE ,-.G2 4- 73 OWNER NAME: e/j P OiI4 eU c ' OWNER MAILING ADDRESS: gg. 2 Z2-2.- L A Le i 10.L.., -OR_ / / o=00 OWNER PROPERTY ADDRESS: 4:V--1 -Se-- ,1 V ZO ..0 ga ZU-7-17"-CLAI, Ah i 1 ci,,,c6 OWNER TELEPHONE NUMBER: 9/4- 6:3-3 ' 4-4- , j TAX MAP NO. : Section / 1 7.196 Block 6 Lot i S o ®.0© CROSS STREET: 6-k0,4-iki ukoki 1q01 TYPE OF SYSTEM: Septic Tank - New , Existing Cesspool New >/ Existing Residential 1'' Non-Residential DATE OF PREVIOUS PUMP-OUT: A aki . 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.) A # 1° Signature of Applicant RECEIVED BY: Town kttfripc's Office DATE: A41� . i • - s , 100 61-1' sottoti 7 . \ , i •;*% ��' H.�•, sett E1 Fs mcr YEARS o � T?onl- • : Sagn FAVLY c n/14R ci= r .•.,: ',..r..,- .1 SUU1 ) F 1 / l ga:: • ---:.""/--:1‘,'1 %-_r- ' _JI C'''-)NNE-171 (-. STATEMENT OF INTEN ' .7'• _ ' THE WATER SUPPLY AND SEWAG AT I`� , a , SYSTEMS FOR THIS RESIDE I fI�=Vi.c jFFU1_K A 1 T ,�� / E!��C� It � (j CONFORM TO THE STANDA TOWN r1= ;_rCXJT7-IOL_U•1\1.7-• ����v ' SUFFOLK CO T F HE T 0. / (S) .-• JUL S 1993 �-`• `.��..- APPLICANT •••.... t' SUFFOLK COUNTY DEPT. 0 1 elIV ., - ' 'x�? <�_' '_``' =cs S.C. PT.Of - 'ERVICES SERVICES FOR APPRC — M ' /_,.... F. ",4es •"may+^+_r, EALT•+ .; CONSTRUCTI O1J1,.Y .t`+. r=1 s r 8 / 1 ,, <a,..�g :: y .,.;= (, 1993 4.,".,,'• s t:c,�f; i ;a, DATE: .r..0...`,-'� . ,/ H.S.REF.NO.� • • • • r - - • APPROVED" f • - ,1 D. �� \ Area=2�o�298 ts.f. ._ c -'' ,• _.� ,, J �d L v .,• > 5.81'2130'G. - 111.37 I : -t 3 -r • _ . Scale: `- 'a f SUFFOLK'CO.T1{)C�dP DESIG _' 23.1'4o Meadow _ ; — .~ I \ - - 507. DIST. SECT. BLOCK tip'- .•;', - CI rt'IOnu�etn- ;I expR. c,� ,�,/ - ' 1000 117 6 _ _ _ ('t'O1' N • well OWNERS ADDRESS: i z ��� rt �/• r;• r C1>ZS o1 5. CANNEL-C_ f2.P_ 2 ` (n I(Al see lr '-1 222 LAICgc10E O21VE j I• •..--4...• '' •_ 0 / SOC_TN S L ERM N DI f=lSNE2 � I'',_ \/ In i.: CTc�1.914-5. 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