Loading...
HomeMy WebLinkAboutCarey If flcULk�® ___ JUDITH T. TERRY ►� Town Hall, 53095 Main Road TOWN CLERK ® • P.O. Box 1179 REGISTRAR OF VITAL STATISTICS g �� Southold, New York 11971 MARRIAGE OFFICER � ® Fax��, Fax (516) 765-1823 _'yyO1 _� i Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 2019-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner CAREY, THOMAS Mailing Address 1 P. O. BOX 1530 Mailing Address 2 City St Zip MATTITUCK NY 11952-0000 Property Address 1 150 PARK AVNEUE Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 516-298-4785 Tax Map No. section 123.00 block 7 lot 5.003 Cross Street MARRATOOKA Date Of Last Pump Out 0/00/00 Issue Date: 12/09/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK •C,v�FD(.,r�'= - Town of Southold k.%46.---1._ 'Application No. /19' ' Judith T. ' Terry, Town Clerk , . 4`;',,,i' I :‘1 / Town Hall, 53095 Main Road ,. $10.00 - Residential d/ P. O. Box 1179 to - '�}' h�i , ' $25.00 - Non-Residential Southold, New York 11971 O 0�r Telephone -4). 4-4'-' ��• '�� (516) 765-1801 . TOWN OF SOUTHOLD . SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION r for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. . - ; Fee $ /0 • 0--0 - " ' DATE ;0 -- q a, OWNER NAME: " Ia IU,,. 00„.Q.-ei . , . , . OWNER MAILING ADDRESS: P. Q • p30,, iso trCR4I_ c.� 1R Sr Z OWNER PROPERTY ADDRESS: j 6 PA-k-V 0- ,UV• • 6• OWNER TELEPHONE NUMBER: IC -- J-9 E- (1"7 ?r---- /a3/,, 3 . -- -7 - .5—, • --" -7 -- 5_ , 3 , . TAX MAP NO. : Section Block Lot CROSS STREET: ThfiRaP-rodP/9 TYPE ;OF -SYSTEM: Septic Tank New Existing ' Cesspool New Existing / Residential Non-Residential , , ,- • DATE OF PREVIOUS PUMP-OUT: ' • 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/f . J. Signature o" Applicant • RECEIVED, BY:RECeVE � D . r ... . . • " .. .. .. .. _ . .. .._ .. Town Clerk's ffice - DEt�. -`' 12::-..,- - - ._ -- - __ -.. ..._ - _ . , i - DATE: , Town Clerk Southold , - -S 5 ' • •:�- - - - - - - _ • r. ._ ... - _ - - _ .. --ter •T r'�` rte - - _ Tf r _ x.. f. (�l� �~�' �-ti �:'...S".'S1rJ i� L, j v J{� • :_:,-1-7-'77.--------..: t'r-.."�'�.:! ...moo' - r ^a-!F -� - _ :k• - -= -- _ - - - .- (( w J. •.�_- - " — - - _ - "�^ { - e �4•�.1 'i��•'hy� - - • - _ ▪ � � IC' - - - -- -I [ lits ..,..•/i•fr •fes-• ;� y -i i •_1" f _ -^ 711t Com'- _ G� - - - - -__ _-- 1r?^.__ - _ ; ; �l _t ! �._ }..� y--�•`----• - - - • 1 ., - _ ��YE F �Y�- .. , - -,- J !i'^t. -�- r • "� '-ti •a `- --M�ti _ -1 v }l •S�7 • 1 1....7 i j -7".••-,y �f{ t -4.,--, • ! ! i._s ' -Z•;. * c^�, I. - 1 i ��,J','T 4J 6 ; ...7; may ' - . .G J p., 'L r cT is :^.� ! I l.. j ..... -A.,,,... �_ ._-tit 1,. -_......../?_c...---...—..-,Y - • - i : C;�.I._ :?,tel_ �.ir����.C!.iY- -11:- - ;. _,, L _ i ' - t etc - ��. Z. lf, ►� _s ��_ShTi'-4 T: ty ter : - t---,i_ 1....." .- - - _ - - : - 4.4.,*'. 4,-,..C... r_71'a_ .. - V ir - _.- 1 ` I+ Fi ./� ?kq / i \z4. � ; - - _ = �tP•TT { lj I I * :. _ .7 :::, I . _ _ _ . is I u _ 1_ • LR1ALlT}fOCIZED ALTERATION OR.AP 14- -i"-•'' = r ., ,(.....„,„./- S/ _1 a _ 1._� - - ISF ', •,,- ' _ I SECTION 7209 OF THF NEW Y -, _ 1 -1� I T - _ - - ORJC STA1E "• ) // II I F - EDUCATION LAW. .. .- - `w _ - L _ COPIES OF THIS S111tVEY MAP NOT --Ctii}j - '-. - - - -, w - - - ,t J _.. - r '� " �I'F1E LA`D SL^.V' )P'S _ �N�i" _ _ �7 - V -- -- - _ - _ ✓! - � fMLD SEAL OR - -^ j >•.� , r ' - _ _ :::-.,,_.1,_:„.."-•"1/2:_i_T--:::...._-_,..:44::(::.::-� iWL�S6.0��L °-:•IL E T C LOTSID t.�.= iy• � _- _.,...t. •J�s-.I -._•( ' _S• _ - _ - . .�O -VAL _; A tD TkUE COF�• hT- 74•V� �• _ �IACANTE'3 JNDICATED Y.EEEON SHA1L t" '�c-'..••••••••:.•,./ .`T r�.� - - - �-r7 - i• - - -Z _. .jr..., .��::.F^,". V1'_A- URV - - r- - -. --4i?'�...)_ J.! T`(. _ _�li.��. .- - _ - - - - _15.PCEiATJA.A:,D s _ Gl" z,- - - - C �y-M ti7•+"FIL`_. nALr tL`T' -----.f - - '.L��DeJa.X...-T(TL iCOMPAIiE;,CiOYERNMEhJ7A1 .Y" ;s z. - • _ - _ _ _ . VW Sr1_� _ _To. A'uspizE OFF-na.i iwc-:i= . .- '` ti'_ • • _ - `,-.L,._ __ _ _ r .L-.—,�+-�•-•. ASSIGNFESas,As ENix.N6:1 • =- - - ---i-'.2-, - -:-4'---- - _ -_'"-`.:�-"rr''_=.,,"- '.�✓ir - _ • - ��.'-• '- cx--.:-.2.--:----_ - - - - -- _ - _ NAL-e l 710E N(iT•1'YA r--.... rT w ::t --.-RA. - - - _ •:e'- - - ,t,-.--."--.7-t?- - , .. _,."e. - -���.`Ty: :.?,.-1':-'-'7--^,. - ..'„::7-'-1• _ _ - i. _ -- :- _ - -0�0 ADOLTE2-•- -,♦167py `4 -..._7:7:-:= '..-..-A - _ _ __.-Y-'._:.F_-h}r.• _• - -- _ ▪_ -l'•� l '..-:,•`.."‘-. fes -_ -4-.---:-.Z....!7,---"v` _ - _ ..T.:---_. -. _ __-}_- :.-; - '+6p{�.._ t. - z,:1,1..;:... _ --' _.�--,� r ..F_�• _ -,Y_._ ;; `--i�'r.=-� -,_�-•_ ,t s -_ ti - -',....1.' __- .;a _ i-�5 a `'r ? - - -•tr _ '--",-,..:-=';‘-,n� aG7. - • ;.•.---w•'?� _ _ "" ;ts - 8t...` - � _ �:.�r....r - - .i _� �. ..--_..--.-71.-;•,._-:-..•-•:-.:..' _ ri.E:- •.1.. •;,...:-.3--64:.=`-..-7,-.:�1 �`:��'tis:-.1-7,.;:i.- ^��ry�+ •'-4.Sp '7' —V _ _ - '- � � .� �• Tom _ _V��,r' _ _ _ • __y-T-•,.▪. .ar-•- - _ _ _ _ •:-'--."- >.---.,;-:- s`�-r.__ : ,� _ y .r er /*„,.-; r, _: - - :; _ =2.T _ R-y.� `:'a-t=1`�. Vi i`•' ,--�r.,T. .v:4--yY=• ' -z .----�• - -itm1_ ^-d� - _ 'r-r"�"`r:'-.-�'•y';``c'c'._" -.:=.t' =•--- ___ ',` i '1 '�_ f'-�,'---:-*"--.-'%;-;V:':-'4 ^_.:= 1-2t- - s� .."v"t �"--.-' ---•'-_-.1...:-;"::- _ '.:: ?-=..'!i • •. Yi". •;••�r-,_;yam .7=_t '4'1 _;,,, �, '_ - _ •" �� + �� - . • :rd-' .. ..c '.�• =`"fi� _'ta:- '�;a1`'r -e :, '; �` rd''e.Jti: `d�`-�,t, '•',t •Hsi'- _ir';ifr-•_.7!7dr` ' .,:ti�:•-:�.m -�•'-�:�- may, �.c? _4 '•fir- -^ -.7*,-i�•s - - - =^ y-,.....,,,v7-.. �: [,_ a._ r' _.4-c--,..k. -'-_. �,- ..ems:—,..-• s �_.-1 t?�v... .i. --._ • .`4 4� ��_`.± r�rYw '.-;,,,.▪�4 •.. - ":-_,,, "le2:74;r311-...-''' ��'-'���� "••:'- -r.:3y_ r'- vwer..--.3%