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HomeMy WebLinkAboutCarroll st ®�F I LILJ B �� Town Hall, 53095 Main Road v® ��% P.O. Box 1179 et*0 41 .�,,,Ic Southold, New York 11971 JUDITH T.TERRY -��,��, , �'�� 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. 714-R Residential X Non-Residential Fee $ 10. 00 Septic Cesspool X New X Existing Name Of Owner CARROLL, BERIT Mailing Address 1 P.O. BOX 46 Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 7986 SOUNDVIEW AVENUE Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-765-5238 Tax Map No. section 59.00 block 9 lot 5. 000 Cross Street KENNEYS ROAD Date Of Last Pump Out 0/00/00 Issue Date: 5/25/88 Judith T. Terry Southold Town Clerk (TOWN SEAL) 000 sem. ' OFF/kE'O"1= THE TOWN CLERK c��FFO(� town of Southold �® . ®� _ Application No. 7 Judith T. Terry, Town Clerk z" LZ Town Hall, 53095 Main Road o Residential x rtu P. O. Box 1179 Non-Residential Southold, New York 11971 �� tg '. ` �•• Telephone !'oo � (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ 10-< DATE ala-1 g$ OWNER NAME: I. e i CAQp_of OWNER MAILING ADDRESS: Pe box 'r'n ScuThol_D, nt j I Ig7t OWNER PROPERTY ADDRESS: luip SGuntWIELo n��• S.H.Lb, 1)1..3 1tchl OWNER TELEPHONE NUMBER: /65 - 5j3 ' TAX MAP NO. : Section 151 Block q Lot CROSS STREET: er1(>e,i 3 2.6. TYPE OF SYSTEM: Septic Tank J New I Existing Cesspool J New J Existing Residential J Non-Residential DATE OF PREVIOUS PUMP-OUT: LTA 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.) C)01-4 awiti Signature of Applicant RECEIVED BY:41,-e-c- ' Town Clerk's Off ce DATE: MAY 2 5 938- us, ; s' 0l� i O P Sf ��4'Sa to 12' iJ� ear/Nefr eec fn`s _ Io` � I 4I' to„ \� a , 52.0.tc- a Qessrol N E. 139., CE 0/1x14+161 - ' _ 7...., SUFFOLK CO, HEALTH DEPT. APPROVAL H.S. NO: a, • 7 4a ---„,, - '...-.-----'4"--..-.._.....--..." _ L45� �.�/,� , • r' r, STATEMENT OF INTENT \ THE WATER SUPPLY ANQ SEWAGE DISPOSAL SYSTEMS FOR . THIS RESIDENCE WILL , - ,/` a_ ( ^, �; . CONFORM TO THE STANDARDS ' } SUFFOLK CO. DEPT. OF HEALTH SER OFVICESTHE • -�� i •��,-` ,•� k---\�� 7' }' APPLICANT f SUFFOLK COUNTY DEPT. OF HEALTH �_ ,"V4',.., «,- �r� , 1'�„ C j' SERVICES — FOR APPROVAL OF • , L.V- -� '1l -� �' /' �` ` CONSTRUCTION ONLY \\\: ` ' �'iko 41 �� ,i�.`- iN� \ .' DATE: \� izc -_ ��� 5 '.\ H. S. REF. NO.: 4.8.:-._ ., • ‹� CJ " -5-..:c'; __ .',--, t= -fie--- rfy;J,^'_ _ .e,'- Ir' �} _ ' --3' s': .----,1,-0-7--------4:..._ 44- F, - 4i.K'CO. TAX,l�U4DESIGNATION -OA' (,� • . ' , ; °' a":. CEJ - y :y.-.� • =r.-_ __- :f IST. SECT, , - - BLOCK PCL: • -\ F (;''a't >.#-`(s= <c `4r sa`-rj�-t'`r:'..a. _ .ift% - r" x., :., _ _ _ 1. ' " ADDRESS: - _ �,• ` \ Sp •11,�� �'$ 4'- - OWNERS ADD � • • 4' s ,�',. = u= SOUTa•a0L .r�.r. 119- I `,..,-.1,t �r - . "\.,,,„: • . ;• - - •J. -. - ,-$-: -`7 .1,-, - - ,oa, ''t4.=.r::. 5-t•.4,�w,cSF,��” t •• \ ti f «,........_._..,, __-_.a _-' _- -'r • E .j_ix -',, - 'yr ':t,_ 'd - .0,-..'-: - - _ _ - .,r ,---„ v,,,.,-,. ».• �i_7'.'� �>7 v�.• '_,;...r � R1a. •:i.'anC2.,' - - -v..6�`�-, •/7 'K-.'3�' '--',,<,..,,,� _ 1 .v -�° 7 r.R.,,,+ 'ira'Cy;;,.,:2.55`�° _ ,!:�„-. "t�:sa'�y.s-;r'Y.;`..,.-r.Z"•:.s;�S.��'3►;.x- ''S.N= -,•..1,�5;-,:?%^.�','ti. ( •p`,�F r'"i'�'''`-t r?� - z,. •'� °,2-'+�,;r'.�= ,. .�"1.:s;Ya .�_ -�«�b� :3,;.° �r�_.�r '�i"s-.;_;"-� fp`E...',,;.,....-'s..°�i- .,�r,� .,a��_:�s s_•r,- ^T a� ..t�. 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'4' a f`"-_ zsg"'--F-'74,4,- _ s� .$.�. , ... ,. ,'S?-'tit ee++��",r✓.,- ,:,..'-",-,_44",-.44.1i., ., 'ybe,„, "3 y r'....,,, s`' ,X `,_: s . .,,,a4 e•_w'•a_.• 'ire'...-, r.>syr'"_'~ ..„. , ^?,4;-'.;'3,_?`'s1, �� f - r' Y . , -_,^r ;rr> .:+._- ,t,--, _ .�-c4 d: '�."S-_ ..a'_s "' ':-"a,,t��, :,}' ,. .� es r t" 9-=�Sx.,<z a^✓ �3 1T•--s."' - ``4.€::f = ��__a.. i° .r-" ,sa; ''-X'''''''4.44'04.,4.-4/4"-4:-." 44,-,‘�T_ �,ir.�- - ""w-:.. _ .4, - !i ' �a.b* .t?,. E" �,,�t�r.. ���,,.,. .Y_nyt -t;, �----,p,„, .r^.w,t1*"y,';'`•.}�,. �x'4¢ 4:a, „ �- „ �.:.�`� 1 Yr �ai�� � � DEED: L.�i'k.a^2/` P {�.-''��r ^;-+� .i- £4"F.'••,c FFe' ��4- :i-'s...• _ ^'."'t�:=',� _ =7 .,'� ,,1rw v e -,f,e, -�".-.`6-lam«- ,�" I �,R'�'.i ,` / , , Sc�,��-,, aL"--:t=-`;wLid,,-ii r t..y'i � :-w. Y.- �s-�,-',�.?" _ :°J _ - ,. _: _ ;�-._n ��, _ .,;fir;'; ,�'-==-- - ,t-k. _ _ „A - y` -1:1"-.'111- tis. _ `_%r";:..,`S e - +:'.0°.-:;_r' 't-c'.•-i 'S�:,e. _ :.'t-•� .,,.��.._gQ..,'._�kY,J��i'? '� \., 1,- -,•,-;_...!' :�--7- -: 'i- "- -.---,._} --'” 7';' ,v;..n.y':1'i...;-.-.ya - - TEST HOLE STAMP ,-,-,-,•,;-1,,-,-,,,, !r ',,r..�., ',dy ° .:."1. - ,;t _ l:'trrr ' _ J�•' -_ 'Q'_ _ _ • ,�, - \., L"" r ° •_a,'Y:e ,ias•_ �WW-i� ``�i p '.�K „� ,., ,.r -. _ _ v` ' i _ ,... .��, _ \- alteration or addition .. -`.�.i's-;-i-'i } - . . _ �, . 'wpm'//' , f - .',-�.,is a v.n�3iinn of :. � a k� 4v 94,..O\` / � I..Q/�. 411 rcn J�rf the New fork Stats .'-:- _ ..- ' ' -_a•�.. t,.._ ' �'` v "�'p �!r CLAYEY Q:°cn aw. �;, : � l .' LOAN__ _ survey mar not bearmn . , ,, f, / /� r,,;cs c;this •s, /v`5f p�r rr•-'�t``��,���.,�e `}i �a�l.'v:,r•.-yvor 5 art$04 sea;01 '� _`� �'•. -�.ti ` / o "`i' �UM�i1'�,�lt�, Jr,1044S4-411 c931 shall 70t be considered >'" , ... a �"-•• _ - •'Mi�'1,` M'.•,4 i ti.. ,!� 5ANC) 'nl•e a vAid true ropy • , - '_ , _ _ 50.1"1-JCL •:� -- _ J77 . , ' lir Sc;,,, �� ., --�' y��+u:rentess mdicacy�hereon shall run _ F``-� �'�"ff"jj^ "" _ ~�„ �� Ji�� ..�"-y mEt)l um cid to tho person for whom the survel }'Yr OF".r ►a�}.A"Sti,# e ��, }` �* ` ''---..,/ CI - is;rvparssi,ano an his behalf to the �r._ "f�-. ! ` y �r CSA tc4:• company,governmental agency and _ . 1- v(/ }' �` 1 *4� 1NCS' a tng Institution listed hereon and ' t -- C,!- `' --'Spe:,e assignees of the lending insti- I `'~` I t �Qr ter, n.Guarantees are not transferable � <, aditlonal institutions o subsequent ��� 'r Ni,-,,,, CLAYEtf rva<'aa. ,s - t - AND SEAL {� �11 �t M/� {[ $�- l ' Ci .7`f_"�'L € ,N Gi2A"�I �NEyy 1, 4J � fll .' ri���`GK vAN ��9 -' �f`;` p�{y r ""� t t � bA, _ ►P07,1 'AG.I/�G,AR1 .18,,9 IZETT iTZOI . X 4, 'ING � .:?.fiti/.{E..d�ti+Ii,L r,-�.. �v.1.sL.� ATI,, � c:- f:� '1'^/,.'PAC: ' ti io: Li EL._ . .f . . .- _ - `• - _.-, �-:t � t `r-;�/ �,•��•'� r I' : _._.__.._.�--'---- 5t * a,0 g4:-..,r_ + - v n _ .a.........__—�..�t_..._..._._� I": _ '., - - - . x, 11,' -_ .DEC-22 `87 , I a�. ,r :C i'' : 1`!4i&+ '- I �$8 P.C. �� , _ I RODICI� VAN TUB. i2S �, �,, ,o . _, - - ,e1- . 1 «►.sw— dd..wr.t-•r .J�►;`^1L' �'G 'o (s z 56,co 4„, rl ' . _ r -^ y 'C"iTG. � " ---� R- ' • LICENSED LAND SURVEYORS 21 ��LAND�' ' -_ I _ GREENPORT NEW YORK 'TELEDVNE POST N8132-9 I - /