Loading...
HomeMy WebLinkAboutCockerill • �� �FFo1./re® ,1 o 4 JUDITH T. TERRY 'G Town Hall, 53095 Main Road TOWN CLERK p T P.O. Box 1179 REGISTRAR OF VITAL STATISTICS irk Southold, New York 11971 MARRIAGE OFFICER Fax®�.��, Fax (516) 765-1823 �yol 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. 3035-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner COCKERILL, ROBERT AND MARIA Mailing Address 1 145 BUDDS POND ROAD _ Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 145 BUDDS POND ROAD Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-765-5587 4, 000 Tax Map No. section 56.00 block 5 lot _.-2-1-01115- Cross .-2:60fCross Street BAY HOME ROAD Date Of Last Pump Out 0/00/00 Issue Date: 5/25/93 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK �SFQ(i. - 3 Town of Southold CQ Application No. Judith T. Terry, Town Clerk . 4` y- ►�' Town Hall, 53095 Main Road _: • $10.00 - Residential p. O. Box 1179 crs " 'w { y �` $25.00 - Non-Residential Southold, New York 11971 Telephone (516) 765-1801 TOWN OF SOUTHOLD , SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ /0,1T) DATE :5- a®-q5 OWNER NAME: E019b4I- Mafia_ ('ocXe ' i/ OWNER MAILING ADDRESS: !1-15 13S P �C - cziot,t4,0vt , N OM • OWNER PROPERTY ADDRESS: -- p me- as alk OWNER TELEPHONE NUMBER: 7( -55- 7 TAX IVJAP NO. : Section 0514 Block 5 Lot L 141059- CROSS STREET: 6a7 htyne fOat, TYPE OF-,SYSTEM: - Septic Tank - New Existing Cesspool V New Existing l� Residential Non-Residential DATE OF PREVIOUS PUMP-OUT: Add /1Y6.'I0(1-S Pirlp ad' 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) griez2teo gnature of Applicant RECEIVED --BY: Town Clerk's Office DATE: - f, , i - • • � P-- . S�{R•V YFI�. rOR „ . . , , .. IS4t4,-'-i.._.).k,,,,A. ,,,,--t-,,,-,--f c/I..77-• /i ,-ro-whi. eFsourHoto!.. - -MY' --- -, " ', '' -- . - . . , 7',-9,,0-z-2,--r,„.. —,------70 .. a , 9gidE /5o 89. _': , t 'ls , Rj • • . . , t' , SCOL ,40 2 _ I. J • —vck411 AREA,, 1-757 0 SQ.. F1 :p.. . (• - " ks , i iw N 4° ", . _ ./ . ., • • ' . ,moi1/4 to til '.-'''..3v2,•„,.. ;-2,- r3F rt. �, t Y, .v ,t'u_,!„•tr::o M _ ” :5''e 'r dim off,c1i� t �i , � Q' --Sit i- ' 121` _ ",,,,, ='. - �t t`}� $I �� �� ' o,i- . • '� _�",-,' L - 1 • --1' :#'', ' °� • . Jarhr prr:orr,�`h�rsC'n.4- �33� `r'' 4'44�a 4i'A $` Qti `, .` o•s 2 nr Nh,.r v;;tr} 9 •'..r.4....x`z r r 1 .! m aria arl hr, ha.sae sar:r k, • III^" - ,t°''',0' i ..� ;',h,w.F1J. �. i •�' - _ - '"'':r./', .'''.3: 9CL v:V ,y,, yl`�, '•.1_ ., C•.`` , r 3r5j 1;iS!FP "rii7r,�:YvR, '� .. ��c.L `•+,,,.tee' •-' 4 �f�J.Q• ' 1n�11�Yi. s,:. sl.-�' syr 3.'a&:;•c p tck&Ir i r7a:1 S` ' `Y_ur l .4,,,,,;,;;;..o'> x r Lr9�/�''<f 11 `.— ..sem; �'C ""'°' J .. iri:•ri -+as CT Vie r`11 e" 1 C, �a . / r `6 5';' 45bOO�"l�Y.` •'r1 .•, :._ `'• .":t,•.......a_...._"......_...,:.o:.s.';..._ 1,,,,,.,.• L. .•. .`?- p", r'4�e_r, l.:r'�:W �; :, ��2 , {{ i,`H^ t¢as,�re net r^;dr':zE;_ '••1••‘ ' , S''-4,•• ` ''. ,1 Q6,.. , ::r •,YG.:t• 2 t ar1.. ' L, th.- J' t r •uraa,•_t. `,gabs , 4.• ", , •- . :• .- : _-GLIka+_ ie:t ';To. - .....,�..-.�.. r.....+^'.4n.„...+'.o—n. ...+,w..+r.. n-.,,r.� ,..._r+.,-:,m•r„Gw. .wo• ri`irv:..n:-..- .;"""t.er.-.a caY4"--.'r - , ": "; __ -_�r•�T - , `.F NOTES:- ' I. - L.OT` O'S: -REFtif,?-7"0-"NIAP-0F 11LLOt i'POt�lf..-1•• -:. _- . - `_. , - •, tiz..s� I � t"t ;,'_ = "�_, ' .�,t F.t /'err/1 /[{/` )�/��--• SUFI: . :'- �.- y/.��.. /Ay^r �Aj A rq��,��//� /►3�'y/� //��' _ RO`_Dy+^yERK K_VAN TU•YL,`P:C..; .- FIMEV'I (THJE s.`y: CYC.CLERK-5 Ot♦t:•ICE AS M`,4!,�_/ •O- /V54.'^,t .- - - • TS:✓r1' P�J"i.Lsr ` tZ9.1%d1r.1.'iJ �j - 1".L��`A10i.Jc+ PE R. TO ,1AMiq•'1. V Lm • .LICENSED LAND SURVEYORS - <v�.,, ,;, • - - • - - ' , GREENPORT NEW YORK •, TELEDYNE POST NOIS29 -