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HomeMy WebLinkAboutCottral (2) 4-4N,__,-4 dry. tip,- s� �� . Y ,,=a;.; o Town Hall, 53095 Main Road _�® �. -- � P.O. Box 1179 _-_ ® IP00 Southold, New York 11971 JUDITH T.TERRY .,„,,� 00-. FAX(516)765-1823 TOWN CLERK TELEPHONE(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. 1227-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner COTTRAL, GEORGE A. Mailing Address 1 BOX 453 Mailing Address 2 City St Zip GREENPORT NY 11944-0000 Property Address 1 66225 NORTH ROAD Property Address 2 City St Zip GREENPORT NY 11944-0000 Owner Telephone No. 516-477-1132 Tax Map No. section 40.00 block 2 lot 9.000 Cross Street ( ES LANE Date Of Last Pump Out 0/00/87 Issue Date: 8/25/89 Judith T. Terry • Southold Town Clerk (TOWN SEAL) 0 • V. . • OFFICE .OF "THE TOWN CLERK COFUI '--- Town of Southold �% - r Application No. /ZZ_? Judith T. Terry, Town Clerk % . , % y ° Town Hall, ~ a $10.00 - Residential`' 53095 Main Road � �:.e P. O. Box 1179 Cd-' tsxi ` � � � T � • $25.00 - Non-Residential Southold, New York 11971 O ® V �" , Telephone _ Q( +�• O�,•s oda `i• (516) 765-1801 TOWN OF SOUTHOLD gfae ';6 JUL ,� ��� SOUTHOLD WASTEWATER DISPOSAL DISTRICT Town wit bei APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. - Fee $ /0 OD DATE C Viip /q8�' _ . OWNER NAME: gee/� . dart . OWNER MAILING ADDRE : 0 i--/5..rern _-t i , , r/LL - OWNER PROPERTY ADDRESS: ��iiva � iuU ! gar/ greqrinl-/ /o ,j , oca y y OWNER TELEPHONE NUMBER: 1---P-V) — /13 J TAX MAP NO. : Section 4/ 0 Block 7 Lot CROSS STREET: mo 9//e 5 La 0 e. , TYPE OF SYSTEM: Septic Tank New Existing .)<\__ - --- ---- --- Cesspool %< New Existing Residential Non-Residential �C' 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.) Agar - "jib" s Ifb(Zite/AtrafarrAl I Iwo'- - gn.P'u - • applicant RECEIVED BY: 9. (,,,,,,_ --, ow n Clerk's Office DATE: 'F/2---t- f r / C _� . ,y +"3 I.. ';�. ''. ,; + . -: ' - �j to e:asterat:rsn'or edtoort'',4,•+t./,4,� ,,,: ,i;,.., 't`- , `-.. „ - i-::;1•,,,;,..-',.,r ,r• _ - - ,tnthis,sur yss•avio!rtion'ot' - ....•••`;�,, i,, ei. rr„.T/ .• r , 't , 'a' ''''--7,*'';...„','''..;',:,.' ,! .1 f the New 1'or.5tatc> '''• '^;'-.r ;� !jK' '••", ;a�, - /'. ,\''J,. ', - � .SL'Ctlgn`��U�O _,� 4. '-'4`•44'',1'1,7"•:'?"-:'".: '^i'' _ - •,1yy';i .t, ',k.., '_rdupation;.ai+A.;. 'x',, '` �I W "-•Tr, ' 'Copies of this-a 5r'vey'mar,rot boerind- ._,..,..,',1,,,,'„),.a t• ,x _; • ,r •-the'r"anti'surveyar's,IO teo seal a;' , 1 1 � ,« •tf ,..'1`,'`"•;`-'':•i', - r , . embossed yeaistiatl not dr:cansE er d ;,.y a �'J; `r s'' .'1 to be a vand'true•cop, , ,r ; �', 'r. • Guaranteey ind+ra led ecoon shall ajun `' a,y 011,a. •. r„`- t``-' r+, -r g,. _ • > S� , _ _ - /3YlIy 20 i118pE'tSOn for+:Jt1,i[Tt Ti�B'912 VC}, ,,a` .'r•; <A'ti'k •is preupr'.'d•,,pd,on'tee bersif to:tS ,,r :,y. !y fB Lith;rorriparty;t3overnment4J aging and;,. :� .'•` y . Irri,'ir j jnetr;utron 1iet2rJ.hescon•ar{d F;:: , t• ' 4 ® Q he,:sslinas.;of the::at dun in-ti- i ;ts,,`c' u.� ,” • • - •tution,Cuttranteen tire not transf,rahis• .•'i; '•:i--,,,,'-+;•,,:,'.4-;:: . , y •i 'to eddutrona)rnstitutrons on subs dent. •1: - .. , z • owners.; ,, '?u • nay�� } r<♦ L .. • - .` Ka ' f 4 V ' y` kr,•. ��k ` 1t'.S ,, . ., u , N 1 Gt�p tit' * ..?:,,,:i',,,.,',,;-,;-,4,-; -,,,,.„., ,,..itlf.. ,-;"...•,,. , „ ,,,, , L-Allis : �;�'. hA, `• ,t.�f, 5 •, ', •,• A' ---` .1_[ ,P O _ --- . ,-, • ; {- ", At 7' ? V_'--,.,:,....,4,-' .04 :•-• O > i _ -,'• _.„:1. . - ;% •:,.,.:.•,`.,‘ , i '.:',43,..;.•:,,,t rL . . • _ -a- •,,(} ` . •`y, }.r _ 1,t .l .. Y •....q; '•.'„J''.:'«. .•'-',;',".y ifs b- -`• - 1 1 S . ,� � ••',M Y " L,,i ..vai ,, , . j • :1 '2',',,, ,'-„,_-,i- ,;:., ., , ••• '- -',-,• . - t ii, A _ - -iti.,.) '' ,, LA- .,,,,,o , •.- - ,..- ,. , , - ,_ _,.. s- . c.,2,..: „,-, „,,,,,, v,,,, „,,, ... .,,.„. Q _ -,, _ _ ,, i,.. . . „ _ . , ,. ,.. ,,,, ,_ , . . , ... „ . , ‘.: , . ,,....„..„ , -4 • -''''. ' -''' 0 „ ';> 1..-•",•4-•2;-:•-f,�-:sco ACJ , ' L" I y , , , I , . , , . , .,r ,, . , ,.•,: ,,,", , 1 ....,:• o. _2: •...r-_:,,;.''-''-',...,-'''*I'.••••i-t': _ , ,. . ._ . , .„ , .., , • , el, E , . . ,, ,„ ,, ......., , ., ,, ,,, _. . . • ,,, - , . . kIELA12: , . - , '. - , ' . . -1r, .. ... .;i • ' 7'74`• , . .: 5. , .i .' -,.' ' 'Cl.-12.t.L L..k.1 p cr' - - ' . „' , „ . ., _, , ..., _ . • . w: • , , ,,4,.-,. T°W OF:' O 1J iloL,3 -.,kiEtv'O1Z t fs- .. '''''.•!., " ' ' Guarae'tite a T.Q`.T1 rGU�o.d,u-fie,sn.T`E�TLL=. tV..� � ' � ; •:,-,-.,'f <= .." .� a ----.''�," - ,, ' .-.r ,�: =•tit.s' , r ,iI, tr,ryorzte.., , t. r (• ,i •'1`�.%,: '..,": treir r 1"1,11 ,.'r'' 1''r' r .L•^,, fg , �, _