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HomeMy WebLinkAboutCrowley .®�g'iu cc- es- W V21 Town Hall, 53095 Main Road e? O '�� P.O. Box 1179 � Southold, New York 11971 JUDITH T.TERRY 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. 1294-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New X Existing Name Of Owner CROWLEY, THOMAS AND PATRICIA Mailing Address 1 195 EAST GILLETTE DRIVE Mailing Address 2 City St Zip EAST MARION' NY 11939-0000 Property Address 1 1735 GRANDVIEW DRIVE Property Address 2 City St Zip ORIENT NY 11957-0000 • Owner Telephone No. 516-477-2219 Tax Map No. section 14.00 block 2 lot 3.022 Cross Street MULFORD COURT Date Of Last Pump Out 0/00/00 • Issue Date: 11/06/89 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK Town of Southold �% - CQG' , / Application No:01N 'N Judith T. Terry, Town Clerk . �, Town Hall, 53095 Main Road „ytY .:44 ‘) Residential P. O. Box 1179 V. ` i z, Non-Residential Southold, New York 11971 • O�iO ar � ��` Telephone - _ ,( , � • (516) 765-1801 - TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. /t.95 Fee $ 1(D' DATE I D e1' OWNER NAME: 1-4415(1.VO4.5 rete, OWNER MAILING ADDRESS: iise- ifyi4efatH geki. it If OWNER PROPERTY ADDRESS: (1gS Q'4v4v'e &ads ( je/63-Air - OWNER TELEPHONE NUMBER: 477+22s?” TAX MAP NO. : Section (,(L( Block- 6 Z Lot 3; Z CROSS STREET: A1-1-6•40 7'' 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.) L.._.... .. 1 Sig ature of • pp icant RECEIVED BY: � 94 - wn Clerldffice DATE: OCT 181981 ' Town Clerk Southold ' • . t „ '* V -i 4i4r�;e � 11,•', • ' , - , - ,•1 . • ;•" �I! ' • ' nJ �" -,,3 7� -�..�JITI[�� -n{ 1. .•. `' . y; ,. .}:.;. of c.rr-• 'ti'L _ .aJ.kt -i>�,, ,a Y +- I "S`l •i Ir , f, , \.J ..'�'a_ '' _ ..r.. f, t„•. • .l,w • ••y ^ i • / nit, S •• '•t •+..-..;, - _ ~"C,'a ,t t,•• - I. -n.( •''S: • ,!{ }^ +A,-'• r44-•••,..,;.4:::.••, T; :•! ,_ :X. } ?,,:•: t, ‘t,f7 '141..4.;::v T• _ ,' .. ).- F}, • ..:1:s' s ;{ •• • 1i' •.. a 'II.' ,i ‘,,,;...,!.,4,7'.., ,_ a,;•,,•,J 7{`1.. 4.:s..`•,,,' •,• ,,-, nn- \,•,Y', _ d , )` 'i-'.•-•,..;,•.....,••i* ` r •• .. rs1 'S L:' - �� y... ';tL• , , .I ,,,.„ ,t: • ,b _ '•••• '• ' i SUFFOLK'.CO: HEALTH•DEPT.APPROVJ L ' ;r t, •�'':. , .s �- '1'..; -r -7'.4 •r r ^ •t y/.�(��/•.�- �! �yy r+�y S • „;:-.-,•11.,'� 0•r, �v'i" _ ` ...;. ,. -' E" ,.w...' 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T 's,e:i3';LK• -i= %,. .THE WATER;SUPPl:1(_AND SEW1�E'D1SE ,,,• '- , ''' y'' --.'.,p;,. ,i '� .=^�u•`'' ' :';�' ',':: .'�: .--`: ,r SYSTEMS'_ 'PORE THIS =RESIDENCE` r ,.' ;,, .1 ,F,1py,i.e,l.p1. - a;' ti '^:4: -•,• Ti= "'' .•, -' ,:, _ i` � i -,L ,j„,,,,- '-• •.,,,f,-.,...,,Y`astir` 4-.r "'•'!"'i-'% }, r>-:r,•,'' • ' •:•:;L•`I ,.'•'',.: ! CONFORM'•5TO :THE :STANDARDS.' �,,'e• 1.��r �. _Ry`�,,P.�•`:)*r. v r,rk' �,y,+� 1 l;, 1•r. ar' "ic t-' ,t,,',r�r.. v-t, • 1. y F y..1... •,;:4..4., +,i ;x f .,t..r': tr. ,,D_,). :, SUF f K' SJ• j 4••' ,';',4"._::;'-.-.:` =`�c�▪ � '��."� a ;` �•�-, �•'• •„. - - 1: .l"' r SUFFOLK CQ:�.QEPI':'OF'•HL�..tli:. E-�V�•�� -'• r 1 A- t-'-'•,-fik. r , , `r f`�".,...: .+/.J�•-' '...o'r L' ��,/1--M1,�-,;.:.-.:3-:_;-,:.,-;i ' ( ,9' "� 1 �t ' . .R ad4wi . i�i -`°.M•1> '•! `„''''''''4,;.,,, ,;, ,dryA a'•" "' 1 .� M, °-•�vyi� .^' l.,p,a'' 6 ,_•'i 'J- - --',l. _ , 'r l't , • ,1•r' ` •�,`_ :.t` r �, ,� t , �,- :V ;APPLICAN`� ' 4'e'��:� 1;:., '>z .� ;° U i'''11'41'. ; >r. .`r•I.,gY.:1;, }r„''• :: -.:'-r' ' ,•A;'.f<11''. n - w .i • '.r.'•r-„•'n tiirFt�L�,' -, •''P a'eM,"C..r •',, 1',P" i^�-,L{„+,r,c 1•s'P' -..,1•4.`f':;.` •'..-4,:i .-4,r i a I s• _ G�ro - ti_ it a;•;? t r_r' � _ -_ ,•. _ s' , *°� =:''r F„.,,, ! -,'j`;: ,,••;, 'fr'',i,: - ,-F _ +. Y;1.:;f.• �:' 'SI�PFOLK' �COUNTY :DEP : .9F`.RT,HE'nA �j{, 'y ` - b„F aS,-' ,r. 'a?•`,` .:' ,�•e'. �,t• .M c,3'7{ ., t; ••fi. t- - �-' r • ,: ` .r:ei ,rxr• s :1•S?s'`*-s•' h ''''';!..';'?4''-'''''''''''''''' n' i;. :" =' S-E;R'-V�'I CE 5•,'=-''F 0 RRiy 14t'Pf� CI / ;�- }�k�, ,ti. . ,i'•,,:<: ,. �t A�, r'�3�►; , • ,t...,e` p1 ,.- ,�,:',�',:, '. e",. A• . A �•- " .e.'"..".14`.-..''..4 "t'F':' ,'%,z• F;;` i 14`7!ONLY .,ti.L>a..^'u:!,,..• �.+P•'r'S,rr+(y+(y "-r {� ,[ � � r. �40NS,TG- " <`r Y f.- -? !_ ,,..7?-' f� _ _ ,- .• • _ ,'. per.- t},`{; c;.. �'; 1:^'�•r{ !•4•.' r , •< . •DATE•:' ' "'': 's ``"�lj" '...-4-1'4-'4 �,t ' f - • -H• r S. REF.NO.:;x ' �.7.-z'"SG.=F �•..,.�,,,,-:,' ;„a,,,. •f"r..'p,l a' :i 1R •''•}L'.`'r • ` r i l r 1,. 44 t. ,T • __v:•rrivJti %�i'sy� i 'a;p,`r}7 et:-.-1-"2-1-,V e a �: :a. APPROVED: b ''',4-,,..e.---.1',',4-1'-'7v!'"4 -1','.41c-1"7';y, •-5-i,-.7.,c0.41.-157••4rttkt �l7.14-,;'G.?,,� ;Y;r t1 r' •• "t''47'• ,L.•'••)'' ^•, • 1.••r i s \ P• ,...;.v,IA; •:, ' • .1•i ,•�ks . 1' f�`�%lti #ir!'+q'•.Y,r a:"7' - r •.,1. �,, <Y , , f i.+�• ,,..� ,' yr 'r rl.r.s ` r'v < +` ff"!'•`` 1, i. 4.1,,,,,:_,,,::•-,.,,� �}� l H. • `; SUFFOLK;CO:-,TAX MAP:OESI uNA C '� ;"'�' S'1'p'i3 •S"•_ r,. 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