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Home My WebLink AboutAriosto ifi® OFF0Liroo JUDITH T.TERRY e Town Hall, 53095 Main Road TOWN CLERK ` P.O. Box 1179 M i Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ` MARRIAGE OFFICER ��° �� ' Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER = .! 4g 111: 1.6 Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3551-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner ARIOSTO, SAL Mailing Address 1 110 SELAH LANE Mailing Address 2 City St Zip MATTITUCK NY 11952-0000 Property Address 1 110 SELAH LANE Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 516-298-0148 Tax Map No. section 106.00 block 9 lot 4.008 Cross Street COX NECK ROAD Issue Date: 11/20/96 Judith T. Terry Southold Town Clerk (TOWN SEAL) •• OFFICE OF THE TOWN CLERK c,VFFU(,(r�;• 2�� Town of Southold �� Q , Application No. —35V' Judith T. Terry, Town Clerk :` �/ Town Hall, 53095 Main Road ;< I $10.00 - Residential P. O. Box 1179 cn '' i ;' $25.00 - Non-Residential Southold, New York 11971 O .��,`, Telephone '®] -tio- (516) (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • - DATEd2 3/] 90 OWNER NAME: / MA, �[ l� (�}�,�' ,fir � l9 S%o ' OWNER MAILING ADDRESS:,t /gyp d rJ cR—ice OWNER PROPERTY ADDRESS: f fQ • OWNER TELEPHONE NUMBER: c:7?gef� TAX MAP NO. : Section /0 6 Block Lot AA , .CROSS STREET: k./,A TYPE. OF SYSTEM: ' Septic' Tank -- - -New Existing Cesspool New v . Existing Residential (/ Non-Residential 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.) Signature,of Applicant - - RECEIVED BY: r. . - '.- Town Clerk's Office RECEIVED - _ _- _, • DATE::. ' ; N O V 1 .9 1996 - •- Southold Town Clads .7# .., WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS MUST CONFORM wrrif NEW STANDARDS DATED NOVEMZER 13,1995. ' ' i t 1 A.C2:C4J-LT,Y2Al. ZE7,:5Vil lEA5Em.EK.1": AG..EA . 1 • , .G VACA&IT) , 1 . ' - - _ - , ,1 , _.-- ,- - •-,- - -40- - - - - - - - - --5:7,r7 OSE. 240.03 _ . • . —_____!..=—,. -- ; -vVE La.--it , :---.Pmairo ---- - ---' ' —1 ,%tem+,-----._ .. 1 „ - 1::-1. - • . - ,• -. . ; , -- , • . , (..i. . . i )-, • •0 ' , cc! • ,, . • ,N. I : . ,. , 4..) i T . c , ---- , ' . . '.._.2 1 • : •S-,‘ i _112.0 Po Stt o, L i•• --• : 'k . , 0ase.... . ' ,---- --I _ L) (RE5115mAcF-..) . 1 . - is .. . ; GAR..L • , in • •..> H 1- , ; e) , : • • 1 bl, i 1 . , -- - 1 - , le-p- ' • , , . \ . ' , i ,,o. i.o. .2.,,.; . , . 0. s" t a I 1 •& -Ng. i f-- • - I • ! C'POOL.. • - t-_, 1 'i I 1 "e>'1,,e . —..._—_-:__J—._ ---'"1 ....-- • ' IN1.7 r•C)0- g'4.4F-' .- . als.69 - . . \ .. . LA4E ; • . ' • . ,- --_-- . ! . •"(e'A c A 14-4 '''.. • ;. . • ' . . • ' I . , . ; 2 ,..._./ . i .• I - ......... i ' •- . ?.._131 L.:2QT I'M'S'pe.c.E.I7 TO'1 - 4.1E51"MILL.52.!..45DIV:t5i0ti--PIROPEg_TY StalZVE'Y'Ets; F0f2 /4.PAI...:L.F9../ED 5E12G-F 1 LEO 11•:.';71-•!E. • 14F CA:',•:.•.'..-FS?;.:',5 r:-FT1r.,..,2 AN5 MAP-1,-.103_53_72 7 - ,----....,..-r_- •,•:-,..,•• ...;•••••.:...--;.--..? •-•••••,/,:-; (--,1,11...,--.