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HomeMy WebLinkAboutAttridge soffOlir -- • JUDITH T.TERRY - Town Hall,53095 Main Road TOWN CLERK ; P.O.Box 1179 REGISTRAR OF VITAL STATISTICS ` --9W- MARRIAGE OFFICER • 1� Southold,New York 11971 -' I� Fax(516)765-1823 �� RECORDS MANAGEMENT OFFICER ®i ,,11� 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. 3362-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner ATTRIDGE, DOUGLAS J. Mailing Address 1 5250 BERGEN AVENUE Mailing Address 2 City St Zip MATTITUCK NY 11952-0000 Property Address 1 5250 BERGEN AVENUE Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 516-665-4506 Tax Map No. section 113.00 block 7 lot 3.000 Cross Street COX NECK ROAD Issue Date: 6/28/95 Judith T. Terry Southold Town Clerk (TOWN SEAL) O FICE OF THE TOWN CLERK .cwFFGU( - Town of Southold � - CQG Application No.3 Judith T. Terry, Town Clerk .� y:1 Town Hall, 53095 Main Road a ! $10.00 - Residential P. 0. Box 1179 un >. ;':- ,•;.'` ;- $25.00 - Non-Residential Southold, New York 11971 O ' *.$ Telephone Telephone YOI `�� o (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ 10 ' DATE 6/19/95 OWNER NAME: Douglas J. Attridge OWNER MAILING ADDRESS: 5250 Bergen Avenue Mattituck. NY OWNER PROPERTY ADDRESS: c250 Bergen Avenue Matti tuck, NY OWNER TELEPHONE NUMBER: 516-665-4506 (?°ems Jam¢_ TAX MAP NO. : Section 113 Block 7 Lot 3 CROSS STREET: Cox Neck Road TYPE OF SYSTEM: Septic Tank yi New x Existing Cesspool I\ New ' Existing Residential x 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.) EAST ISLE::CUSTOM BUILDERS INC. // eft,_ %tom. Sig . re of Applicant Rich= . Oppedisano, President RECEIVED BY: Town Clerk's Office DATE: , _ S.- :.`,.. SUFFOLK CO.14EALTH.DEPT.APPROVAL •-• M/IP OF P[2.(1-)P E.r .' "1-\-(/ ' H.S. NO. RIO-96-0°14 SU 12,\/EYE L.) RCL__ c. . DOU GLA5 J ATT.121 DGE_ • i 1 4 ALA 1'74 17.:1 .AT - . _mArrtTuciz. STATEMENT OF INTENT I THE WATER SUPPLY AND SEWAGE DISPOSAL(.3WN-OE:SOUTHOLD, N.Y. . SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO •THE STANDARDS OF THE +6SEIZGEN- AVENUE „iti, , * SUFFOLK CO. DEPT. OP HEALTH SERVICES.: i .., ' N.75e•ft[6:a.. .1 xi,0,.„.- s56,3-03:olic'NEciceoz.G.,,,.---, / \\ - . , :*jSERVICES°11KAPPC1:11.41.117::01:Y-R DEPT APPROVAL' O1116: -A'::6.1:--ii _ 33IENT 1 1 .,_ watt_ - - 41+, 0., - laVELL'......- - , 0 . Cot•OTRUCTIO-'N ONLY , - , tt • 1 0. . - DATE - • - - — %s H.S.,,REF.r46, tacr-95i4-:- : i . , , \ ,......./.1 . , _. . . - •. "%mower>:,-- _ ,. ,., • .. .. . .- / 11 6 ,)t .' . sooFoti CO.;TAX MAP-OESIdN-ATIOW . . , .„ - , -' , / ‘_ (11, , / . Dist -- -.sett .. -attic' K , _ - ,Pti..z.',--,-, ' T u,.... , • ..- l!"- ;3-: -IO _11.3 ... - - s• .. . 0.W s - : ''OR'.---`:-' -• . -' "--'• '..-::: ',..,:f,-.1 . . . -,„-•,.,...,y,..E ,vg,-.:,.1,;..-:-;-,-.:1,_,.-,,-.;,.-•,..„7,4 7.......," OL,:` -" . ---za',s'''k'I''''A'"'-'4-"*:wf°)i-,'2-4 V'''''" --;41%.,•Zi.ig ' -.DEPI 1.456..'"5:1';- 7:Coplegducalimro72°8:thrilt347uirveith:laP-.-Yrt-erk:b,adngl:T4;::::.1:14;i;;::;::!:v41 6, - . 4' .. Lu - . , _•-:., • ,..... . • . . . . , , - 1:E" T F•441.1.:.E • '-----, ' , . izallotk.--- ...• Unoirrhir64=001:::''''''''''''''''s'' .i . ..r.......__ —Ea_ ____.... 21121"- Ahlw:wa„.1c,; °:.`ytil.:. 1 ',.';t...Gt°"thl:beb'mad:nd:stheu..vea:d:,:"weY°shan:beual' ."-• -.: :'• ' 1..:-C1'' : . .11 • .„,... ., •.... - .....yr.,,,,....-0, - ,-.i. 5 ,..; a cy• . •.-:-., --- , -Iir.,11'). . 141- • .. . - . ... - • , - , ,,,, . t• , la,. . - • . . _ •..: ,, ' .. , ,::.-....."0•Atet.,-::::7,- - 4 ...,'' .. , - -' - , , . 01, . , _ ,-. ding huttuuon fisted he _.,., i tho Owes of the iindinginsu. . 1 MEC*BUM f5"7 ''.1„.A10Pw ' ) 1650 50.2WYP)-,,'- -- - - 1201e.k0F..2110.1.1hIG,13.12PLINg'_ t. . -,-,-I,” ... '.M.A0:4AM-EgrOPI-ttr.144c: . 7.-BA.t6.4D) c,„„„I"dakanal,.,„ nstihrucos orsubsequent Lt.REAVEI) '---1.T' .1' --7-. : '14PV7,61994-z MAY-21995 MENPOZZA 4 ANO. t- ) , 7',..- :.-vAr—A NT) • Plivrts-1.995- . SEAL .:.; '7.1,,,,,sxit......,e.,a,-• -, . --SAND; ,,,,,,,-N,OT _ • i hiEgt.\e Y d 0'"S' xcK Va. 6:-- -A 11:41211,4.....a az! i ..,.. . . ‘ -11.7-74:„ ,....,CM/WEL..,- ,,,,,s- Et-...;.,...-vortz...)Nif,.., 2epei-2. TO.M.EAt•:-.1 5E.A.LEv EL. :co e •ii G--' ' -AV_Wr- kW DT''.-",:-.11.10.a8;1994- 4 i cr. ,,..,! !.,* 18.1, r *i. .4 td, ictorW-4rjaN".. - ' 4,1 '"''---C3 , 40:0#0LAND su....4 yryOnt . -GRr.EINPORT-.., 2,- "MI YORK , ._ - .,-., :.. _ .... - ,, ., ......- -------- — , , -_,. .. , ., , TELEDYNE POST N6I239 • . . - " -