HomeMy WebLinkAboutDavey `� Town Hall, 53095 Main Road
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® �. �,\ P.O. Box 1179
' ®1 � .�`a®��� Southold, New York 11971
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JUDITH T.TERRY �-�� ,i��
TOWN CLERK (516) 765-1801
REGISTRAR 01 VITAL SCATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 577 R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
New Existing X
Name Of Owner WADE W.DAVEY
Mailing Address 1 375 ALVAHS LA.
Mailing Address 2
City St Zip CUTCHOGUE NY 11935-0000
Property Address 1 SAME
Property Address 2
City St Zip 00000-0000
Owner Telephone No. 516-734-6958
Tax Map No. section 109. 00 block 1 lot 31. 000
Cross Street RTE. 25
Date Of Last Pump Out 0/00/00
Issue Date: 1/14/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK • c0f1.1[Xe�
Town of. Southold ��
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road o CA:
P. O. Box 1179 c.r2
Southold, New York 11971 p\°!gb `' •�
Telephone l Ai `� •
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC. TANK or CESSPOOL
Operation Permit No. 577.•. Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool X
NAME OF OWNER: Wade W. Davey
OWNER MAILING ADDRESS: 375 Alvahs Lane
Cutchogue, New York 11935
OWNER PROPERTY ADDRESS: 375 Alvahs Lane
Cutchoque, New York
OWNER TELEPHONE NUMBER: 516-734-6958
TAX MAP NO. : Section 109 Block 1 Lot 31
CROSS STREET: Route 25
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing X
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: Unknown
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Judith T. Ter
Southold Town Clerk
DATE: January 14, 1988 -
(TOWN SEAL)
II
IS Ap
OFFICE OF THE TOWN CLERK n
� y �7Town of Southold ®�® •
�a �Q� Application No.
Judith T. Terry, Town Clerk �� g .
Town Hall, 53095 Main Road , Residential
p. O. Box 1179 cn z Non-Residential
Southold, New York 11971 AS W_,'
Telephone Q( NO,
(516) 765-1801
TOWN OF SOUTHOLD
RECEIVED
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
DEC 291997
invan Clerk Southold APPLICATION
for - -
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit
No.
Fee $ 16
DATE
OWNER NAME: VIJ&& ) 1
OWNER MAILING ADDRESS: 376- / / L
OWNER PROPERTY ADDRESS: 4 _
OWNER TELEPHONE NUMBER: 7311 -05(
TAX MAP NO. : Section 101 Block I Lot 3 I
CROSS STREET: Its. - a6
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool 1,/. New Existing V'
Residential V 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.)
Signature of A%plicant
RECEIVED BY:
Town Clerk's Office
DATE:
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