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HomeMy WebLinkAboutDecker xTown Hall, 53095 Main Road r P.O. Box 1179 #Q/ jig NNG .$ Southold, New York 11971 JUDITH T. TERRY �-,,,,so''ll TELEPHONE TOWN CLERK (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. 1048-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner DECKER, JOSEPH AND MAUREEN Mailing Address 1 780 WUNNEWETA ROAD Mailing Address 2 City St Zip CUTCHOGUE NY 11935-0000 Property Address 1 780 WUNNEWETA ROAD Property Address 2 City St Zip CUTCHOGUE NY 11935-0000 Owner Telephone No. 516-734-6482 Tax Map No. section 104.00 block 11 lot 15.000 Cross Street VANSTON ROAD Date Of Last Pump Out 0/00/00 Issue Date: 3/15/89 Judith T. Terry Southold Town Clerk (TOWN SEAL) • CO OFFICE *'JF THE TOWN CLERK cMffg / Town of Southold � �. �QG Application No. Judith T. Terry, Town Clerk �` =�x' gra i- '� `t. � 7 Residential Town Hall, 53095 Main Road u - Non-Residential v' '� P. O. Box 1179 � :-:� - Southold, New York 11971 l " 0�,��` Oi Telephone '`� (516) 765-1801 TOWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL DISTRICT • APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No, - - Fee $ / 0 DATE r OWNER NAME: JoSeiofj 4G/��c'- fe.k e OWNER MAILING ADDRESS: 71b ' ,t47%�` ! q Ca. )7���dorc111 .5" OWNER PROPERTY ADDRESS: WO GUct it.Mi e. � , OWNER TELEPHONE NUMBER: 73 4-7 'Ye a TAX MAP NO. : Section /d r Block // Lot �. CROSS STREET: V(-1/Ji/6/.) /c TYPE OF SYSTEM: Septic Tank\` New Existing Cesspool J� 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.) Signature-of Applicant rr RECEIVED BY: own Clerk's Office DATE: J/79/�7 o'er _- 1 pool VetiSe.". • 7� 1 V `B r , ,l f.[11.1( it. 'j'�i'?, ;~.y ;� r F Town Hall, 53095 Main Road `:2i P.O. Box 1179 r. 'Y '7' Southold, New York 11971 JUDITH T.TERRY + ', s ,s / TELEPHONE TOWN CLERK ~iii I ^ (516) 7654801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD r,, September 14, 1988 104-11-15 8-88 Decker, Joseph Wunnewetta Rd Cutchogue, NY 11935 Our records show that you recently had your cesspool/septic tank system pumped out. According to the Southold Town Scavenger Wastes , Ordinance, any owner of an operating on-site sewage disposal system, such as a septic tank or cesspool, must obtain an Operation Permit. The Operation Permit is issued by the Southold Town Clerk's Office. The fee is ten dollars ($10. 00) for a residential system, twenty-five dollars ($25. 00) for a non-residential system. I have enclosed an Application for an Operation Permit. Please complete the Application and return it to this office along with the proper fee. Enclosed you will also find an Informational Bulletin regarding the Southold Town Scavenger Waste Treatment Facility. I hope this will aid you in understanding the Scavenger Wastes Ordinance. Should you need any assistance or have any questions, please do not hesitate to contact this office. Very truly yours, "1"„„„...........0.0.0----" ,„,„,...", 6.....4.4.47.--- 4:1,, Judith T. Terry Southold Town Clerk Enclosures (2) JTT/Ijc