HomeMy WebLinkAboutDemaula OFFICE OF THE TOWN CLERK 'cOr-Oee
Town of Southold Oq
Judith T. Terry, Town Clerk �b,_y S_stt
Town Hall, 53095 Main Road o - ;r>H ^
P. O. Box 1179
Southold, New York 11971 O
Telephone 01
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
' OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 544 Residential x
Non-Residential
Fee $ 10.00 Septic Cesspool x
NAME OF OWNER: Anthony J. DeMaula
OWNER MAILING ADDRESS: Box 80, RFD 1
Mattituck, New York 11952
OWNER PROPERTY ADDRESS: Soundview Avenue
Mattituck, New York 11952
OWNER TELEPHONE NUMBER: 516-298-4693
TAX MAP NO. : Section 100 Block 1 Lot 1
CROSS STREET: Reeve Road
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool x New Existing x
Residential x Non-Residential
DATE OF PREVIOUS PUMP-OUT: 1980
•Judith T. T ry
Southold Town Clerk
DATE: December 21 , 1987
(TOWN SEAL)
•
OFFICE OF THE TOWN CLERK C��FF�(�(/�=
Town of Southoldo�� �Q4' , Application No. J'41 /
Judith T. Terry, Town Clerk Z � .
Town Hall, 53095 Main Roadr4. Residential
P. O. Box 1179 v' Pk. Non-Residential
Southold, New York 11971 ® eit :,'
Telephone _ 441 '
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERAT ION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 5 P./
Fee $ JO- CIO
DATE AV/ 07
OWNER NAME: P Q k,-"._ ' .
r
OWNER MAILING ADDRESS: /67,7
DDRESS: / 7,lFC> " ,q,.P
OWNER PROPERTY ADDRESS: 5 u
OWNER TELEPHONE NUMBER: c —
/' r TAX MAP NO. : Section Block Lot
G()
CROSS STREET:
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New Existing
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT: /" O
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.)
"00.111' a, /.
Sign. ,- of App icant /
RECEIVED BY:
Town Cli'erk's ffice
DATE: RECEIVED
MEC 21 1987
Town Clerk South®IW
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