HomeMy WebLinkAboutDemeo { Town Hall, 53095 Main Road
; 0 �i P.O. Box 1179
®/yam, ®f�t Southold, New York 11971
JUDITH T.TERRY ®� \' TELEPHONE
,`S���c�• %�
COVVN CLERK (516)765-1801
REGISTRAR OI VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3604-R Residential X Non-Residential
Fee $ 10.00 New Existing X
Name Of Owner DEMEO, ROY AND ANTOINETTE
Mailing Address 1 3870 STILLWATER AVENUE
Mailing Address 2
City St Zip CUTCHOCUE NY 11935-0000
Property Address 1 3870 STILLWATER AVENUE
Property Address 2
City St Zip CUTCHOCUE NY 11935-0000
Owner Telephone No. 516-734-6925
Tax Map No. section 137.00 block 1 lot 11 .000
Cross Street TRACK AVENUE
Issue Date: 4/08/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
1
c,
I ir,„
OFFICE OF THE TOWN CLERK c31
Town
Town of Southold , Application No. 3 �eC(
Judith T. Terry, Town Clerk .,; `' $10.00 - Residential
Town Hall, 53095 Main Road ` .04
P. O. Box 1179 v' tt: i ;' $25.00 - Non-Residential
Southold, New York 11971
Telephone j
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
DATE 5i/2 /97
OWNER NAME: d`- ce G
OWNER MAILING ADDRESS: f'7o 4 "" -
f ! //ff4
OWNER PROPERTY ADDRESS :
OWNER TELEPHONE NUMBER: 7‘ — 734 69
TAX MAP NO. : Section /3q Block / Lot //
,-CROSS STREET: 17Leta
TYPE OF SYSTEM: Septic Tank - - —New Existing
Cesspool X New Existing X
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.)
dd:),(A
Signature of Applicant
RECEIVED BY: . - -
' Town Clerk's Office
DATE: ' - .
APR 8 1997
I, - --•v - •' •• -� •" ,•. `• •~� .NAUT iORIZ ALTEiATION OR ADDIiIUH,
!1 yl 'O THIS SU[ EY IS A VIOLATION OF% /�QQ(,j��,��/�R �� CTIOI!720-OF THE NEV:Y.:RK STAY -
/ . -
+ • `�^`T I-' "QCT t t ;>. �. _, C' • ± iUC�T10N W.
�"-� i'• p . ' •.•_- - .D I"' CtF TI 15_SY-v..Y X A".!.'f,T BEA-^INl
,. - _ - 't ' '` • -• • s1.1 . - .4 •-.ii:.i' i• '7 i.:. 4. _ EhiEOS<'.0 S: ,. :.-IA...1'.T•dE C.t.N5• RE. - .
•
•
•
. - a `i:; - •/• - ;I."�.' ~M;... •. ,�•l' GUxi.ANTEFS M. .1Ei,ist..i SHA L RUN
d •{r �3 4 T '',�/•/�{ ONLY,7G 7E' rl _ .•:vq ,JM TH liURV Y
•j .' - _ Ytit:( , % -IS PREPARED, A'...`h ii '.f:ALF TO E .-
;4tt 377•JJ•� -TITLE COMP '�,'GOYERNA4ENIAL AGE/A• A•
_._ 7 . T.99. J ,j 'f4 }' LENDING INS:TuTK N t;STED H: -• ,
N 1 W, .#.? 1) _ f.- _TO THE ASST NEES OF THE LE •NG INSTV,
O }a -{(� j* !- I TUT1ON.GU EES ARE ••T TRANSFERA$LE •
, - . ..... I z `{ 0 • 7:. ;,,1 ," ;TO ADDITIO !NSTI Iii OR SUBSEQUEM..
�p Zo Qj • -
I md I Up Go4 9x AI
C?
.�
�-
:Jevc_. 1 .]
i . 4 !I t
•
1wtePEN, ctt � 4 4- .--11). ASE= O-t
• 7.41.4 - i. _PEPS
. _i- J .
},,_'-
‘ - ( -_t) - . ., , ,
: ..... _...___.- .
.Jaao- [37 r__1T
. , _, ,, fft
- 12_ iANTO .
. .i - , •---1
_ - -
. . . __ _ _.:„.A..r.
.. .. „. ., .. . .._._,,
...
I .. . ,
v ' - GUA lT�.W.11? SECI7I1 '�`i" _T.rrLe. GUARANTY .
- _C U ' t JE -r �~ 1 . �.y �- _ SEPT Cyt [CO..'
--
- rr �. .r��`.�� { /�{ ,% t,ir p� r./ - , -_ tom:'. . -Y, f ' i,i . .. - :
� i
�_ t�vYl.V.R1r7 n•,ft;,[,1Ir�4,z�'�• �' = j" . i w,�` 1jr ,��ft PC