HomeMy WebLinkAboutLatham (2) OFFICE OF THE TOWN
Town of Southold
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
P. O. Box 1179 to 4"
Southold, New York 11971 ;O
Telephone AL
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 50 Residential xx
Non-Residential
Fee $ 10.00
Septic Cesspool xx
NAME OF OWNER: George Ritchie Latham, Jr.
OWNER MAILING ADDRESS: Box 25
Orient, New York 11957
OWNER PROPERTY ADDRESS: Peter's Neck
Orient, New York
OWNER TELEPHONE NUMBER: 516-323-3511
TAX MAP NO. : Section 32 Block 1 Lot 6.
CROSS STREET: Narrow River Road
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool xx New Existing xx
Residential xx Non-Residential
DATE OF PREVIOUS PUMP-OUT: June 1985
Judith T. Ter
Southold Town Clerk
DATE: September 18, 1986 r
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OFFICE OF THE TOWN CLERK • '-J IFO
Town of Southold % row Application No. SV
Judith T. Terry, Town Clerk d�
t -, 1 Residential
Town Hall, 53095 Main Road 5 V,,,,
P. O. Box 1179 crs •' Non-Residential
Southold, New York 11971 O •® =- : gI`�
Telephone ®l 4t -ii •
(516) 765-1801
r y ' `-O TOWN OF SOUTHOLD
C?' 1986 SOUTHOLD WASTEWATER DISPOSAL DISTRICT
',1,-11011,
APPLICATION
�E��IV�® for ..�. ��.�.^- ----
EP 18 19 OPERATION PERMIT
Town Ckeek Southold
SEPTIC TANK or CESSPOOL
Operation Permit No. 51-)
Fee $ /0 it:
DATE 46.. 2-r, /r1-4.
OWNER NAME: Q.-4i le---, k4G4p vi%¢--
OWNER MAILING ADDRESS: 5616 `
O / Ai / a ?s 7
OWNER PROPERTY ADDRESS: F61-672-S- Al P V✓�.` VJT / y
OWNER TELEPHONE NUMBER: 3v3 s`r`/
51.cco -rhy 44,A- NCO- 37: .s /®'4
TAX MAP NO. : Section Block Lot
CROSS STREET: /l/[- ®f 7/21V4-7 1D 'Ff of ✓/AJ
A ,€ fre 4 /e-A
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New Existing - V
Residential b/ Non-Residential
DATE OF PREVIOUS PUMP-OUT: JUs,Ue.-1 / rca
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.)
A
464-'
,:
Signature of Applican/
RECEIVED BY: ( 4-y_ce, ��.
Town erk's O fice
DATE: A e/1n�,✓-cam /1, //QA'
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