HomeMy WebLinkAboutMccann OFFICE OF-THE TOWN CLERK • .c5JIfe(K`+D
Town of Southold l/�
Judith T. Terry, Town Clerk Jq•- ,
Town Hall, 53095 Main Road r_: •
P. O. Box 1179 u' p
Southold, New York 11971 'yl ���•�
Telephone = O1 * •
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(516) 765-1801 10
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 214 Residential X
Non-Residential
Fee $ 10.00
Septic X Cesspool X
NAME OF OWNER: Daniel V. McCann
OWNER MAILING ADDRESS: 655 Matthews Lane
Cutchoque, New York 11935
OWNER PROPERTY ADDRESS: 655 Matthews Lane
Cutchogue, New York
OWNER TELEPHONE NUMBER: 516-734-6617
TAX MAP NO. : Section 84 Block 1 Lot 18
CROSS STREET: Coxs Lane
TYPE OF SYSTEM: Septic Tank X New Existing x
Cesspool X New Existing x
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: Never previously pumped
Judith T. Terry
Southold Town Clerk
DATE: February 4. 1987
(TOWN SEAL)
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OFFICE OF THE TOWN CLERK Oc3VFFO(,1r -
Town of Southold , z CSG Application No. (q
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road ; ! Residential
P. O. Box 1179crl ' ' `'" ` :` Non-Residential
Southold, New York 11971 O e/
-4o �o
Telephone : .(
•
(516) 765-1801
RECEIVED TOWN OF SOUTHOLD
FEB ®2 1987 SOUTHOLD WASTEWATER DISPOSAL DISTRICT
Ion Clerk Southold
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL .
Operation Permit No. c /9
Fee $ 1Q 06
DATE
OWNER NAME: Daniel V. McCann
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OWNER MAILING ADDRESS: Matthews Lane
Cutchoque, New York 11935
OWNER PROPERTY ADDRESS: Matthews Lane
Cutchogue, New York
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OWNER TELEPHONE NUMBER: 1,3 `i l.ec: I
TAX MAP NO. : Section 84 Block 1 Lot 18
CROSS STREET: Coxs Lane
TYPE OF SYSTEM: Septic Tank 1," New Existing
Cesspool r/ New Existing '
Residential V- Non-Residential
DATE OF PREVIOUS PUMP-OUT:
I
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.)
/LA._
Ir' — Signature of Applicant
RECEIVE e31-.1,
Townerk s Office
DATE:
FEB 041987
Tow C'erk Southold
now or formerly JUL /US SK/ROL
(7,---4N. 67° 37'20"E. •• 163.86' f
Unauthorized alteration or addition lo this survey is a violation of
' section 7209 of the Now 'fork Stole Education law, #1
Copies of this survey map not beating the lend surveyor's inked
Mo seal cr rmbo:red :nil s!,a'r opt !++ cnm n�l ir!e• tl he a vel d cony
H � • M w:LL • u`0� Guarantees or certifications indicated hereon shall run only to the
� M.{{�'� �� person for whore, tho survey is pr;n oral, anti on his behalf to the
H 1 tT as tiV "{Fc . s Np
H M 714 0 o °)0) s ezle company, grnornrner.tc:� agency en•i Ie.•..!i,7 institution listed
�1 P. L 0 r, 5, ins.reon,and to the assignees of Tho lending mstrtutron. Guarantoos
r3 '�t= p R� .rt ` )r certifications arc not transferc.blo to add;honcl institutions or
. v' ,r, c3 C' • /� s ,•bsoquenf owners.
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u-t R=50.00' V
Lam' "-MATHEWS LANE•
L-40.23` SURVEY OF LOT 5 •
rL�' t'— MAP OF NORTHWOODS
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_t,; >-- Filed. May 2/, /970 File No. 5469
�-' T ACUTCHOGUE
`' c=:. TOWN OF SOU-THOLD
,::.1a SUFFOLK COUNTY, N Y.
GUARANTEED TO: REDATEI) 6-I- 7 3
RIVLRHEAD, SAVINGS BANK - •
HOME TITLE DIVISION - C.T.I. CO. " 7-2-73 under const. WILLIAM G. METER • Surveyed: 5-1-73
N,,, 10-12-73 final'
��� WELL-SEPT.TK.-CESSPOOL •
Wading River, N. Y. Scale I” : 30'
Land Surieyor
A i PER OWNER
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