HomeMy WebLinkAboutMcCarvill 011 �t�1 rpm_
Hall, 53095 Main Road
' :�,E r� } /'e Town
�_.t* P.O. Box
;;, .• ` '' 1179
Southold, New York 11971
JUDITH T.TERRY �- 7 ' f "r'n• TELEPHONE
IO'VN CLERK ZZTr rf�` (516) 765-1801
REGISTRAR Oh VITAL S I ATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Operation Permit No. 905-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner MCCARVILL, ARLEEN J. •
Mailing Address 1 7390 SOUNDVIEW AVENUE
Mailing Address 2
City St Zip SOUTHOLD NY 11971-0000
Property Address 1 7390 SOUNDVIEW AVENUE
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 516-765-3377
Tax Map No. section 59.00 block 9 lot 31 .001
Cross Street KENNEY ROAD
Date Of Last Pump Out 0/00/78
Issue Date: 11/01/88 Judith T lTerr
y
Southold, Town Clerk
(TOWN SEAL)
J — • s
....
OFFICE OF THE TOWN CLERK 'c�V MA' _
o�
Town of Southold �4 �QG' , Application No. 97
Judith T. Terry, Town Clerk ‘ 04 %') Residential
Town Hall, 53095 Main Road
P. O. Box 1179 u' y +'. ' = ► ‘' Non-Residential
Southold, New York 11971 O �, 1- '- .r.
Telephone = l t '
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
OPERATION PERMIT
-
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ / 1(2)24., /"
�
/ DATE ` p&q fY
- OWNER NAME: Rp. Le,J Lt 1 I ,C- e,. &LJ, 'ld.-
OWNER MAILING ADDRESS: 7390 SOtNcL&i,'ew Aye
S cr -J•,, Ld . Io /19x/
OWNER PROPERTY ADDRESS: _-5lze--,
OWNER TELEPHONE NUMBER: 576 - 7, 33 77
, �r
TAX MAP NO. : Section ,5 — Block , Lot 3 / ,
CROSS STREET:
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool jr New Existing i---- -
Residential
�Residential ,, Non-Residential
DATE OF PREVIOUS PUMP-OUT: /978
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.)
aite.4.--V11:
0--g-44'-je
nature of Applicant
RECEIVED BY: (A--14"4-' '
own Clerk's Office
DATE: id /5( / A
i! ,
-13
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