HomeMy WebLinkAboutMcgoey OFFICE OF THE TOWN CLERK • ic.31FOUre"
Town of Southold OHO �
Judith T. Terry, Town Clerk � Z ; ' .: _ j�
Town Hall 53095 Main Road
P. 0. Box 1179 '' =:
Southold, New York 11971 O j. Off•,,
Telephone 1 � •
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 103 Residential XX
Non-Residential
Fee $ 10.00
Septic Cesspool XX
NAME OF OWNER: George W. McGoey
OWNER MAILING ADDRESS: P.O. Box 379
Southold. New YOrk 11971
OWNER PROPERTY ADDRESS: 335 Beachwood Lane
Southold, New York
OWNER TELEPHONE NUMBER: 516=765-3990
TAX MAP NO. : Section 70 Block 11 Lot 7?
CROSS STREET: Woodsend Way
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool XX New Existing XX
Residential XX Non-Residential
DATE OF PREVIOUS PUMP-OUT: 1983 ,
Ju i-r.T. ert
Southold Town CI rk
DATE: October 21 , 1986
•
(TOWN SEAL) -
OFFICE OF THE TOWN CLERK ��Pair
Town of Southold CQ Application No. /d3
Terry, � ' �
Judith T. Town Clerk �
7 Residential
Town Hall, 53095 Main Road c aF ,f ,� -
P. O. Box 1179 cr1 ' �`" Non-Residential
Southold, New York 11971 -klz$
OO .. ' �
Telephone _ .( Y► , .f�O��
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
RECII w for
OCT 2/ 1986
OPERATION PERMIT
Town C►erIc Southold
SEPTIC TANK or CESSPOOL
ci Operation Permit No. /03
Fee $ /0 cc" —
DATE
OWNER NAME: geor e -W. i\1a 6�T
tJ0827 Y
OWNER MAILING ADDRESS:3 each Nat40 d Q-r
Lane
6ct-th O t t! , N.Y' t/ f 7/
OWNER PROPERTY ADDRESS: c P 77 c
OWNER TELEPHONE NUMBER: 7 G - 3 9 ? 6
TAX MAP NO. : Section 7 0 Block If Lot e
CROSS STREET: Wood 4 e ' d W a y
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool 1.7*-- New Existing V
Residential 10°CNon-Residential
DATE OF PREVIOUS PUMP-OUT: 3 ya -r-s
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.)
Sign:. tire of Applicant
RECEIVED BY: ca_�
Town 1CIerk's Office
DATE: j_4_,/L., , 0.21,
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