HomeMy WebLinkAboutMarcell 4
ctt
"°4�.
�
� g Town Hall, 53095 Main Road
-‘1) F �i,fr P.O. Box 1179
®f ������ Southold, New York 11971
JUDITH T.TERRY /[>zr.' �e- TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 715-R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
New Existing X
Name Of Owner MARCELL, FREDERICK
Mailing Address 1 P.O. BOX 911
Mailing Address 2 PARADISE SHORES ROAD
City St Zip SOUTHOLD NY 11971-0000
Property Address 1 PARADISE SHORES ROAD
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 516-765-2293
Tax Map No. section 79.00 block 5 lot 1. 000
Cross Street NORTH BAYVIEW ROAD
Date Of Last Pump Out 0/00/00
Issue Date: 5/27/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
. 3 ,
OFFICE OF THE TOWN CLERK , c)\\VFO/dre, _
Town of Southold Application No. 7/
Judith T. Terry, Town Clerk '�
Town Hall, 53095 Main Road ® U Ifk; :'� Residential Yess
P. 0. Box 1179 c' 4 cH ' ' '► Non-Residential
Southold, New York 11971 #® ��$
Telephone _®1 � "
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
_ for--- -
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ 1000
DATE April 29th, 1988
OWNER NAME: Frederick Marcell
OWNER MAILING ADDRESS: P.O. Box 911 Southold, N.Y.
or Paradise Shores Rd, Off of No Bayview Road.
OWNER PROPERTY ADDRESS : Same a.s Rhove,
OWNER TELEPHONE NUMBER: 516® 765® 2293
TAX MAP NO. : Section 79 Block 5 Lot 1
CROSS STREET: None —
TYPE OF SYSTEM: Septic Tank New Existing k
• Cesspool 1960 Large.) Existing 1953 ®p-re„nt.
Residential icPs Non-Residential
DATE OF PREVIOUS PUMP-OUT:Peconic Cesspool Sewer Drain Service
EaTtituck. Bray Ave. P.O.B 298®9658
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.)
Signature of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
Frederick Marcell
,Paradise Shores Rd.
Southold, New York
Tel. 765-2293
75 Feet rear
One Story House,
Small Cesspoli 8' X 4' 1O'Feet from House
Built in 1953.
Large Cesspool 48 feet from House
Built in 1960.
The large Cesspool to the road 70 Feet.
tet-
r � �
4-4M w
Ski M
N
0
f-i
P-I
G
/9775
Feet frontage