HomeMy WebLinkAboutTuthill :ice ., �
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
JUDITH T.TERRY FAX(516)765-1823
TOWN CLERK TELEPHONE(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. 82-N Residential Non-Residential X
Fee $ 25.00 Septic Cesspool X
New Existing X
Name Of Owner TUTHILL, W. PRESTON
Mailing Address 1 MAIN ROAD
Mailing Address 2
City St Zip CUTCHOGUE NY 11935-0000
Property Address 1 MAIN ROAD
Property Address 2
City St Zip CUTCHOGUE NY 11935-0000
Owner Telephone No. 516-734-6779
Tax Map No. section 102.00 block 6 lot 3.000
Cross Street NEW SUFFOLK ROAD
Date Of Last Pump Out 0/00/00
Issue Date: 3/09/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
•
OI I
OFFICE OF THE TOWN CLERK com.f(C'-
Town of Southold O �G- Application No./t/RC ZreL
Judith T. Terry, Town Clerk . 1. 4.5 y
Town Hall, 53095 Main Road oG Residential
P. O. Box 1179 � �� ; Non-Residential L.../Southold, New York 11971 ® �0 ��`
Telephone Aej
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. k`
Fee $
•
DATE MVMRreh 1 , 1989
OWNER NAME: W. Preston Tuthill- Cutchogue Diner
OWNER MAILING ADDRESS: Main Road® Cutchogoem® N. Y. 11935
OWNER PROPERTY ADDRESS:
OWNER TELEPHONE NUMBER: 734-6779
TAX MAP NO. : Section /6 02. Block (o Lot
CROSS STREET: A,/ Ew Sc./ rfr-o 6A- /W��
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing X
Residential Non-Residential X
DATE OF PREVIOUS PUMP-OUT:
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: do
„,E4 -wnlerk's ffice
. DATE: n r X113_ :�
/ i -
//
/ ,
t
. ' (12 6 ,
Cove tri W96L q' ,
,gk ' Live
n- D— 7--f--- — °
\I'ti
. 2
9
\ . .3` I '� 1
til` . - -- ; - -_ _ _too_ . — --- - 3
•
2,c'll' --1-t' _ . ,
oa -(-e , cs