HomeMy WebLinkAboutFarrell a
Town Hall, 53095 Main Road
$ P.O. Box 1179
its bm �� Southold,New York 11971
JUDITH T.TERRY �;r'�'�' 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. 1129-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner FARRELL, EILEEN
Mailing Address 1 BOX 253
Mailing Address 2
City St Zip LAUREL NY 11948-0000
Property Address 1 PECONIC BAY BOULEVARD
Property Address 2
City St Zip LAUREL NY 11948-0000
Owner Telephone No. 516-298-4461
Tax Map No. section 145.00 block 2 lot 7.000
Cross Street LAUREL LANE
Date Of Last Pump Out 0/00/00
Issue Date: 6/01/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
•
9 9
OFFICE OF THE TOWN CLERK osFOL%(r
Town of Southold "�� �oG_ Application No. //°2y
Judith T. Terry, Town Clerk y0�.=; :` %
Town Hall, 53095 Main Road 7 Residential
P. O. Box 1179 .
;,;,.. ;: � Non-Residential
Southold, New York 11971 O' ® {'`- �
Telephone • 16j ��� '.•
(-516) 765-1801 - - -
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ • •
\ DATE 31 k ((J
/5
• OWNER NAME: i i t r `I
OWNER MAILING ADDRESS: f' iç3 saes- L- 8
OWNER PROPERTY ADDRESS: tclj-vh e
OWNER TELEPHONE NUMBER: di d( ® ef 41 I
TAX MAP NO. : Section i4(S Block °(9 Lot CO
CROSS STREET:
TYPE OF SYSTEM: Septic Tank New ' Existing
Cesspool New Existing
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT: ' 7Ce
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.)
6/2_
Signa re of Applicant
RECEIVED ,BY:-
Town Clerk's Office
DATE:
I
r•AUIHUKILEU ALTERATION OR ACIDITIOI
'0 EHIS ,UPV^' IS A VIOI^TS a I'
O. V'`�hh . iful•..,-/2(19 JE LHE NEW YORK SlATE -
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EDUCATION LAW
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/ COPIES OF THIS SURVEY MAP NOT BEARING
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OO EMBOSSED SEAL SHALL NOT BE CONSIDERED i
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ONLY TO THE PERSON FOR WHOM THE SURVE'
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NOTE: II =MONUMENT
SUBDIVISION MAP FILED IN THE OFFICE SP 14� ‘°'?\\ �-
OF THE CLERK OF SUFFOLK COUNTY L3' ' s•° T \ \k
ON SEPT. 17, 1928 ,AS MAP NO. 212. �k '\ \\ ,e`0� -
SUFFOLK CO TAX MAP \ ' ' E+
DIST. moo SECT.J BL.002 LOT.oo7 \ \ 0v
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SURVEY FOR \\ a;se,
-JOSEPH E. FARRELL �` n
LOT NO. '3 U . ' ' +"
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..DUDLEY PARK" _ o /4.1.
LAUREL cv. $ If /^ \
TOWN OF SOUTHOLD GuAR NT' E I• --; :,, %"" /,\a .\ /o
SUFF. CO., N.Y. MEADOWBROOK k ION;, ''kt ► I'. / ` 0 . h' ,
HOME TITLE DI .I J:I N Ozt*;,\ai- Rlti%, ; \
4O TITLE INSURA g, CO (is /
SCALE I° = I a 1 �• o, ,
FEB. 9, 1966 • 9 .Q, ..n, -. a ,r Q0` ' \� //, ��
ill . FEB. 21, 1984 'Eti � I ::� '•
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MAR. 30, 19 85 LAND SURVEYOR,N. . ` /Pt�4 +i4S45
RIVERHEAD, N.Y. "`
NO. 84-1212 - '.