HomeMy WebLinkAboutFeger OFFICE OF THE TOWN CLERK • c��'��eC,"
Town of Southold
Judith T. Terry, Town Clerk � Zti x_; `�
Town Hall, 53095 Main Road k ," a '
P. O. Box 11792 .
Southold, New York 11971 � p jj -Or•��
Telephone = "'O_ .( $�
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 281 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool x
NAME OF OWNER: Robert L. Feger
OWNER MAILING ADDRESS: 5370 Nassau Point Road
Cutchogue, New York 11935
OWNER PROPERTY ADDRESS: 5370 Nassau Point Road
Cutchoque, New York
OWNER TELEPHONE NUMBER: 516-734-5803
TAX MAP NO. : Section 111 Block 8 Lot 19
CROSS STREET: Little Peconic Bay Road
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing X
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: Unknown
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Judith T. Terry
Southold Town Clerk
DATE: April 22, 1987
(TOWN SEAL)
OFFICE OF THE TOWN CLERK -\\F-Fa
Town of Southold �� _. C'Q - Application No. c) D /
Judith T. Terry, Town Clerk ,, :
Town Hall, 53095 Main Road
P., `� .••••.G Residential
P. O. Box 1179 `� Non-Residential
Southold, New York 11971
Telephone
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(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
:EC IVB
MAR 3 0 1987 for
town C.'-erk Southold OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
DATE �'/�,fC Z5 /98?
OWNER NAME: Z.
OWNER MAILING ADDRESS: 53 770 , ,f2:'/v7 ,Ppm
CU/c2/O606.7
OWNER PROPERTY ADDRESS:
OWNER TELEPHONE NUMBER: :7°41' 603
TAX MAP NO. : Section fl/ Block OF Lot 1`
CROSS STREET: L/777,-e �c coy✓/c ,gyp
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool //New Existing
Residential Non-Residential
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.)
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Signature e Applicant
RECEIVED BY: csf:ew
Town Crk's O ice
DATE:
APR 21 1987
Town Clerk Southold
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