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HomeMy WebLinkAboutFrerichs ter`` OFFICE OF THE TOWN CLERK • S FU 0" Town of Southold, ,1 . �` �t� O� Judith T. Terry, Town Clerk Town Hall, 53095 Main Road = } P. 0. Box 1179 Southold, New York 11971 Q •� Telephone 011 • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation. Permit No. 217 Residential X Fee $ 10.00 Non-Residential Septic Cesspool X NAME OF OWNER: Harry F. Frerichs OWNER MAILING ADDRESS: 4830 Deep Hole Drive Mattituck, New YbYk-'11952 OWNER PROPERTY ADDRESS: 4830 Deep Hole Drive _ • Mattituck, New York 11952 OWNER TELEPHONE NUMBER: 516-298-5194 TAX MAP NO. : Section 115 Block 17 Lot 1 CROSS STREET: New Suffolk Avenue. TYPE OF SYSTEM: Septic Tank X New Existing x Cesspool X New Existing x Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: Unknown Judith T. Terr Southold Town C erk DATE: February 9, 1987 (TOWN SEAL) OFFICE OF THE TOWN CLERK �FFU Town of Southold D�Ocs CD,': Application No. 67/ 7 Judith T. Terry, Town Cl erk3 -.A �} Town Hall, 53095 Main Road c :'c Residential P. O. Box 1179 v' • Non-Residential Southold, New York 11971 O ' ®, K' ® / 0"." Telephone (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE J --- 3o - 7 OWNER NAME: f/A S / * /- � g iC c � s • OWNER MAILING ADDRESS: 1 ' 6o D t t P -I4OL E` DR- /72/9 74/rituci R- m/97`rituc/� ' ' //1r.c OWNER PROPERTY ADDRESS: S /� iy E OWNER TELEPHONE NUMBER: 6. 9 3— 57 7 9 TAX MAP NO. : Section 1/ 5-- Block /7 Lot CROSS STREET: NEW SVFFDL /c Atiff TYPE OF SYSTEM: Septic Tank 7( New Existing Cesspool New Existing X 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.) Signature of Applicant RECEIVED B1•. .. cd� / ; s , f �..-own Clerk'- Office DATE: FEB 091987 Town Cloth Southold . . . . , . , . . , . - ' • a--‘:-. -- -.)`• - . , ' . . . . . . . . .,. . . „ . . - . . . . _ - - 5+zi±e, 7a . A.`-‘..S_. 4€0--r- . . -. _ . . • -/- ,-- ' ' A. ..s_ rtee-r• - „ :,-5"-V-i`=-.---77?17Xi-co-----124 A , . _ . . . , t2 244A4A /4 e --S---7p- • . . . . - : '_. ' S--e-7.zt, - -Zo-,,LA5 ce%J.,,,,,,,,,, -33_1.4'7• , , . . , , . . . . , . . . . , . . . . . . , . .. . . , . . . . . . , , . . . . , 1 .' . , . . . . . _ ...- ., . - , . . , . . • \ . , . . . . . . , . , 7 yo,i)4i _ ,• , . , . , . . . - . . r ) , . 7R 1 . ; . 110 US 4” , ' - - , " / . . . . . . . , .' . . . : . . -- , .. . , . . . . . . . . k-S 3 - * / ..