The URL can be used to link to this page

Home My WebLink AboutGaffga • OFFICE OF THE TOWN CLERK • •cOFglX/ )-- Town of Southold � Judith T. Terry, Town Clerk : ( ?` r Town Hall, 53095 Main Road c - P. O. Box 1179 tri Southold, New York 11971 • \-. 0 .t �- ••, Telephone ( t (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 623 Residential X Non-Residential Fee $ 10.00 Septic Cesspool X NAME OF OWNER: Ruby E. Gaffga OWNER MAILING ADDRESS: 275 Laurel Avenue Southold. New York 11971 OWNER PROPERTY ADDRESS: 275 Laurel Avenue Southold, New York 11971 OWNER TELEPHONE NUMBER: 516-765-3420 TAX MAP NO. : Section 56 Block 2 Lot 7.2 CROSS STREET: Main Road TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New Existing x Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: 1986 • i�'dfhT. T y Southold Town Clerk DATE: February 25, 1988 (TOWN SEAL) • •ice OFFICE OF THE TOWN CLERK COFD(,( /(D Town of Southold - �O _- ea- , Application No. a2- � Judith T. Terry, Town Clerk y � � �'-u �: . .0 ) Residential Town Hall, 53095 Main Road � :, - P. 0. Box 1179 v' �L � Non-Residential Southold, New York 11971 4 Telephone v4 1% (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ /o DATE t:21-'Te OWNER NAME: / Co Q/F 4- OWNER MAILING ADDRESS: 7 S x,/416 i-2v j.>1 T a NY OWNER PROPERTY ADDRESS: ?� ()J / gV OWNER TELEPHONE NUMBER: (I'Js) 7(ag__ 3 Z/.. 7 TAX MAP NO. : Section Block 2 Lot 7, 2/. CROSS STREET: 1A 1(4 TYPE OF SYSTEM: Septic Tank V New Existing Cesspool \` New Existing Residential r Non-Residential - DATE OF PREVIOUS PUMP-OUT: f g', �r 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.) i. L • - Sig a re o ' p,9' icant RECEIVED - ° - Town C169-k's Offic DATE: �07 5friv . . . , . . . • -•:- `-,,,,_ . . . _ . . ' • , ,..- , . . . ' . ,.,...- - , • . , . . , , ••,-, . , / •, r . . .. . . • - 1--- I:'L '/(1-/ -./f/t)IF--- .-- f : . ,..„,„__ . . . ., , ..•-•_, • g - . -; , . . , . . ... , I . 1'3./ di3 trll i .. • • -. • rt(1Ug * . r ' , , . - , • . . .. .- .., • • r , , . ,, .• e ,.. . • • . . , -• , . , , - , : ''' 7:(..'‘': ' '' . -.: , • - • . • , , . . . ..., ' ° . • .,. • , r •J.,. . • , . r 1 , •-. .. .. 4 . e r. ... . . . . v-' •: , V . • . 1 . .- r . ' • 1 ' .. . . t 0 , • , P1 .. , . • ., • •• . - . . . .. .. - ., . -. •• , e JO , . .. . . . , . . . . .- .. ' . .. . . . . :. • . , . - . . . . . . . . . . " . , . . , , ., • ., . ^ . 1 , . . . . . ., , _ - 1, _ • . ' . . . . , , . . . 4 . . . . , . . . . . . . ..,. . . , , . . .. , . ... . _ .. . .. - - . .... . . .