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Home My WebLink AboutRuland f,r°�- .r 1'�I®IIOLA-c s etv sok Town Hall, 53095 Main Road P.O. Box 1179 ®� � � Southold, New York 11971 JUDITH T.TERRY TELEPHONE TOWN CLERK (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. 698-R Residential X Non-Residential Fee $ 10. 00 Septic Cesspool X New Existing X Name Of Owner RULAND, WILFRED B. , JR. Mailing Address 1 P.O. BOX 143 Mailing Address 2 City St Zip MATTITUCK NY 11952-0000 Property Address 1 15445 MAIN ROAD Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 516-298-8176 Tax Map No. section 115. 00 block 1 lot 6.000 Cross Street MILL LANE Date Of Last Pump Out 0/00/00 Issue Date: 5/12/88 Judith T. Terry Southold Town Clerk (TOWN SEAL) Y •, OFFICE OF THE TOWN CLERK ��FHU( Town of Southold �� j CQ Application No. G 9� Judith T. Terry, Town Clerk . `' �%.` / ~ - . < ) Residential V Town Hall, 53095 Main Road � "�" �,-� �s�, cn :" , P. O. Box 1179 y k; �: Non-Residential Southold, New York 11971 O :�t �1% ,x,:. O .9 .� Telephone W®j NP (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT iS PTIC TANK or CESSPOOL a____Operation Permit No. Fee $ .46 DATE 51111 f --- OWNER NAME: __� l l �ra.�- �(3tQ. � - OWNER MAILING ADDRESS: e®. c 11q5"-- OWNER i05"-- OWNER PROPERTY ADDRESS: I, • ) Iditek- OWNER TELEPHONE NUMBER: ft --17F 1---7 (40 TAX MAP NO. : Section f/'5.— Block / Lot 0 CROSS STREET: 35° / II* 'MY TYPE OF SYSTEM: Septic Tank New Existing Cesspool New Existing Residential '`/ Non-Residential DATE OF PREVIOUS PUMP-OUT: 'il/ ag/eg 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 o Applicant wn RECEIVED BRE • „Q ().,,, Town Cler 's Office MAY 121988 DATE: Town CIet1 Southold - 4 � {, i .. �• � 1111 ... - - • .-. _ ---,,L4„....ya,l�`•r„ ,� t.y,r,•��r • , � 4,4-.g-- ,,r 4 d ,`' >:ne r ,^�, • y 't„� ?P:a rR'-i:i "�,''.�'��Yktrl` w F ? ! •'''',,, j; , I I'7' ` „P 1.»M.• '',124_ r'a•,`1; 7' '':.•-i 1.y C.,, , 4 t44 i r. a,\`,i.➢5' inwC _,�;- , r`y;tic •. r . 'y` ,;.. , f,t ,`„."J- '''',,",,,'-:',:,.-!X2,-4.",;';:•,,,?--, 4 :t E= f - % . Pk7”, :; •' ;. •irvy< t N,i a♦r.'• : ,- ._§a •r, g-Ca. .•.,1s.. ;-'.,7, I ,i} i ,✓'.' ♦ .T('{ f:L. r},'a:, r:y;�irG; i rn :-.-4,..,..--.-.3 r �: r , . --1.x ,t. ii.,. -' :I k.,,'.,�. ,';n --WA!'.r e.-.,+- 'a'xa.. ,=uy';.,)?,,,'I''?,--',1',",..4'' ,) 'a ..4': r�11 AA r• • '1F `A„;';''isi. Y~774.';•-f, "j.`-;;', ;t1'.. t'Fy;k— „r•:ice, • N.'T °30*40,E...', . ' _ ' , � _L, ,f,, 7 ,,n N•T - r','F7•r r'^r'l a,`i - ,i.''�" 't},l„ °, 'i_- .+-r+-•R k f�. 4® fY ' ,. 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