HomeMy WebLinkAboutScaramucci OFFICE OF THE TOWN CLERK UL16,N-
TownTown of Southold �� z
Judith T. Terry, Town Clerk to-
Town Hall, 53095 Main Road1=2f n
P. O. Box 1179 -
Southold, New York 11971
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Telephone Q.( �c N'� •
(516) 765-1801 -
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation. Permit No. 522 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool x
NAME OF OWNER: John Scaramucci
OWNER MAILING ADDRESS: P.O. Box 1403
Mattituck, New York 11952
OWNER PROPERTY ADDRESS: 2045 Westphalia Road
Mattituck, New York 11952
OWNER TELEPHONE NUMBER: 516-298-9630
TAX MAP NO. : Section 141 Block 1 Lot 2
CROSS STREET: County Road 48
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. T ry •
Southold Town Clerk
DATE: December 7, 1987
(TOWN SEAL)
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OFFICE OF THE TOWN CLERK cvFFOUC - -
Town of Southold �® �QG' Application No.
Judith T. Terry, Town Clerk .� ��� _ ._
Town Hall, 53095 Main Road Residential
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P. -O. Box 1179 �' . i �' Non-Residential
Southold, New York 11971 ��•
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Telephone _ 1
(516) 765-1801
ocrFT.'ED TOWN OF SOUTHOLD
DEC ®n, 1967
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
'MVO : hold
APPLICAT ION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
DATE /'J/Z71/ ,P)
OWNER NAME: j
OWNER MAILING ADDRESS: P. O, ,e7y Va3
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OWNER PROPERTY ADDRESS : 4"5 W - i',`% /Z-.
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OWNER TELEPHONE NUMBER: 29 - 943 D
TAX MAP NO. : Section / `1 / Block 0 ( Lot 0 2.-
CROSS STREET: e
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 of Applicant
RECEIVED BY: `�c-it_oc-‹-
Town Berk' Office
REtEt
DATE: DEC 07 n' ?
Town Cl.grk Southold
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nnulnORILED ALTERATION OR ADDITIOp /� K,r YOUNG
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(0 THIS SURVEY IS A VIOLATION OF YOUNG 47 I
ACTION 7209 OF THE NEW YORK STATE 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
DUCATION LAW.
ONES OF THIS SURVEY MAP NOT BEARING ALDEN W.YOUNG ;HOWARD W.YOUNG
Ht LAND SURVEYOR'S INKED SEAL OR I PROFESSIONAL ENGINEER AND _ ?tiLANO SURVEYOR
mBU:,SED SEAL SHALL NOT BE CONSIDERED LAND SURVEYOR;N•Y.S.-LI.C. NO, E$04 ' `',N,1:Y.S. LIG. NO. 45593
0 RE A VALID TRUE COPY - `
,UARANTEES INDICATED HEREON SHALL RUN SURVEY�,/ c/�p
ONLY TO THE PERSON FOR WHOM THE SURVEY SUR Y E E F OR�q
S PREPARED, AND ON HIS BEHALF TO THE JOHN SCARAMUCCI
ITLE COMPANY, GOVERNMENTAL AGENCY ANI'
ENDING INSTITUTION LISTED HEREON, AND MA 1.TE UCK
to THE ASSIGNEES OF THE LENDING INSTI,T 1•, ,/;y�a �+y',��jT
'UTION GUARANTEES ARE NOT TRANSFERABLE TOWN OF`'SOU 1 HOLD CUARANTE 0:..-01,-.,,,,,_, `
'O ADDITIONAL INSTITUTIONS OR SUBSEOUEMI JOHN Sad
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SCALE 1"= 40 T: , r
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SUFF COUNTY TAX MAP o• ., _ . �, i
DIST 1000 SECT.I41 BL 01 L0T02 JUNE 30,1987 PRS;; `': ^ ' N.I. ," .. AND
JULY 16 ,1987 � ,� '�' ,YQ el� .N0.12845
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