HomeMy WebLinkAboutReeseSOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 1207-R
Fee $ 10.00
Name Of Owner
Mailing Address 1
Mailing Address 2
City St Zip
Property Address 1
Property Address 2
City St Zip
Owner Telephone No.
Tax Map No. section
Cross Street
Date Of Last Pump Out
Issue Date: 8/08/89
Residential X
Septic
New
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
FAX (516) 765-1823
TELEPHONE (516) 765-1801
Non -Residential
Cesspool X
Existing X
REESE, WILLIAM N. 8 DOROTHY T.
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BOX 912
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7980 NORTH BAYVIEW ROAD
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SOUTHOLD NY 11971-0000
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7980 NORTH BAYVIEW ROAD
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SOUTHOLD NY 11971-0000
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516-765-1158
79.00 block 7 lot 52.000
TOPSAIL LANE
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0/00/00
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Judith T. Terry
Southold Town Clerk
( TOWN SEAL)
OFFICE OF THE TOWN CLERK
Town of Southold
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road
P. 0. Box 1179
Southold, New York 11971
Telephone
(516) 765-1801
TOWN OF SOUTHOLD
Application No. °g6
$10.00 - Residential
$25.00 - Non -Residential
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
OWNER NAME: drl l
OWNER MAILING ADDRESS:M0
DATE �/ a
OWNER PROPERTY ADDRESS: �5zV-n'q?
OWNER TELEPHONE NUMBER: 5-0 516
TAX MAP NO.: Section `J Block `% Lot
S, \W- C o r ae o- , I
CROSS STREET:
TYPE OF SYSTEM: Septic Tank New �_ Existing
Cesspool i> Kew„ Existing
Residential N=f�esid�rrtial�
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 Applicanf
RECEIVED BY:
own Clerk's Office
DATE: g �E L f
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DIETZGEN 135 1IF46 ` =�
UNAUTHORIZED ALTERATION OR ADDITIO14
TO THIS f_L:t V`Y iE A 110LATION OF
SECTION 7209 CF THE NEW YORK STATE
EDUCATI^-h LAW.
CONS .F "-:` SURV-Y II NOT BEARING
Th. LA r a. C ..A. OR
En LL" t. c c A - N A BL COrS:DERED
TJ E: A !A 'v I J5 Cr.Pi.
GUA A T ` i .:.AT H.P._O•1 SHALL RUN
ONLY 1U 1" +' -' IG? ••:'-M THS SURVEY
IS F..L P. lO IHE
TITLE C..;. A AG_NCY AND
\ TO 7 : l I. .UN• AND
TO TH: A_` ` 'r fr.: Di.:G INSTI-
TUTIO:. 1. A.. IILS A., NO' I:ANSFERABU
TO AD—TIvr.AL cr.Si:•..TIJ\S OR SUBSEQUENJ
O W NEkS.
NOTE f
® = MONUMEN T
SUBD/V/S/ON MAP FILED /N THE OFF/CE OF THE CLERK
OF SUFFOLK COUNTY ON JUN. 4, /97! AS MAP NO. 5559
REVISIONS YOUNG & YOUNG
400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
ALDEN W. YOUNG HOWARD W. YOUNG
PROFESSIONAL ENGINEER AND LAND SURVEYOR
LAND SURVEYOR. N.Y S. LIC NO 12845 N.Y S. LIC. NO. 45893
SURVEY FOR:
W/LL/AM REESEB DOROTHY
LOT NO. 3 , ;. t,FD w
//LEEWARD ACRES AT :YW ",�
AT BA Y VIEW SUR OLE BAN
TOWN OF G R T�,E TL E D/ S/O OF
SOUTHOLD A ,r �r�$vs AN co
SUFFOLK CO., N. Y. BY s
SCALE:/ // _ 401
DATE: NO.
MAR. 30, /973 73-287