HomeMy WebLinkAboutReeve (2)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
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 138
Fee $ 10.00
NAME OF OWNER: John T. Reeve
Residential
Non -Residential
Septic Cesspool X,
OWNER MAILING ADDRESS: P.O. Box 793.
Mattituck. New YQ rk 11952
OWNER PROPERTY ADDRESS: Bennetts Pond Lane
Mattituck New York
OWNER TELEPHONE NUMBER: 516-298-9144
TAX MAP NO.: Section_ Block _,Ar 1,3 Lot h►
CROSS STREET: Westphalia ad
TYPE OF SYSTIEM: Septic Tank
New
Cesspool X New
Residential
Existing
Existing X
Non -Residential
DATE OF PREVIOUS PUMP -OUT: September 1986
DATE: November 12, 1986
Judith T. ryw
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
UrVIVED
s Cbl Southold
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M4
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. kcs�
Fee $ 04" '®
Application No. /
Residential
Non -Residential
DATE
OWNER NAME:
OWNER MAILING A DRESS: �! D, `7 9,
OWNER --PROPERTY ADDRESS: 72Z
OWNER TELEPHONE NUMBER: �� - 9 q _
TAX MAS NO.: Section 1�` /0,?- Block Lot Cp 47
CROSS STREET: /J 'a, zAte(
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New Existing
Residential Woo-� 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.)
P.,VW4 jr
61 Signature of Applicant
RECEIVED BY:
Town CI k's Office
DATE:— h. - . /oZ . / SAl
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DisrANCES SHOWN THUS (/25.00) ARE
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REVISIONS YOUNG 8e 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. 48893
SURVEY FOR:
JOHN T. REEVE
6 "BENNE T T'S POND "
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% % - .Z O 7
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°42 205.74
W
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�,5�. 128.2$8' -
°42 2 6i11
0' formerly , NorE-
n OW a - MONUMENT FOUND
SU®DIWS/ON MAP F/LEO/N MEOFF/CE
OF THE CLE, RKOFSUFFOLK COUNTY ON
✓UNE 12, 19 70AS 41'<<.s" Sri^.. 54dS.
DisrANCES SHOWN THUS (/25.00) ARE
FROM FILED MAP.
REVISIONS YOUNG 8e 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. 48893
SURVEY FOR:
JOHN T. REEVE
6 "BENNE T T'S POND "