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HomeMy WebLinkAboutStavros f,. k lit If RA' 471 Town Hall, 53095 Main Road ,r P.O. Box 1179 •��� Southold, New York 11971 JUDITH T.TERRY `=, iii�a ,i FAX(516)765-1823 TOWN CLERK TELEPHONE(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. 987-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner STAVROS, GOERGE Mailing Address 1 157-45 12 ROAD Mailing Address 2 City St Zip BEECHURST NY 11357-0000 Property Address 1 PLUM ISLAND LANE Property Address 2 City St Zip ORIENT NY 11957-0000 Owner Telephone No. 000-746-0571 Tax Map No. section 15.00 block 5 lot 32.000 Cross Street RYDER FARM LANE Date Of Last Pump Out 0/00/00 Issue Date: 1/10/89 Judith T. Terry Southold Town Clerk (TOWN SEAL) PP OFFICE OF THE TOWN CLERK CCN\FSU( --- Town of Southold , ®�% ,, CQG'; Application No. el Judith T. Terry, Town Clerk ` .i-:;3. '-z .` Town Hall, 53095 Main Road 8 -.- _ .G I Residential P. 0. Box 1179 cr3 `' ` W:--04:4 i � Non-Residential Southold, New York 11971 VI°14' :.‘,'O� ��Telephone : . A' y► '/ (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE TO /9?? OWNER NAME: gcoe-,6-6- 37 j/ 2O S OWNER MAILING ADDRESS: /6-7— i',2, (0 -1> ____6,535 -61 .9/4,S -7- /0-0/ if,/ .37' OWNER PROPERTY ADDRESS: rt.t91 t .7 S4�, '1D /7/1--P- 011w 7 P OWNER TELEPHONE NUMBER: 746' 04 / TAX MAP NO. : Section 1 Block ✓J Lot ./M CROSS STREET: p 6 . o4) ,644.Wef TYPE OF SYSTEM: Septic Tank V New j Existing Cesspool New r / Existing V Residential L/ 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.) C 6 i v, fl�-� ' Sign-.nee of Applicant RECEIVED BY: Town Clerk's Office DATE: {.. — — — — SUFFPYCO. HEALTH DEPT. H. S: L - --_-7----,---•!--—-...--,j, . _'F^t »,.µ .1/ ' , 1�.J5 ;�iC,-r -- '- •- . '` >p:z :,;`. -;': .- 7 ti `�.J TEMENT P�j5A rod; ' ;E`._ rL< ", ,`' - - �'• -~ STA SEWAGEDfS _• , ' :,; c.1;—� j _ f__--- —'__`.''-- R SUpf'LY AND CE wit.' :, • , : �� H WATE THIS RESIDEN • °' F ;;' •• : - — F ► HE WAS FOR STANDARDS} 't a< -.`,' S THE STA, fC�I ;: r;'' --- '. , „ FORM TO TH SERV -il x �,_ PDi�- y .t r til = CONF°11 OF HEAL x • •^� 1 �.1.Y FOLK C s',. '`, :;;. S: 4 • ( ) PPLICANT = ' ° :;;`t4 ; :;,: t :: T OF NE A L I, I : ' �. : • ; `?4' - LK COUNTY DEFT. EP OVAL I I r '' u: t ,, yVFFO FOR gpPR = `' a.' ` 729 ' . 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