HomeMy WebLinkAboutMonk OFFICE OF THE TOWN CLERK ' ic.OFDCkc"
Town of Southold 1� , � � �� ,..
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road '
P. 0. Box 1179 r ‘F,E.
Southold, New York 11971
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Telephone /•
__
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 206 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool x
NAME OF OWNER: Joyce G. Monk
OWNER MAILING ADDRESS: P.O. Box 772
Cutchoque, New York 11935 •
OWNER PROPERTY ADDRESS: 435 Briarwood Lane
Cutchoque, New York
OWNER TELEPHONE NUMBER: 516-734-6256
TAX MAP NO. : Section 136 Block 1 Lot 1
CROSS STREET: Harbor Lane
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing x
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: Unknown
Judith T. Terry
Southold Town Clerk
DATE: February 3, 1987
(TOWN SEAL)
S. "-"
OFFICE OF THE TOWN CLERK �SWF[AA'
Town of Southold ®�� 4� . CQV': Application No. �6,�
Judith T. Terry, Town Clerk '' % •
Town Hall, 53095 Main Road '`
c 'k t. 1 Residential c,
P. O. Box 1179 v' W� ' Z Non-Residential
Southold, New York 11971 O ® -kz$
- '
Telephone _�.( 'PT ',
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 02.. 0 :2
Fee $ App
. DATE .1(97,/UARY,26, Icig21
OWNER NAME: joy MoNK
OWNER MAILING ADDRESS: -p, 0 . ox 772
l ,UTCHOGO
OWNER PROPERTY ADDRESS: 4,13,5- BRIA ,1JOoTb .1,4N6'
au T CH-06,0c.
OWNER TELEPHONE NUMBER: 734 - 4 ,2,5-6
TAX MAP NO. : Section j3 Block / Lot
CROSS STREET: ► 4-R 130 RJ p1 n/e-
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool ✓ New Existing ✓
,Residential V 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.)
4\4. .. _
'Sig nature of Ap.Iicant
RECEIVED BY: X.-d4, Q,
12
, a
Tow Olerk`s O ice
DATE: IEB 02 1987
Town Merl( Southol0
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NOTE ■ = MONUMENT FOUND
1 20' RIGHT OF WAY tS KNOWN AS ThRIARW000 LANE 11
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REVISIONSYOUNG & YOUNG
I 400 OSIRANUER AVLNUL, RIVERHEAD, NEW YORK '
ALDEN W YOUNG HOWARD W VOL
PROFESSIONAL ENGINEER AND LAND SI'NVEYOR
- LAND SURVEYOR N Y S LIC N0, 12845 N Y;9 LIC HU. 458'
1 - SURVEY FOR:
1 s.
- 1 DAVID E MONK & JOYCE G MONK
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I AT GUAPANTEED TO
1 _ CUTC HOGUE HOME TITLE DIVISION OF CI+
t TITLE INSURANCE CO.
TOWN C?F SOUTHOLD
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I ®Y ,-
SUFFOLK
>UFFOLK CO., N. Y I, /,, ./--," r2
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