HomeMy WebLinkAboutMulhall OFFICE OF THE TOWN CLERK •cOFWirt,
Town of Southold �� _ y:
Judith T. Terry, Town Clerk Z z}
Town Hall, 53095 Main Road
P. O. Box 1179 1 t7 _
Southold, New York 11971ti O` _ ;
Telephone =a/ ire
(516) 765-1801'
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 246 Residential X
° Non-Residential
Fee $ 10.00
Septic Cesspool x
NAME OF OWNER: James E. Mulhall
OWNER MAILING ADDRESS: Box 951
Southold, New York 11971
OWNER PROPERTY ADDRESS: Kenny's Road
Southold, New York
OWNER TELEPHONE NUMBER: 516-765-3376
TAX MAP NO. : Section 59 Block 7 Lot 24.1
CROSS STREET: North Road (Route 48)
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing X
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: Unknown
tor-
Judith
T. Terry
Southold Town Clerk -
DATE: March 31 . 1987
(TOWN SEAL)
/ Is
OFFICE OF THE TOWN CLERK �S�VFOC,r /
Town of Southold �� �Ol'' , Application No. 57i�'
Judith T. Terr Town Clerk �` u
y� s. .G ) Residential
Town Hall, 53095 Main Road k.,
P. O. Box 1179 i,��' Non-Residential
Southold, New York 11971 O °`_ 0 ��
Telephone 4t •
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATEA��4(4
OWNER NAME: )! -2� >>7-
�l�/-
OWNER MAILING 'ADDRESS:
-t.; -e--` /1 y /19 7/
OWNER PROPERTY ADDRESS: -cCr- roz__— ,.q<ti
OWNER TELEPHONE NUMBER: 276 j - 3 3 76
TAX MAP NO. : Section Block % -, -;)--,(7/
CROSS STREET: / ev.' .
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.)
Signatur of A plica
RECEIVED BY: gigs_ o--01/ (am .4.41
Town Clrk's Off ce
DATE:
•
4=cts'e
o c Ge-svS