HomeMy WebLinkAboutMullen (2) (
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3501-R Residential X Non-Residential
Fee $ 10.00 New Existing X
Name Of Owner MULLEN, PHILIP E.
Mailing Address 1 P. O. BOX 94
Mailing Address 2
City St Zip SOUTHOLD NY 11971-0000
Property Address 1 3340 OAKLAWN AVENUE
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 516-765-3454
Tax Map No. section 70.00 block 5 lot 54.001
Cross Street PINE NECK ROAD
Issue Date: 9/16/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
'OFFICE OF THF TOWN CLERK cOFD(,r�
Town cif Southold • CQG Application No.,. /Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road -� $10.00 - Residential
E �_TMYq
P. O. Box 1179 , n�,.','` ' ►��' $25.00 - Non-Residential
Southold, New York 11971
Telephone d‘fa_ .( Y►
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
1 �° 1
DATE v / 13)
OWNER NAME: lam- 1 L, y t , 11U I l l 1 N
OWNER MAILING ADDRESS: ft 0 '3 9
•
If--
f —1- 11 1)-1 ra t1vi ( _
OWNER PROPERTY ADDRESS : (-
OWNER TELEPHONE NUMBER: 1 L5--
TAX MAP NO. : Section — Block 'A Lot J ,
�CR SS STREET: )7t.,te4,. (0.1
TYPE OF SYSTEM: Septic` Tank New Existing
esspool New Existing
Resid ntia Non-Residential
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 pplicant
RECEIVED BY:
1` own Clerk's Office
DATE: ' i f. l
4
/1\
A .
._ -.--) 0 c., i‹ ,-, 1 c ,f
1
. ) I
.
,-,
..- I (1,0 wry s e"
.1cJ-. / 1/ MP
'('/' .
7
a
, .
�'�SS7 � o L- Gne-, \". t:(7_
_
P/14Ec/L
I,
d 1
_ •__
mi
1
_ _ r4— _
t
--- - - - --
c:f.,,o_ e_../ _.C..t_i_____C__,e,zit:. __ ___ __ __ ___\_(. _.a./....5 .__It. ________
r 1,
1
)\c" R----
Pl>1 -•'..- 1 P.------)i .
ti i Y,r 0 ,
P _____________ (.3:),_ _ „
,.
- , _ _ _ .
--- -- - - - cc1 (1/-(27 ft--(--11. I -‹..-
n0 &v. - K. ;,
111111
L___________. _...)1____ —..............---!___ _________._ y
7 I ls K fkAOr 9 I __ ___ _
_ . • _ - - 1 -
;� /17-6-`-c. /- /2 -_-- - - ---
•
• _ _ _ _ _ _ . ._ _ _ _ ___ ___:1:- - -
l
I