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Home My WebLink AboutTalbot 04 g Town Hall, 53095 Main Road - ' P.O. Box 1179 Tt � e Southold, New York 11971 JUDITH T.TERRY �77.$7Q ,.�j��l 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. 1257-R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X New Existing X Name Of Owner TALBOT, JOHN • Mailing Address 1 BOX 91P Mailing Address 2 City St Zip MATTITUCK NY 11952-0000 Property Address 1 2505 DEEP HOLE DRIVE Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 516-298-4781 Tax Map No. section 115.00 block 14 lot 12.000 Cross Street THERESA DRIVE Date Of Last Pump Out 0/00/00 Issue Date: 10/02/89 Judith T. Terry Southold Town Clerk (TOWN SEAL) IIS OFFICE OF THE TOWN CLERK �c0FU(,t-�-- Town of Southold 4 ,• -4,,e,,.._7,-. ca ' Application No. %c2,5"`� , k �`, Judith T. Terry, Town Clerk . � _� ;; .sr. .G $10.00 - Residential Town Hall, 53095 Main Road a n - P. O. Box 1179 cry Z `` V $25.00 - Non-Residential Southold, New York 11971 . '® 4` ` ��`� Telephone *4'01- ? 0-.1\#;0 • (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ J Q W DATE SEFTo 7- l '7 6 . OWNER NAME: JD We 7A_L6.0 • . OWNER MAILING ADDRESS: 43d '_ - l / P _ (--,2Ati±EP lie f ,bie - , -t_fh T��/( OWNER PROPERTY ADDRESS: .,r 36,LP o/t ,�/t�I vr, 74/9tt / TU1ae Ny_ //95 . / OWNER TELEPHONE NUMBER: 9dp /7"- ` 7 "1 TAX MAP NO. : Section //S Block ,/'-F Lot i CROSS STREET: f 7-i i S4 7 ,€) ()g TYPE OF SYSTEM: Septic Tank New Existing Cesspool v/ New Existing ✓ / Residential ‘/ Non-Residential DATE OF PREVIOUS PUMP-OUT: \_fri k / y O 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.) i I 4 11 4 Sigrjtu e of Applicant RECEIVED BY: c_cte- • .• Arm '1 ' 0 7`' C erk's 0, fice DATE: 00T 02 198w TOM Clerk Sod* fs v x ISO FENCE Ce Ss-poc5 J s 1 C CD 0 IV`b -�'" Ay 1 iso IS° . C. Hoa I ,) � brr� ISD fro r DEEP 40 Ile i.oz:- tAi ••• GC. vo o Town Hall, 53095 Main Road 74, C) P.O. Box 1179 �®. Southold, New York 11971 JUDITH T.TERRY FAX(516)765-1823 TELEPHONE(516)765-1801 TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD September 25, 1989 115-14-12 7-87 John Talbot 2505 Deephole Drive P. O. Box 357 Mattituck, New York 11952 Dear Mr. Talbot: A review of our records has indicated that you have failed to obtain an Operation Permit for your cesspool or septic tank system although you have been notified on at least two occasions to obtain the permit. It is very important that , you complete the application and return it to this office along with the location map and proper fee. The Southold Town Scavenger Wastes Law states that every cesspool/septic tank system must be registered with an Operation Permit. In accordance with the law, each owner of a cesspool or septic tank system is notified to obtain the Operation Permit after any maintenance or pumpout occurs. By the end of the year 1990, all systems within Southold Town must be registered and have an Operation Permit, even if there has not been any maintenance or pumpout involving the system. You will not be asked to obtain an Operation Permit each time you have work done on the system, the permit is only issued once for each system. Enclosed is an application and Informational Bulletin. Complete the application and send it to this office along with the fee and location map. (NOTE: The location map may be a copy of your survey with the location of the cesspools indicated or a sketch of your property showing the location of the buildings, cesspool system, and approximate distance in feet to buildings and closest road.) Please do not ignore this request. If you have any questions or need any assistance with the application, please do not hesitate to contact this office. We will be happy to assist you in any way we possibly can. Very truly yours, Judith T. Terry Southold Town Clerk Enclosures - ljc