The URL can be used to link to this page

Home My WebLink AboutTuthill (3) OFFICE OF THE TOWN CLERK • •c3VFFeUrii Town of Southold , D�Ox. �� Judith T. Terry, Town Clerk ; ,,t Town Hall, 53095 Main Road o ;. '�,cn P. O. Box 1179 3y � Southold, New York 11971 •� = ,ap�;� Telephone gyp.( Alt (516) 765-1801 • TOWN OF SOUTHOLD • SOUTHOLD WASTEWATER DISPOSAL DISTRICT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 164 Residential X Fee $ 10.00 Non-Residential Septic Cesspool X NAME OF OWNER: Clara E. Tuthill OWNER MAILING ADDRESS: RR 1 , 36020 Main Road Cutchoque, New York 11935 OWNER PROPERTY ADDRESS: 36020 Main Road Cutchoque, New York OWNER TELEPHONE' NUMBER: 5160734-6551 TAX MAP NO. : Section 97 Block 2 Lot 1 CROSS STREET: Bridge Lane TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New Existing X Residential X Non-Residential DATE OF PREVIOUS PUMP-OUT: May 1985 • Judith T. Terr Southold Town Clerk DATE: December 4, 1986 (TOWN SEAL) '% R; OFFICE OF THE TOWN CLERK 5�FF0(,� `/ C Town of Southold , �� CQG'_ Application No. /6,5/ Judith T. Terry, Town Clerk ":. y Town Hall, 53095 Main Roadcn ` " "` Residential v '' P. O. Box 1179 �-<• � .�'-yrt=, � Non-Residential Southold, New York 11971 O 46_ KTX:; `6O •�`� Telephone .( � (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. /6 7 Fee $ 6 °� DATE OWNER NAME: L /1-e P 77-0/7-k/ / C=1- OWNER MAILING ADDRESS: R2 / QcO fr/gfeu RD !UY. /•/ 93 5� OWNER PROPERTY ADDRESS: 3 6,0 k qua G-u� ,v OWNER TELEPHONE NUMBER: 73 V- (p S5 TAX MAP NO. : Section 97 Block c` Lot CROSS STREET: W f ( 1=7- 1--A TYPE OF SYSTEM: Septic Tank New Existing Cesspool f New Existing Residential 4/ Non-Residential DATE OF PREVIOUS PUMP-OUT: A,L T- /9 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.) -ie • --CLA'atAi Signature of Applicant RECEIVED BY: c.. c�4 Town lerk's ffice DATE: REEVED DEQ ©411 96 ion Clerk sol ,.. • I , i i I 4 , ,I \,.., .., : I , i t . ...,—.. .. . 4 . • _ . 1 i 1 f,i \f\-,,,- - li j I . i ly OP. \ l' i' ti 1 I ! i of 1 1 Pi e f ii • . L_ <-...-......._ . .„), _ u_c , t-7.--- 4'..- ') 1 i 1 - I , I . If 1 '••• .7‘....v....A31 / .0.,i ,f or /0 5 ' •\ , -...... e•'''.... /Y) li I tt 1 _.../'..i. . • ., 0„,0?