HomeMy WebLinkAboutTyrrell OFFICE OF THE TOWN CLERK • FO COIj
Town of Southold c��C
Judith T. Terry, Town Clerk � -
Town Hall, 53095 Main Road
�
P. O. Box 1179 i
`
Southold, New York 11971 p ® _` el
Telephone Ojslt �►
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 515 Residential
Non-Residential
Fee $ 10.00
Septic Cesspool X
NAME OF OWNER: Arthur Tyrrell
OWNER MAILING ADDRESS: P.O. Box 7
Orient, New York 11957
OWNER PROPERTY ADDRESS: 425 King Street
Orient, New York 11957
OWNER TELEPHONE NUMBER: 516-323-2493
TAX MAP NO. : Section 26 Block 1 Lot 28
CROSS STREET: Willow Terrace
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing x
Residential X Non-Residential
•
DATE OF PREVIOUS PUMP-OUT: July 1985-dremaite
itd- h T. Te
Southold Town Clerk
DATE: December '3, 1987
•
- (TOWN SEAL-)
`f • ""
OFFICE OF THE TOWN CLERK
Town of Southold �O�U�FOCQG Application No. 575
Judith T. Terry, Town Clerk �� ,
53095 Main Road ~ AM �G l - Residential
Town Hall, `
P. _0. Box 1179 cn ''"At
P. Non-Residential
Southold, New York 11971 ....."7-1•ii?
Telephone : i 411 `A .
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ 1O' -
-
DATE L t 1 V 7
I
...----
OWNER NAME: V .— L/RR,U-1---
p���O_ 43),OWNER MAILING ADDRESS: 0--Ir i'(.,( 4— R i,-1;
O i , N .�(. Lt ci 5 7
OWNER PROPERTY ADDRESS: I-i-a5 l,(,i AJ'C,r-- g.--;(055.--;
0'k NI -tg, U7
OWNER TELEPHONE NUMBER: V3. 6) M3 _ . .LI-c
TAX MAP NO. : Section 46... Block I Lot o(,-
CROSS STREET: 0011-5,--
TYPE
b- 1 -
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New Existing
Residential e< Non-Residential
DATE OF PREVIOUS PUMP-OUT: p SOk-f l C(15-5
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, o building and closest road.)
I
h, it
it ' ��I
11 ..na l ure of Applicant
RECEIVED BY: Aywc_., 0 /' /
REcEllm Town CI 'k's Off ce
DATE: DEC e3IS07,
i,„„i.i rods( S® iQla
! I#
!s ` "
"KJ. - -i" DA VD 0. ."--1,,v0-/4/\/./V /L-7:;:_ta--5.7-
\\„,.f ‘.. \ .
,,.) ,...,
l '
Fail i�w --P N 0 /p° :"'` '
` �_ 3
kit 1S 0
, f
� V
`' i F
2 _� t\''
. 0
.(i -. --6.et-Ssarot.-:if,..;.co .
. . ,U
•
. .
SeliC-. Eir-3'7G-' . . . . , -
-if-V le t...„..,uci\--c..1 v--° I. Li -I' kt-Z54-`ye 4-C.A CI::‘ it:- .00 4:
_._ as
•
A:7-ait, ti-1,':- b.C L4 Y f 4 Z-4 aI 4 0 4- :11 .e.. 3,t r�s
.
s -
c 'r l... -- 5��v-v? i.,•' .-„y NA-pa r 1'�'D, . -
s _i
VA N € tiYI- 0- N