HomeMy WebLinkAboutWendell OFFICE OF THE TOWN CLERK w 8031 1JL
Town of Southold
Judith T. Terry, Town Clerk n 1
Town Hall, 53095 Main Road �, ._.^. , '•'t
P. O. Box 1179
Southold, New -York 11971 ;O` 0�,�'
Telephone �j Aid
� �
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 78 Residential xx
Non-Residential
Fee .$ 10.00
Septic Cesspool xx
NAME OF OWNER: R. Douglas and Madaline D. Wendell
OWNER MAILING ADDRESS: 829 N. Bayview Road Ext.
Southold, New York 11971
OWNER PROPERTY ADDRESS: 829 N. Bayview Road Ext.
Southold, New York
OWNER TELEPHONE NUMBER: 516-765-9215
TAX MAP NO. : Section 78 Block 8 Lot 12
CROSS STREET: North Bayview Road '
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool ' XX New Existing xx
Residential xx Non-Residential
'DATE OF PREVIOUS PUMP-OUT: -
Judith T. Terry
Southold Town Clerk
DATE: October 6, 1986
(TOWN SEAL)
OFFICE OF THE TOWN CLERK \\ffJ(4'
Town of Southold �� CQG Application No. 7:Vil
Judith T. Terry, Town Clerk 4f4f 4 �'� Residential
Town Hall, 53095 Main Road o ; �,
P. O. Box 1179 u' Non-Reside tial
Southold, New York 11971 O
.
Telephone '44 � °.
(516) 765-1801
TOWN OF SOUTHOLD
RECEIVED SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OCT 061986
APPLICATION
Town Perk Southold'
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.7/
Fee $ fO ,Jn
DATE 4# °fi ( q 8(0
OWNER NAME: ls(P10s flo¼th !lfTi () )� j&da 1
OWNER MAILING A DI S: 9 Pa) Rd,.
601,-riLko i\rj (
•
OWNER PROPERTY ADDRESS:
OWNER TELEPHONE NUMBER: ';-1(05— qc... �
TAX MAP NO. : Section 8 Block 8 Lot ,I
CROSS STREET: WC)(
TYPE OF SYSTEM: Septic Tank X New Existing !'
Cesspool New Existing
Residential Xi 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.)
,,, /
Signa•ure of Applicant
RECEIVED
Town p lerk's Office
DATE: (12 _ 6 „fr(�
0
(c.u
Y
x try �. . ..
y�}. -,
'} euflOT& COUNTY MALTADEPARTEL :
;
Ian AUG 84 1178 Dr 11....S0.-4.64
' ' _ _ This sewage disposal and rater supply
-,r,, taeilities for this location have h
i*yeeted by this department and found
C. Iii byma to .
Ajt.
h e oP Gagersinrnk�r.arlds
Cpr.yi Qe•
':'A.,,
'Zoe
A aP�
0
LA M/F ItAt.lt, N 1F
u . VittWZ1 EtJ<j I•
1.l . RO3Et•l BES
\ (VAG q wl7
16,901
Q
Q 7e.o t Q
l `
2 A N S3 1
Vlv-Ic( , r: . .
Li
0 4 li L Z �` zz.i �� �, �z-7. r 4 1 `) ' ,U
2 r `J gizin• Zo1000 I Z
(� PsTKt61.SI Z 4t 1assoll 2 A ��
v 1413°01' tO"\ 1 ..'— 200.00'
I
9 7
tit
i1 4r) MIF \\11‘4D6 '\V&\( EA-1)4' I
• <Ac2P.
VA/CAA-Xi I�
40
• T4.
LA ir,
1::.:,,,:f -c1 •
•
'',
i a -. Z.
P
0
X
1.1IRA IA bp, -/Q lE\ 1 QOL►D . .
Gem U FI EP "C6: -
�Tut Lp SI�JIN65 BQ�k MLA, 6f P¢OPEQt•(
Cautty AFiSZeQ�t (b.. U iC. . 5►tUI�ZE.
6Ou1 LAO LC)
'''a'4_, 1/ '""°,„'') .0.6. TO\V 1.1 OF SOI II U O L9
'SUFFOLK COUNZY, n.Y.
6u2.\i\e Eo
t1OV. 1 , nil
f b..LE : l"=40'
FA-B. 24. /976
Ju1-N- z3, 1976
FRW.1 V- A-1 . L'T1C1ts66t.1 ,L•5 .
5E1t UILET, CAN. .
t t.\l. 61/KtE LAC. No . 32463