HomeMy WebLinkAboutWolf OFFICE OF THE TOWN CLERK • ►c��FFO[J(``,"
Town of Southold , O�
Judith T. Terry, Town Clerk Zw r yam: r'
Town Hall, 53095 Main Road
P. 0. Box 1179 (r') 43, . : _ •�
Southold, New York 11971 Q ® `c- •�
Telephone _�l
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 172 Residential x
Non-Residential
Fee $ 10.00 Septic x Cesspool
NAME OF OWNER: Ferdinand J. Wolf and Termor D. Wolf
OWNER MAILING ADDRESS: 11575 Bayview Road
Southold, New York 11971
OWNER PROPERTY ADDRESS: 11575 BayvifQ,a,..Road
' Southold, New York
OWNER TELEPHONE NUMBER: 516-765-2211
TAX MAP NO. : Section 88 Block 1 Lot 11
CROSS STREET: Rambler Road
TYPE OF SYSTEM: Septic Tank X New Existing x
Cesspool New Existing
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: October 10. 1986
•
eire.deiv407.0•14.00,
Judith T. Ter
Southold Town Clerk
DATE: December 9, 1986 , •
i
7
(TOWN SEAL)
• r
t
"f
II iii .
OFFICE OF THE TOWN CLERK �c�VFFULA-0,
-
Town of Southold 0�� CQG'` Application No. /7.2--
Judith T. Terry, Town Clerk . • = fF�=� kf. %
_� •
.,�' '''' '.1‘.i• '� .•C ) Residential 1------
Town
Town Hall, 53095 Main Road
P. O. Box 1179 u' r`. • lc' tri ; Non-Residential
Southold, New York 11971 •x4 ,
O '—' •'`�
Telephone
•
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
• for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. /7;-')
Fee $ /0. 0'9-
DATE December 4, 1986
OWNER NAME: Ferdinand J. Wolf and Leonor D. Wolf - .k-4,
OWNER MAILING ADDRESS: 11575 Bay View Road
Southold NY 11971
OWNER PROPERTY ADDRESS : Same
OWNER TELEPHONE NUMBER: 516 765 2211
N Leeward Acres Subdiv. ; E Davis - Reese; S Bay View -Road;
W D' verso -J�c ues •
TAX MAl cf�,0. : ectiorgi na pe Block na / Lotna /l
CROSS STREE1IQne; Opposite north end of Rambler Road
TYPE OF SYSTEM: Septic Tank x • New Existing X
Cesspool New Existing
Residential x farm Non-Residential
DATE OF PREVIOUS PUMP-OUT: October 10 , 1986
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.)
ATTACHED
...=„1,,g , ,
„...,.. .......... ..._...
_..
nature • �yyo•scant
Ferdinand J. Wol :1
RECEIVED BY: tcra6, / �k.1.L-`e.�.. 5'R ( v.,r
Town Ierk'sOffice— LNai-c35�1?
DLL FIVE )
DATE:
Town Clerk Southold
k. ) Y,
FERDINAND J. WOLF. ESQ. p �' �"�' 5
DAT VIEW ROAD l �4�z''
SOUTROLD, NY 11971 v° t M 1-vS .g CC)5--1
tut ak. .rivA'c9
• c� k.-N F ALUs e n,v Ekige Z
qR Al(•.) '�l'�'C-
kck
wB1.1.0 C b NiJ�C
r-ick
S.`nus E
i
V
.V�
CR L jam; (E 1,,D 5
%FFwtwT
‘cLX k'ti\cces,S'
X i�
0 CN CI-E-(-- 5
-j
Nfv1' c Ls t.-Tl vp,-C
t tc:J Ar 1:1.r):
_ a(r