HomeMy WebLinkAboutYantsos OFFICE OF THE TOWN CLERK G\\IVF
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Town of Southold %-')4!
Judith T. Terry, Town Clerk � xE" z.v
Town Hall, 53095 Main Road ,
P. O. Box 1179 ��
Southold, New York 11971 ;O` P‘°.'
Telephone _ �l -
(516) 765-1801 p•"
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 295 Residential X
Non-Residential
Fee $ 10.00
Septic Cesspool x
NAME OF OWNER: Goerge and Ethel Yantsos
OWNER MAILING ADDRESS: 689 Bayshore Road
Greenport, New York 11944
OWNER PROPERTY ADDRESS: 689 Bayshore Road
Greenport, New YOrk
OWNER TELEPHONE NUMBER: 516=477=2217
TAX MAP NO. : Section 53 Block ie‘„ Lot 11
CROSS STREET: Island View Lane
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing X
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: February 1987
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Judith T. Terry
Southold Town Clerk
DATE: May 4, 1987
(TOWN SEAL)
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OFFICE OF THE TOWN CLERK c.OFn "CQ:-
Town of Southold �� ,- G', Application NotS -
Judith T. Terry, Town Clerk .i .
� - �= , '4") Residential
Town Hall, 53095 Main Road `
P. O. Box 1179 v' ` ' : Non-Residential
Southold, New York 11971O � ,
TelephoneN-4-.��
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD,WASTEWATER DISPOSAL DISTRICT
APPLICATION
fur"
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATE `,5-/i/
OWNER NAME: sf Mr. &Mrs. George Yantsos
6Bayshore Road
OWNER MAILING ADDRESS: a G89reenport, NY 11944
OWNER PROPERTY ADDRESS: (,,L7-�
OWNER TELEPHONE NUMBER: Si 6 4i .27 — / 7
TAX MAP NO. : Section j Block Lot /1
CROSS STREET:
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New Existing
-- Residential Non-Residential -
DATE OF PREVIOUS PUMP-OUT: Z// :
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.)
Signat J e ofi'pplicant
RECEIVED BY:
tact vED Town Jerk's Office
DATE: \v 04 1997
Town Clark Southold '
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i j( •g Mr . & Mrs. George Yantsos
(((/ X 689 Bayshore Road
s Greenport, NY 11944
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Lin - •=r771 Town Hall, 53095 Main Road
P.O. Box 1179
_°�� 1• Southold, New York 11971
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JUDITH,T. TERRY
����� „ o$ TELEPHONE TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
March 23, 1987
53-6-11
George Yantos
689 Bay Shore Road
• Greenport, NY 119144
Our records show that you recently had your cesspool/septic tank
system pumped out. According to the Southold Town Scavenger Wastes
Ordinance, _any owner of an operating on-site sewage disposal system,
' such as a septic tank or cesspool, must obtain an Operation Permit.
The Operation Permit ' is issued by the Southold Town Clerk's
Office. The fee is ten dollars ($10.00) for a residential system,
twenty-five dollars ($25. 00) for a non-residential system.
I have enclosed an Application for an Operation Permit. Please
complete the Application and return it to this office along with the
proper fee.
Enclosed you will also find an Informational Bulletin regarding the
Southold Town Scavenger Waste Treatment Facility. I hope this will aid
you in understanding the Scavenger Wastes Ordinance. Should you need
any assistance or have any questions, please do not hesitate to contact
this office.
Very truly yours,
14006 16.1:445.676
Judith T. Terry
Southold Town Clerk
Enclosures (2)
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