HomeMy WebLinkAboutYoh OFFICE OF THE TOWN CLERK cU �0Cx`,
Town of Southold we : �G ,
Judith T. Terry, Town'Clerk tie.
- Town Hall, 53095 Main Road
P. O. Box 1179 ;v' �
Southold, New York 11971 •�
Telephone
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
•
SEPTIC TANK or CESSPOOL
Operation Permit No. 224Residential X
Fee $ 10.00 Non-Residential
Septic Cesspool x
NAME OF OWNER: Doris A. Yoh
OWNER MAILING ADDRESS: Box 714
Mattituck, New York 11952
OWNER PROPERTY ADDRESS: Luthers Road
Mattituck, New York
OWNER TELEPHONE NUMBER: 516-298-8847
TAX MAP NO. : Section 99- Block 5 Lot 1
CROSS STREET: Naugles Drive
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing X
Residential X Non-Residential
DATE OF PREVIOUS PUMP-OUT: November 4. 1986
Judith T. Terry
Southold Town Clerk
DATE: February 17. 1987
(TOWN SEAL)
OFFICE OF THE TOWN CLERK CJ\\VFOUr
Town of Southold cL% _ CQG'., Appon licatiNo.o2o2K
Judith T. Terry, Town Clerk .` r .'.+ 1
Town Hall, 53095 Main Road r<= Residential
P. 0. Box 1179 cra g_ �` ` i `' Non-Residential
Southold, New York 11971 %O
Telephone : .( ,
•
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATE IO/,y4
OWNER NAME: oY a IL yob
OWNER MAILING ADDRESS: box (IN f 1A-OaC
IlfSa
OWNER PROPERTY ADDRESS: �. �l ,S 00. 1oL4"�i ,ick
OWNER TELEPHONE NUMBER: ���� — Ira
TAX MAP NO. : Section 9Gy Block 5 Lot
CROSS STREET: Pal tP 1‘)P�
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool 17 New Existing V
Residential Y Non-Residential
DATE OF PREVIOUS PUMP-OUT: �QU , I�YQ
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.)
c),,,,„-.) a
Signature o pplicant
RECEIVED BY: OLS dxt
Town CI 's Offic
MEWED
DATE:
FEB1 7 1987
Town C'i.rk Southold
_-____ ------_- __ _-_ --- --_-_-_ ---_
, -'_____----`_
_
- --- ------'--'---- -- ------' ---- --- - —
- - ------' ---' --------- -- -------'------- ----------- ------
,
'
^ � " �
.
___ _._ ������ _ _______ ___ .���.������* V
.. , ,
` '
'
__� -'`-'-_-- -- --- - -- -- -' _---'---_--- -
4
.
` . .
- ' - � ' -��' _ -
��
� �
��--- '--- E !
� �=�-
' -' - ' ' - - - '- - - --' ---' - -
x�~v «��������‘
} �
•
. � .
— -
.__ _ '-- --_ -- ' -- -,^ '_-''
t,Nt
^ �� � �
nu^�*r��(�'u"��\ ,���\_
' , / [J