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Town Hall, 53095 Main Road
® ®� I P.O. Box 1179
�_Q� Southold, New York 11971
JUDITH T. TERRY '"��� �j1111 TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 1059-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner BALDWIN, ARTHUR J.
Mailing Address 1 RR1, BOX 191N
Mailing Address 2 BENNETTS POND LANE
City St Zip MATTITUCK NY 11952-0000
Property Address 1 BENNETTS POND LANE
Property Address 2
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. 516-298-5877
Tax Map No. section 113.00 block 13 lot 4.000
Cross Street WESTPHALIA ROAD
Date Of Last Pump Out 0/00/00
Issue Date: 3/22/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
•
OFFICE `JOFI.HE TOWN CLERK c•VFFO(,��
Town• of Southold - C'0 Application No. /95_5)
Judith T. Terry, Town Clerk - ♦` Ny� '
Town Hall, 53095 Main Road } ''' Residentialte "
P. O. Box 1179 .;. " .
�.;�. Non-Residential
�O
Southold, New York 11971
Telephone AlkY► .'�
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
F%r
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ °II
- DATE 3// 20?
OWNER NAME: A2r,4'04Artnoig 3 ggc.DIA) 14
OWNER MAILING ADDRESS:et) Sennett IJ
OWNER PROPERTY ADDRESS: 11FAIWWWNw1D .�•4,4AE'__
fr 77 T1c c Kms, LI.1 dre w'f o LK ) 19.57.
OWNER TELEPHONE NUMBER: ...374 - .391• s?7 7 +
54183 //3-13 - 41
TAX MAP NO. : Section Block Lot �U
CROSS STREET: ,!l Q-4- 6.-e-«<-1
TYPE OF SYSTEM: Septic Tank yes _New IVO Existing yES
Cesspool yes New /00 Existing yes
Residential ye 5 Non-Residential /V 0
DATE OF PREVIOUS PUMP-OUT:/` MAteC 4 1 4 cP9
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.)
0 Aier0 I 444#.*".
Sig ture of Applicant
RECEIVED BY: �
Town (clerk's ffice
•
DATE:
WEND
MAR 2
!w12 a - MAR 221999
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