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Town Hall, 53095 Main Road
®fir' P.O. Box 1179
���� Southold, New York 11971
JUDITH T.TERRY i /��,��� 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. 805-R Residential X Non-Residential
Fee $ 10. 00 Septic Cesspool X
New Existing X
Name Of Owner BEST, FRANCIS J.
Mailing Address 1 P. O. BOX 873
Mailing Address 2
City St Zip MATTTIUCK NY 11952-0000
Property Address 1 ALVAHS LANE
Property Address 2
City St Zip CUTCHOGUE NY 11935-0000
Owner Telephone No. 516-734-7012
Tax Map No. section 102. 00 block 4 lot 4.000
Cross Street ROUTE 25
Date Of Last Pump Out 0/00/00
Issue Date: 8/29/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
•
OFFICE OF THE TOWN CLERK cOHUI- • /��/
�, TUwn of Southold Application No. 5 Y'
Judi`t i T. Terry, Town Clerk /
� � L1
Town Hall, 53095 Main Road o .
.
P. O. Box 1179 � 4P-0, :--; ;� G Residential
; Non-Residential
Southold, New York 11971 O ' ‘C-,e`�
Telephone yid
•
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ I'�} °°�
DATE - ®` `
OWNER NAME:
OWNER MAILING ADDRESS: (::2 ®.X
I'vl cfv c 1 ,&dy
OWNER PROPERTY ADDRESS: Ai- VIA t I4 $ e °
e /4/1,4(
OWNER TELEPHONE NUMBER: 1734- t7f1.
O _
TAX MAP NO. : Section Block Lot
I,7 CROSS STREET:
SAY Af'e - Aktik IONJ t:V) g •v Rize-N"
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New Existing p
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT: 4 - ®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.)
• jAa4/14._;e_i rgbedSignature of pplicant
RECEIVED BY:
Town Clerk's Office
•
DATE:
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nnU 1MORILED ALTERAHON OR AUDIIICA
O THIS SURVEY IS A VIOLATION OF CD
ACTION 7209 OF THE NEW YORK STATE
DUCATION LAW
:OPIES OF THIS SURVEY MAP NOT BEARING
HE LAND SURVEYOR'S MED SEAL OR
MBQSSED SEAL SHALL NOT BE CONSIDEREE YOUNG
') BE A VALID TRUE COPY YOUNG &
,uARANTEES INDICATED HEREON SHALL RUN
.NLY TO THE P RSON FOR WHOM THE SLAY, 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
J RE'AR9D, AND ON HAS BLNALF TO THE
`LE COMPANY, GOVERNMENTAL AGENCY ANL SURVEY FOR
a�
•A)ING INSTITUTION LISTED HeREOty, AND . »+:r>
THE ASSIGNEES OF THE LENDING INSTI• ..
1, GUARANTEES ABt NOT IRAN*e4RABLi FRANC/S J. BEST B CON / , .1 " - v °I'''',..;' . T
k,cFlltcM CUTCHOGUE i,.o�N O�� 4�",
TOWN OF SOUTHOLD r ,e '
SUFF. CO., N. Y. GUA -AVI I EE 4i '
NOTE' F AI', /S : ' ', 1
/= MONUMENT SCALE- / "= 40' C,ON'�-1N ' 4' 41 '°
SEX+, , 0R ' E Cr ,
SUFFOLK COUNTY TAX MAP FEB. 26, /970 �� Baa`' 4°
DIST /000 SECT /02 OLK. 4 LOT 4
MAY, 8, /970 lit. l- d
JAN. /5, /976 ALDEN W *4 0 '
JUNE 7, /988 PROFESSIONAL ENGINEER AND
LAND SURVEYOR,N Y.S.L/C NO. /2845
RIVERHEAD, N Y.
NO. 76-8