HomeMy WebLinkAboutAMAC OFFICE OF THE TOWN CLERK 6
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Town of Southold 40 -,� •
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Judith T. Terry, Town Clerk Z ;.
Town Hall, 53095 Main Road = .
P. O. Box 1179 �cn s; -• �:'-.,;�
Southold, New York 11971 �i0/
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Telephone �l
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(516) 765-1801 - -
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. NR62 Residential
Non-Residential x
Fee $ 25.00
Septic Cesspool
•
NAME OF OWNER: AMAC Inc.
OWNER MAILING ADDRESS: 7400 Main Road
Mattituck, New York 11952 •
OWNER PROPERTY ADDRESS: 7400 Main Road
Mattituck, New York
OWNER TELEPHONE NUMBER: • 516-298-5073 - -
TAX MAP NO. : Section 122 Block 7 Lot 1
CROSS STREET: Old Main Road
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing x
Residential Non-Residential x
DATE OF PREVIOUS PUMP-OUT: Unknown
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Southold Town Clerk
DATE: February 23, 1988
--(TOWN SEA )
OFFICE OF THE TOWN CLERK cs1HU( ,�l
Town of Southold �� CQ Application No/ 6.04
Judith T. Terry, Town Clerk ` ; ►=') Residential
Town Hall, 53095 Main Road Y'
P. O. Box 1179 (.nr �` Non-Residential
Southold, New York 11971
Telephone '°•
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. / /e to 2
Fee $ `sem
DATE
OWNER NAME: 11/00,i7C /WC
OWNER MAILING ADDRESS: 2z/ co - 7,1,/A/ �.
OWNER PROPERTY ADDRESS: - -45'n,AkF
OWNER TELEPHONE NUMBER: ('176) 2,Yg 2,YfD 73
TAX MAP NO. : Section /7A Block (i, Lot 0 0/
CROSS STREET: ��(�
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New Existing
Residential 4. Non-Residential y
DATE OF PREVIOUS PUMP-OUT: ati(0) 0C214-1
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.)
Signature of Appficant
RECEIVED. BY:
Town rk's Offi e
DATE: o2LO
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60q/ PLAN. OF PROPERTY AREA = Il, 984 SQ. FT .
AREA = 11 , 982 SQ. FT.
OR 0. 2751 RE h l AT MA TTI TUCK
as '' / '('1 TOWN OF SOUTHOLD
p SUFFOLK COUNTY, N. Y.
fr.9 LAND S`N\ 1000 - 122 - 07 - 01
F o SCALE • I"= 30' OWNER :
VW/ �. 13 ,
, .pys
', - • * 'OCEAN HOLDING CORP
�` ,� N .Y..S . LIC. NO . 4961 8 /0 26 �`D r0O 1320 STONY BROOK ROAD
�P I`° 496A-AO m. AUG. 1, 198 7 STONY BROOK, N. Y.
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P la� d .
�� • MORS a ENGINEERS , P. C. krepared in accordance with the minimum
( 5 16 ) . " - 5 0 20 standards for title surveys as established by
P. O. BOX
the L.I.A.L.S. and approved and adopted
for such use by The New York State Land
MAI N' R 0 A D Title Association.
SOUTHOLD , N .Y . 11971
86 — 77.6