HomeMy WebLinkAboutMattituck Airbase Iry i . �
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s, con Town Hall, 53095 Main Road
�'®4, r���1 P.O. Box 1179
_.'yQ! `i1iir of Southold, New York 11971
JUDITH T.TERRY .�,,,,,,i" FAX(516)765-1823
TOWN CLERK TELEPHONE(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. 114-N Residential Non-Residential X
Fee $ 25.00 Septic Cesspool X
New Existing X
Name Of Owner MATTITUCK AIRBASE, INC.
Mailing Address 1 P. O. BOX 1432
Mailing Address 2
City St Zip MATTITUCK NY 11952-0000
Property Address 1 AIRWAY DRIVE
Property Address 2
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. 516-298-8330
Tax Map No. section 115.00 block 9 lot 5.001
Cross Street NEW SUFFOLK AVENUE
Date Of Last Pump Out 0/00/00
Issue Date: 10/23/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
/ III
OFFICE OF THE TOWN CLERK 'c��FFO(,��'•
Town of Southold ,.. C� Application No. //1
Judith T. Terry, Town Clerk .
Town Hall, 53095 Main Road ";� 5 $10.00 - Residential
v
P. O. Box 1179 ' Y •`=`` �* hi ; $25.00 - Non-Residential
Southold, New York 11971
Telephoneoj • `R°:'
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
kg'
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
DATE October 9, 1990
'OWNER NAME: Mattituck Airbase , Inc . •
' OWNER MAILING ADDRESS: P.O. Box 1432
Mattituck , N.Y. 11952
OWNER_ PROPERTY ADDRESS_:_Airway_- Drive
Mattituck , N.Y. 11952
OWNER TELEPHONE NUMBER: 298-8330
TAX MAP NO. : Section Block Lot
CROSS STREET: New Suffolk Ave.
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool XXX New Existing XXXX
Residential Non-Residential XXX
DATE OF PREVIOUS PUMP-OUT: •
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.)
Sig a ure of • pplicant
ay P. Wickham, Pres .
RECEIVED BY:
Town Clerk's Office
DATE:
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