HomeMy WebLinkAboutMattituck Beverage 00010,1110.1,‹
i 4 4A"
Town Hall, 53095 Main Road
if., . �%e P.O. Box 1179
__' f/®/ ild •�►�0..I Southold, New York 11971
JUDITH T.TERRY TELEPHONE
TOWN CLERK ��iii�i���� (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. 63-N Residential Non-Residential X
Fee $ 25. 00 Septic Cesspool X
New Existing X
Name Of Owner MATTITUCK BEVERAGE CO.
Mailing Address 1 P. O. BOX 1415
Mailing Address 2
City St Zip MATTITUCK NY 11952-0000
Property Address 1 MAIN ROAD
Property Address 2
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. 516-298-8971
Tax Map No. section 122. 00 block 3 lot 5. 000
Cross Street PACIFIC STREET
Date Of Last Pump Out 0/00/00
Issue Date: 3/08/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK C0FU(A'`'-
Town of Southold �� CQG' Application No.A
Judith T. Terry, Town Clerk y
Town Hall, 53095 Main Road %4" "`"" r4. Residential
G•+s v I
P. O. Box 1179 �` Non-Residential
Southold, New York 11971 O _ J
Telephone ( It
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
DATE (:)(i4V/
li
OWNER NAME: oi9 -` R', - �3'�� & �t
a
OWNER MAILING ADDRESS: A_
L L I i 9 s-a
OWNER PROPERTY ADDRESS: /19 #- ;A) /Z 6 .47-
;
;1-,) ci< y.
OWNER TELEPHONE NUMBER: ' 7 /
TAX MAP NO. : Section (.-t;>6-c) Block Lot < " S
CROSS STREET: '
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New Existing
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT: 3 L
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 Arlicant
(7,2:4crt
RECEIVED BY: /'
Town Clerk's Office
DATE: - -.
„ , „ • , •t, I -vy, .r ,+t, '-4} • ,f,' d.7.,,.'1 i'y,.y` `- ”: r "
.,A, f' 6 "rsy?,i`:',f''' 4' ,,.+:V],a ',11,,,11,?4.•.:2 li, ,ti'. _ , ,
;) `�."'•,f h • .y'e - I ' -� ., , - .tom - a ,4
ivy l I ':r.rr a • - .„ i . ' "' a .. r 1
•rya:' �'.r t• ' - i, »v. ,r , ,
:^}; t �' ,
_ . , per`_'j 1.$TQf tf_CONC. . 9 4
' • . y 0JJ�---��_Ba AU�t,flLt?G. - " ; , , - .
` - - •'4' n . •
r 4 1 L_ ICE,. x,!'... ., �` ,' r ' '
—'- ' •F:::::;:;!:,:,.,;-,:-4,-,',,,,,,".:-„:,•-",,i-,' ,-1----_,-, 4 f '- ;IV';,' .,:',,Z,-,:'• :!r'a .' at... - ldj�{7'-'W1'_tZf j �r. _• ,. • r •r- i'
:�qry",''' '' ' ,4- ' '1• -� �i'- i l} js _ J
..../ V( / '' ; . --ai.: .
• ', r: . ' ,', , ,i ii id al CI, -----ii<,i - , ET,t?...ii , •
{jai• ,. 0 1 ;
•
. ' ; ' : 'A-9 ', ' . 1 4'
• w ` _ r . tFe-l� pit 11i{ V
,) -13 • 'T.•QP,.a ',t;j . • I Kid _�
- }� J - it
o _._,.- (VI t) \ G
‘ ,
•
ler-
si.: .
t,..r ..,I.y ,• . y,+(t,j, :J sx r a ask iw r, - ,., IDE1.1
I
" ''.."- -' - —.'-'--.:.•LINforANi-#1, -:*.. \ - . •
•
•
�_...
• ' LOT " 1t,Glu .,P.
S - • ' BOG. ' , _• . - 5.,a
k, (' 6 ; a ° • 255 r
•' - y'^Y✓1• ,, jun r-} •
,may �^ - •1 .1,:::)T r t.- 4 1:21o°
, ',M
{
'PtI'OP•O. TOTAL. • ' ,2
:l'^"n0 ' ..ti..elia:2 ? .4ntri.:d. • .': :ifwxLd ww:a`?.>»' ' rt s. , �ac2?;Ulet&:iiw: (::o:--L;Lre ::,.us4S"^ra+c.Ui..4.Cv�:Gs.1r¢•::.44,..1. �rtan-,:s .11,..R;s_.r,.:2,..I",m • t0.w.a. 1. ."., a. . c.