HomeMy WebLinkAboutMattituck Fire Dist Er
r$44..1.• Town Hall, 53095 Main Road
P.O. Box 1179
b $,T6:00$'�'' Southold, New York 11971
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JUDITH T.TERRY =_ / 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. 78-N Residential Non-Residential X
Fee $ 25.00 Septic Cesspool X
New Existing X
Name Of Owner MATTITUCK FIRE DISTRICT
Mailing Address 1 P. O. BOX 666
Mailing Address 2
City St Zip MATTITUCK NY 11952-0000
Property Address 1 1000 PIKE STREET
Property Address 2
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. 516-298-8833
Tax Map No. section 140.00 block 3 lot 11 .000
Cross Street WICKHAM AVENUE
Date Of Last Pump Out 9/00/87
Issue Date: 11/10/88 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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OFFICE OF THE TOWN CLERK c��FFD(,r�
Town of Southold QQ; C�G• Application No. 7g
Judith T. Terry, Town Clerk ,,7,„A,,7,„A - y
Town Hall, 53095 Main Road 7 £� :< Residential
P. O. Box 1179 v' tikt , � � Non-Residential
Southold, New York 11971 O ® `r }.' '����`
Telephone 4Ql ,` �.a�
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(516) 765-1801
TOWN OF SOUTHOLD
RECEIVED SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
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fawn Clexk Southold for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No/fie 7/
Fee $ e5715al
DATE September 29, 1988
OWNER NAME: Mattituck Fire District
OWNER MAILING ADDRESS: 1000 Pike Street - PO Box 666
Mattituck, N.Y. 11952
OWNER PROPERTY ADDRESS: SPme
OWNER TELEPHONE NUMBER: 298-.8833
TAX MAP NO. : Section /I/6 Block Lot //
CROSS STREET: Wickham Avenue
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool XXX New Existing XXX
Residential Non-Residential XXX
DATE OF PREVIOUS PUMP-OUT: September 1987
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.)
/' d.-e /AP
Signature of Applicant
Geo gg CI.f.Lessard Sr. Chairman
Mattituck Fire Listrict
RECEIVED BY:
Town Clerk's Office
DATE:
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CESSPOOL AND GREASE TRAP LOCATION MATTITUCK FIRE HOUSE - AUGUST 1974 :-