HomeMy WebLinkAboutStirling Harbor Marina OFFICE OF THE TOWN CLERK cgfil /1(`+'
Town of Southold �� ��-
Judith T. Terry, Town Clerk ,'y ~
Town Hall, 53095 Main Road w r
P. O. Box 1179 ;v' y ��
Southold, New York 11971 ti O �-
Telephone _.( [
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. NR39 Residential
Non-Residential X
Fee $ 25.00
Septic Cesspool X
NAME OF OWNER: Stirling Harbor Marina Shipyard Inc.
OWNER MAILING ADDRESS: Manhasset Avenue:
Greenport, New York 11944 •
OWNER PROPERTY ADDRESS: Manhasset Avenue -
Greenport, New York
OWNER TELEPHONE NUMBER: 516-477-0828
TAX MAP NO. : Section 36 Block 1 Lot
CROSS STREET: Champlin Place
TYPE OF SYSTEM: Septic Tank New Existing -
Cesspool X New Existing x
Residential • Non-Residential X
r. DATE OF PREVIOUS PUMP-OUT: Approx. 6/15/.87
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•
Judith T. Terry
Southold Town Clerk `
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• DATE: • July -15, 1987 -
(TOWN ,SEAL) -
OFFICE OF THE TOWN CLERK c.0Mir
Town of Southold - CQ ' Application No. A/tec39'
Judith T. Terry, Town Clerk y
Town Hall, 53095 Main Road o i!Z '• '< Residential
P. O. Box 1179 v' , . ;� ;"� Non-Residential
Southold, New York 11971 O
Telephone 1` I
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ - y
DATE a( 1(7
• Q
OWNER NAME: aft-11v; U ,v 4A"—
OWNER MAILING ADDRESS: 1'1/)0 11.A-4101. d-
aigeftfrfor itt
OWNER PROPERTY ADDRESS: GO !o•a4 L D& --�
OWNER TELEPHONE NUMBER: +7' 62 ‘Y
TAX MAP NO. : Section � Block 1 Lot l
CROSS STREET: Kiroa 14- 4 -
TYPE OF SYSTEM: Septic Tank New Existing IV
Cesspool � New Existing
Residential Non-Residential
DATE OF PREVIOUS PUMP-OS L� I� )Y7
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.)
CA-r-ove_QIITIRUNG=11111PYARD
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Signature of Applicant L
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RECEIVED BY: f
Town Clerk's Office
DATE:
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MANHANSET AVENUE
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STIRLING HARBOR MARINA , INC . ,.!
GREENPOR.T , TowN OP SOUTHOLD, NEW YORK