HomeMy WebLinkAboutPlum Island OFFICE OF THE TOWN CLERK 101
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Town of Southold
Judith T. Terry, Town Clerk .,4 4 ; ,
Town Hall, 53095 Main Road c =w
P. 0. Box 1179
Southold, New York 11971 �-
Telephone 7. O •�
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
' Operation Permit No. NR 23 Residential
Non-Residential :X
Fee $ 25.00
Septic X Cesspool x
NAME OF OWNER: Plum Island Animal Disease Center
OWNER MAILING ADDRESS: P. 0. Box 848
Greenport, New York 11944
OWNER PROPERTY ADDRESS: Main Road (Route 25)
Orient, New York
OWNER TELEPHONE NUMBER: 516-323-2500
TAX MAP NO. : Section 15_ Block 9 Lot
CROSS STREET: Cedar Beach Road
TYPE OF SYSTEM: Septic Tank X New Existing x
Cesspool X New Existing x
Residential Non-Residential X
DATE OF PREVIOUS PUMP-OUT: Unknown
e�kf/a�J�0r
Ju3ith T. Terr
Southold Town C erk
DATE: November 6, 1986
(TOWN SEAL)
OFFICE OF THE TOWN CLERK SU F '-
Town of Southold - , �� �(,G' , Application No./l/,a23
Judith T. Terry, Town Clerk •
Town Hall, 53095 Main Road ? / -- Residential
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P. 0. Box 1179 � ;� % Non-Residential
Southold, New .York 11971 A®�
Telephone •---70/4
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
WAPPLICATION
- NOV 0 6
for
Ton Wit Witli a
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.jj/Rc57 3
Fee $ 25.00
DATE November 3, 1986
OWNER NAME: "Plum Island Animal -Ds_a�e C.eitte_r
OWNER MAILING ADDRESS: ,P'.O. , Box 848
Greenport, NY 11944 '
OWNER PROPERTY ADDRESS: ~ Same As Above
OWNER TELEPHONE NUMBER: (516) 323-2500
TAX MAP NO. : Section 1 Block 9' Lot 9
CROSS STREET: of pie ,e 13C,-c e,/-i�
TYPE OF SYSTEM: Septic Tank X New Existing X
Cesspool - X New Existing •X
Residential Non-Residential
DATE OF PREVIOUS PUMP-OUT: ' . Date Not Known
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 Applicant
RECEIVED BY:
Town lerk' ce
DATE: `(-t§-c) 6 , /F
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