HomeMy WebLinkAboutWells Pontiac OFFICE OF THE TOWN CLERK �� fRio,"
Town of Southold % Day •
Judith T. Terry, Town Clerk � '' , J'
Town Hall, 53095 Main Road ; 8 -
P. O. Box 1179
Southold, New York 11971 Q 0�•1
Telephone of N
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. NR 25 Residential
Non-Residential X
Fee $ 25.00
Septic Cesspool X_
NAME OF OWNER: Wells Pontiac Cadillac, Inc.
OWNER MAILING ADDRESS: P.O. Box 196_ Route 25
Peconic, New York 11958
OWNER PROPERTY ADDRESS: Route 25 (Corner of Peconic Lane)
Peconic, New York
OWNER TELEPHONE NUMBER: 516-765-1000
TAX MAP NO. : Section 75 Block 1 Lot 14
CROSS STREET: Peconic Lane
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool X New Existing X
Residential Non-Residential X
DATE OF PREVIOUS PUMP-OUT: July 2, 1986
•
Judith T. Terr
Southold Town Clerk
DATE: November 13, 1986
(TOWN SEAL)
OFFICE OF THE TOWN CLERK c0FOUr
Town of Southold
�, QG;, Application No. /l/��5
Judith T. Terry, Town Clerk �` 4 " -
Town Hall, 53095 Main Road c `t .G Residential
P. O. Box 1179 �' `� _ rt-7 Non-Residential
Southold, New -York 11971 O 1�`
Telephone _Q� ��
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. N430.2
Fee $ 25.00
DATE November 4th, 1986
OWNER NAME: WELLS PONTIAC CADILLAC, INC.
OWNER MAILING ADDRESS: P.O. Box 196, Route 25,
Peconic, New York 11958
OWNER PROPERTY ADDRESS: Route_ 25 Cornerof Peconic Lane
Peconic -9 New York 11958
OWNER TELEPHONE NUMBER: 516-765=-1000
TAX MAP NO. : Section 75 - 1 - 14 Block Lot
CROSS STREET: Peconic Lane
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool New Existing XX
Residential Non-Residential xx
DATE OF PREVIOUS PUMP-OUT: July 2nd, 1986
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.)
WELLS PONTIAC CADILLAC, INC.
Signature of Applicant
Herbert W. Wells, Jr. , President �--_
RECEIVED BY: ccL,..-4Z, C
Town erk's Of ice
lUCOOVED
DATE:
NOV 13 °ao
Tom Mit Southold
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PECOHIC,L I_ NEW YORK 119.S1
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