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Home My WebLink AboutLaoudis OF SOUjyol ELIZABETH A. NEVILLE '` ® Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS CA Atc Southold, New York 11971 MARRIAGE OFFICER �� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICERl Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER yco � southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3565 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : COASTLINE Address 1: 4225 BRIDGE LANE City St Zip CUTCHOGUE NY 11935 Descripton of Proposed Construction or Alteration -ALTERATION TO EXISTING SYSTEM -MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS,BUILDINGS,PROPERTY LINE AND WATER BODIES Name Of Owner LAOUDIS OF SOUTHOLD, LLC ------------------------------ Mailing Address 1 23 VAN BUREN COURT ------------------------------ ------------------------------ City St Zip CRESSKILL NJ 7626 -------------------- -- ---------- Property Address 1 54280 RTE. 25 ------------------------------ ------------------------------ City St Zip SOUTHOLD NY 11971 -------------------- -- ---------- Tax Map No. section 61.00 block 4 lot 2.200 ------ --- ------ Cross Street YOUNGS AVENUE ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 7/10/07 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) �pF SOUL ELIZABETH A.NEVILLE ,`OyOo Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS N Southold, New York 11971 MARRIAGE OFFICER G • o Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER C®U ,� southoldtown.northfork.net "OFFICE OF THE TOWN CLERK Y" TOWN OF SOUTHOLD V• Y� TO: -- Soiitliolci,T Belding Department t�! FROM:'"` Michelle L. Martocchia, Southold Town Clerk's Office DATED: July 3, 2007 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 3724 for a Cesspool/Septic Tank Construction/Alteration Permit submitted by: Laoudis of Southold,LLC Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. I have reviewed the application and location map of the project cited above and make the following recommendations: / APPROVE DISAPPROVE Comments: _ 1, Signature 'e) � O 4-1& o Dated Off, ELIZABETH A. NEVILLr `f Town Hall, 53095 Main Road tOWN CLERK CC P.O Box 1179 Southold, New York 11971 It>::GrsTR,�R OF VITAL srA-rlsTlcs � �� ^�� `�` Fax (631) 765-6145 MARRIAGE OFFICER v�= - RECORDS MANAGEMENT OFFICEIt Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER a- southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD AVASTEWATER DISTRICT APPLICATION C{ C-hor-4 Pc 1-ku alb til CEISSPOOL or SEPTIC TANK RcFI(lential @ $10__or Non-Residential @ $25 ✓ Application No Pennit No. —als(05 Owner Name _ (1_Q�ZC�I�S � �� --�y(lO L L '- Owner Mailing Address a2) re-c') _c` D1— C_ress)�1 \ N 1-3-�5 0-1(-0oa(—v Owner Property Address �Q 25D 2' `��s cC\ Owner Telephone No. 0\--I 'a.^1 '8 ' Lr V Tax Map No: Section L1-]�Block i 0 1 •_ Lot Cross Street \��na� �� , Please check each that app—lies: New Construction Alteration to Existing System Residential Non-Residential V-- NOTE: /NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give nortli arrow and approximate distance in feet fi-om system to building and closest road. New construction may submit copy of survey with SCHD approval.) Signature of Applicant Date Received by: SUEVEX OP, k'RUPEICIA SITUATED AT M 1SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK M .C. TAX No. r�?ti 0=X14--� ► '� - -�2 �, `,.r>1 SCALE 1' =2Q' ��:<<; �, • •� TF�>'s Q'o � JULY 5, 2001 ' p`'`"r t�'gJs`` r1� S• � � rro ocE 117 AREA 70,057.11 fi. � N3r t ��(ik0.460 ?7•S'ti.:�;_. S •."�_.l:Ms-_a,1ff`DU�,e r",� s :i? �• j,, y,PlK ..Y Ft p ,� 0!• 7) , `4ll ago x, ,,, G ''•.. le all 16�P1^CO �`0 �qcK-st e; e=Roh e3P c` � 71 N ` C-1 O P mG , 39e Q, •� - ....��q1J r�0y C-a1.r1 t) "I �• � �,� s ,1g E_ �• /Ro S�A'� +�; L- 7 C`, r „ ''T q by %•nI V�r'ii. �T.- t\ ;�'.' 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Box 1179 REGISTRAR OF VITAL STATISTICS N Southold, New York 11971 MARRIAGE OFFICER �Q Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �Com+lv southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL \ Operation Permit No. 40-N Residential Non-Residential X Fee $ 25.00 New Existing X Name Of Owner LAOUDIS OF OUTHOL LLC Mailing Address 1 23 VAN BUREN T Mailing Address 2 ---------- -------- ---------- City St Zip CRESSKIL J 07626-0000 ------- ------------ -- ---------- Property Address 1 54280 25 J ---- ---------------------- -- Property Address 2 City St Zip UTHOLD NY 11971-00 0 -------------------- -- ---------- Owner Telephone No. 973-278-4148 ------------ Tax Map No. secti n 61.00 block 4 lot 2.200 Cross Street YOUNGS AVENUE ------------------------------ ---------------------------------- Issue Date: 6/14/07 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL)