HomeMy WebLinkAboutCardinale, Alan ,,,ice...
',OFFO(,4•'.
ELIZABETH A.NEVILLE ���_� 4..A% Town Hall, 53095 Main Road
TOWN CLERK % o - P.O. Box 1179
t coo
REGISTRAR OF VITAL STATISTICSrrt i Southold, New York 11971
: �,i/�
�� �, Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER = _7Ql �4, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4174-R Residential x Non-Residential
Fee $ 10.00 New x Existing
Name Of Owner CARDINALE, ALAN A.
Mailing Address 1 P 0 BOx 77
Mailing Address 2
City St Zip MATTITUCK NY 11952-0000
Property Address 1 795 BAYVIEW AVE
Property Address 2
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. 631-298-8494
Tax Map No. section 106.00 block 10 lot 1.003
Cross Street WEST MILL ROAD
Issue Date: 12/05/02 Elizabeth A. Neville
Southold Town Clerk
(TowN SEAL)
f ••
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD st. CO - Application No. i I �`f
ELIZABETH A.NEVILLE,TOWN CLERK $10.00 Residen tia I 4/
P.O.BOX 1179
SOUTHOLD,NEW YORK 11971 *.$ $25.00 - Non-Residential
Telephone _O! 4 � 0
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ /D, u b
DATE /'z/S/e
OWNER NAME: /4/av� ,4 Cavo a/e
OWNER MAILING ADDRESS: PO- &'i< 77
/ylal/hii-ma r ,VY //9SZ
OWNER PROPERTY ADDRESS: �7`1� � yvi'p�✓
/1a ch, NY a7
OWNER TELEPHONE NUMBER: 63/- Z9$ - 6>4/94/
TAX MAP NO. : Section /O Co Block /0 Lot 3
CROSS STREET: l/Ves/ Ad/ /e0,/
TYPE OF SYSTEM: Septic Tank ✓ New Existing
Cesspool New c/ Existing
Residential Non-Residential
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.)
Sign. ur o Applicant
Ps; )I• 6,,,44-c-iis6w
RECEIVED BY:
202)-7.
Town Clerk's Office
DATE: n15 (0v
, JOB No.02-33 TAX I.D.No. 1000-106-10-1.3
BAYVIEW AVENUE Eor —
i
TIE WA 7 X 5 63"AO'10"E 13000 S \
0: .. F
0 � 45
nuR,�aH P L �o / 'ar.,,,,,IL / �4'
co
' P / w�1r
0 �i / //
t h /f
co / /
z //� I / $
h/1 I `v
b
/ e
/ y
/ /
308s 1 / d 1
I
I
____________ h R
•
03
i4 r
�y, q�M
ad" "b,p".ESO 4.
+6.6, 'J'i'\
de .1°r N7,;ea.�,,_
4d...
% N° A,9 r
\ e.•4.0 80.7 y
y •
'87�r c.v.,.
Nr i _e� le-
.rY30� ?sTR `C
r��QT owe 2$
( ' :2 22k»
h
ma
,,tay.. i. YWEI.
THE LOCATION OF WELLS,WATER SERVICE
LINES, SEPTIC TANKS AND CESSPOOLS
SHOWN HEREON ARE FIELD OBSERVA-
TIONS AND OR DATA OBTAINED FROM
OTHERS.
/ N 84.34'30"W 213.00'
/ N/F DEBORAH J.REILLY
/
/ Urulha4W Oration a addition to PO domino.le a Mallon d/octal 7209
a
6,.N.tho Nor Yak ale Educate tort. SURVEY OF: LOT 3
Collaattar haceled hence.ha an nay to tar pn.on to when It k papered
""attoneM talon"C°""er 0o"p""r""°°"'er"1r°"° MINOR SUBDIVISION-MARKIEWICZ ESTATES
tnrr.uert.tkad.w.a.
treat MOO at A Coast.aeoon.l da id trueent not hewing the act
aHedaM aanbaW
The abet.l adimension.lamer,(elm.Ran.wemw to the p,00e,tl,ergofor•spell.mom MATTITUCK,TOWN OF BROOKHAVEN
lam e�riiroY n.`dtoe and therelonpoo.patio., :t&Wi`""�°ianbwaopule e. aerection n SUFFOLK COUNTY,NEW YORK
as analan.
The edam.a dpd a nay..naar arnrme a remm,r rq,not Moro ere DATE: 11/26/02 SCALE: 1"=50'
not 9uer.nte.d
CERTIFIED ONLY TO: SURVEY
ALLEN A.CARDINALE DESTIN G.GRAF
SHANE AND AGNUS ALEXANDER LAND SURVEYOR
PO BOX 704
J Rocky Point,New Yak,11778
831.821-3442
By DESTIN G.GRAF N.Y.S.LIC NO.50087